Exploration of Holistic Nursing Strategy for Diabetic Patients with Pulmonary Tuberculosis.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-11-01
Yamin Zhao, Wei Yuan, Fang Zhao, Jie Yang
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Abstract

Objective: To explore the application effect of comprehensive nursing based on medical-care integration in diabetic patients with pulmonary tuberculosis.

Methods: 80 diabetic patients with pulmonary tuberculosis who were treated at Affiliated Hospital of Hebei University from March 2022 to March 2023 were randomly divided into the routine nursing group and the comprehensive nursing group. The routine nursing group received conventional nursing care, while the comprehensive nursing group received comprehensive nursing based on medical-care integration and routine care. The blood glucose levels, tuberculosis cure rate, negative emotions, quality of life, and satisfaction with nursing care were compared before and after nursing in both groups.

Results: After receiving comprehensive nursing care, participants had lower fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels than those who received routine nursing care. Compared to patients receiving standard care, patients under comprehensive care demonstrated increased rates of tuberculosis lesion resolution and tuberculosis bacilli conversion. The assessments of patients' negative emotions using SAS and SDS scores showed lower levels, while their scores for physiological, psychological, and social functions were higher. Additionally, they reported heightened levels of satisfaction with nursing care.

Conclusion: The provision of comprehensive nursing based on medical-care integration for patients suffering from diabetes complicated by pulmonary tuberculosis by medical and nursing personnel is advantageous for fostering amelioration in the clinical manifestations of individuals afflicted with this condition. Additionally, it facilitates patients' recuperation while significantly enhancing their emotional well-being, quality of life, and nursing satisfaction.

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糖尿病肺结核患者的整体护理策略探讨
摘要】目的:探讨基于医养结合的综合护理在糖尿病肺结核患者中的应用效果:方法:将2022年3月-2023年3月河北大学附属医院收治的80例糖尿病肺结核患者随机分为常规护理组和综合护理组。常规护理组接受常规护理,综合护理组接受基于医养结合和常规护理的综合护理。比较两组患者护理前后的血糖水平、肺结核治愈率、负性情绪、生活质量和护理满意度:结果:接受综合护理后,参与者的空腹血糖、餐后 2 小时血糖和糖化血红蛋白水平均低于接受常规护理的患者。与接受标准护理的患者相比,接受综合护理的患者结核病灶清除率和结核杆菌转阴率均有所提高。通过 SAS 和 SDS 评分对患者负面情绪的评估显示,患者的负面情绪水平较低,而生理、心理和社会功能评分较高。此外,他们对护理工作的满意度也有所提高:结论:医护人员为糖尿病并发肺结核患者提供基于医护一体化的综合护理,有利于改善患者的临床表现。此外,在促进患者康复的同时,还能显著提高患者的情绪幸福感、生活质量和护理满意度。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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