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目的研究在对糖尿病视网膜病变患者应用糖皮质激素治疗时进行护理干预的临床效果。方法选取糖尿病并发视网膜病变患者80例,将其分为各有40例患者的观察组与对照组,对照组行糖皮质激素治疗,并实施常规护理,观察组在对照组的基础上进行积极的情感支持和知识行为教育,对两组患者的干预效果进行观察。结果经干预后,观察组的总有效率较对照组高(P<0.05),血糖和糖化血红蛋白值以及抑郁评分均低于对照组(P<0.05)。Logistic回归分析结果为,影响预后血糖水平的独立危险因素是抑郁、情感支持和知识教育(P<0.05)。结论在对糖尿病视网膜病变患者应用糖皮质激素治疗的过程中进行护理干预,能使其疗效得到提高,使其血糖水平得到降低,同时还能使其负性情绪得到缓解。
Objective To investigate the clinical effects of nursing intervention in the treatment of diabetic retinopathy patients with glucocorticoid therapy. Methods Eighty diabetic patients with retinopathy were divided into observation group and control group, 40 patients in each group. The control group was treated with glucocorticoid and routine nursing. The observation group was active on the basis of the control group Emotional support and knowledge of behavior education, the two groups of patients to observe the effect of intervention. Results After intervention, the total effective rate of the observation group was higher than that of the control group (P <0.05), and the values of blood glucose, glycosylated hemoglobin and depression were lower than those of the control group (P <0.05). Logistic regression analysis showed that the independent risk factors affecting the prognosis of blood glucose were depression, emotional support and knowledge education (P <0.05). Conclusion Nursing intervention in patients with diabetic retinopathy during treatment with glucocorticoids can improve their curative effect, reduce their blood glucose level, and at the same time, make their negative emotions relieve.