Observation effect of evidence-based nursing intervention in elderly diabetes care
循证护理干预在老年糖尿病护理中的应用观察效果

摘要

目的 本研究旨在探讨循证护理干预在老年糖尿病护理中的应用效果。通过系统的护理干预，评估其对血糖控制、并发症预防以及生活质量提升的实际影响，为临床护理提供有效依据。方法 选取我院2023年3月-2024年3月收治的70例老年糖尿病患者，分组法分为观察组和对照组，每组各35例。对照组采用常规护理模式，观察组则在此基础上加入循证护理干预，干预内容包括饮食管理、运动指导、血糖监测与并发症预防等。两组患者的护理周期均为6个月，比较两组护理前后空腹血糖（FPG）、糖化血红蛋白（HbA1c）及并发症发生率。结果 干预6个月后，观察组的空腹血糖水平明显低于对照组（观察组：6.5±1.2 mmol/L，对照组：8.3±1.5 mmol/L，P＜0.05），糖化血红蛋白水平也显著下降（观察组：6.8%±0.9%，对照组：8.1%±1.1%，P＜0.05）。此外，观察组的并发症发生率明显低于对照组（观察组：14.3%，对照组：28.6%，P＜0.05），患者生活质量评分显著提高。结论 循证护理干预能够显著改善老年糖尿病患者的血糖控制，降低并发症发生率，并提升其生活质量。该护理模式具有较高的临床应用价值，应在糖尿病护理中广泛推广。

Abstract

Objective This study aims to explore the application effect of evidence-based nursing intervention in elderly diabetes care. Through systematic nursing intervention, evaluate its actual impact on blood sugar control, complication prevention and quality of life improvement, and provide effective basis for clinical nursing.
Methods 70 elderly patients with diabetes admitted to our hospital from March 2023 to March 2024 were selected and divided into an observation group and a control group by grouping method, with 35 cases in each group. The control group adopted conventional nursing mode, and the observation group added evidence-based nursing intervention on this basis. The intervention content included diet management, exercise guidance, blood sugar monitoring and complication prevention. The nursing cycle of both groups of patients was 6 months, and the fasting blood glucose (FPG), glycosylated hemoglobin (HbA1c) and complication incidence before and after nursing were compared between the two groups.
Results After 6 months of intervention, the fasting blood glucose level in the observation group was significantly lower than that in the control group (observation group: 6.5±1.2 mmol/L, control group: 8.3±1.5 mmol/L, P＜0.05), and the glycosylated hemoglobin level also decreased significantly (observation group: 6.8%±0.9%, control group: 8.1%±1.1%, P＜0.05). In addition, the incidence of complications in the observation group was significantly lower than that in the control group (observation group: 14.3%, control group: 28.6%, P＜0.05), and the quality of life score of patients was significantly improved.
Conclusion   Evidence-based nursing intervention can significantly improve blood glucose control, reduce the incidence of complications, and improve the quality of life of elderly patients with diabetes. This nursing model has high clinical application value and should be widely promoted in diabetes nursing.