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目的:探讨综合护理模式对青年2型糖尿病并发痛风患者生活质量的影响。方法:选取2015年1月至2016年1月于嘉兴医院肾内风湿免疫科就诊治疗的青年2型男性糖尿病并发痛风的患者58例,根据随机数字表将以上患者分为观察组和对照组,每组各29例。观察组给予综合护理干预措施,对照组给予常规护理干预措施,比较两组患者干预后糖尿病SF-36(简明健康测量量表)评分、空腹血糖(FBG)和糖化血红蛋白(HbA1c)、血尿酸、SAS和SDS评分。结果:经护理干预后观察组患者的生理功能、精神健康、社会功能、生命活力、总体健康的评分均明显高于对照组,差异有统计学意义(P<0.01);观察组的空腹血糖(FBG)、糖化血红蛋白(HbA1c)和血尿酸水平均显著低于对照组,差异有统计学意义(P<0.01);观察组的SAS和SDS评分均明显低于对照组,差异有统计学意义(P<0.01)。结论:综合护理干预模式可有效的提高青年2型糖尿病并发痛风患者的生活质量,改善血糖和血尿酸水平,改善患者不良心理状态,值得临床推广应用。
Objective: To explore the effect of comprehensive nursing mode on the quality of life of young type 2 diabetic patients with gout. Methods: From January 2015 to January 2016 in Jiaxing Hospital, Department of Nephrology Rheumatology treatment of young type 2 male patients with diabetes mellitus and gout in 58 cases, according to the random number table will be divided into observation group and control group, Each group of 29 cases. The patients in the observation group were given comprehensive nursing intervention and the control group were given routine nursing interventions. The scores of SF-36 (Simple Health Scale), fasting blood glucose (FBG) and HbA1c, blood uric acid, SAS and SDS scores. Results: After nursing intervention, the scores of physiological function, mental health, social function, vitality and general health of the observation group were significantly higher than those of the control group (P <0.01). The fasting blood glucose FBG, HbA1c and serum uric acid were significantly lower than those in the control group (P <0.01). SAS and SDS scores in the observation group were significantly lower than those in the control group (P <0.01) P <0.01). Conclusion: The comprehensive nursing intervention model can effectively improve the quality of life, improve blood glucose and serum uric acid level, improve the bad psychological state of patients with type 2 diabetes mellitus complicated with gout, which is worthy of clinical application.