目的：分析护士主导护理模式对危重症病人血糖管理的干预效果。方法：将2020年4月~2021年5月于我院接受治疗的80例危重症患者作为主要研究对象，根据患者入院时间的先后将其分为两组，每组40例。对照组予以常规护理模式，观察组开展护士主导护理模式，对两种护理方法的干预效果进行比较分析。结果：两组患者干预前的血糖值比较无显著差异，而干预后两组患者的血糖值均有明显降低，干预前后相比存在显著差异，但干预后观察组与对照组患者的血糖值比较并无显著差异；与对照组相比，观察组患者的血糖达标时间更短，胰岛素用量更少，存在显著差异(P < 0.05)；观察组的低血糖发生率明显低于对照组，差异显著(P < 0.05)；经比较两组患者血糖控制稳定性的相关指标，结果提示观察组患者的平均血糖值、血糖值标准差和血糖变异率均显著低于对照组，存在明显差异(P < 0.05)；经干预后评估两组患者的生活质量，结果提示观察组的生活质量评分显著低于对照组，有明显差异(P < 0.05)。结论：将护士主导护理模式运用在危重症患者的血糖管理中优势显著，既可以控制血糖值，减少胰岛素用量，还有利于保持血糖控制的稳定性，从整体上提高患者的生活质量，因此，此种护理模式具备临床借鉴意义和推广价值。
Objective: To analyze the
intervention effect of nurse led nursing model on blood glucose management of
critically ill patients. Methods: 80 critically ill patients who were treated
in our hospital from April 2020 to May 2021 were taken as the main research
object, and were divided into two groups according to their hospitalization
time, with 40 patients in each group. The control group was given routine
nursing mode, and the observation group carried out nurse led nursing mode. The
intervention effects of the two nursing methods were compared and analyzed.
Results: There was no significant difference in blood glucose between the two
groups before the intervention, but the blood glucose of the two groups
decreased significantly after the intervention. There was a significant
difference before and after the intervention, but there was no significant
difference between the observation group and the control group after the
intervention; compared with the control group, the blood glucose standard time
of the observation group was shorter and the amount of insulin was less, with
significant difference (P < 0.05); the incidence of hypoglycemia in the observation group was significantly lower than that in the control group (P < 0.05); the results showed that the average blood glucose value, standard deviation of blood glucose value and blood glucose variation rate in the observation group were significantly lower than those in the control group (P < 0.05); after the intervention, the quality of life of the two groups was evaluated. The results showed that the quality of life score of the observation group was significantly lower than that of the control group (P < 0.05). Conclusion: The nurse led nursing model has significant advantages in the blood glucose management of critically ill patients. It can not only control the blood glucose value and reduce the amount of insulin, but also maintain the
