综合护理干预对糖尿病患者血浆脑钠肽水平的影响吴志华李松林茴易旦冰杨红深圳市福田区人民医院手术室广东深圳518033【摘要】目的：了解我院综合护理干预对2型糖尿病患者血浆脑钠肽水平的影响。方法：纳入我院2013年1月至2014年11月确诊为2型糖尿病的患者100例，按随机数字表法平均分为两组，其中对照组50例，接受我院护理和常规的我院糖尿病健康教育，观察组50例，在对照组的基础上采用综合护理干预模式。分别于干预前及干预后对两组患者的血浆脑钠肽水平及左室的射血分数、左室舒张末期内径指标，干预6个月后糖化血红蛋白、自我效能等指标进行分析，探讨两种干预手段对我院2型糖尿病患者的影响。结果：干预后观察组的血浆钠肽水平低于对照组，两组比较具有统计学差异（P<0.05）；观察组左室的射血分数明显高于对照组，两组比较只有统计学差异（P<0.05）;观察组的左室舒张末期内径小于对照组，两组比较具有统计学差异（P<0.05）;干预6个月后对照组自我效能与干预前评分无统计学差异（P〉0.05），观察组干预6个月后自我效能评分明显高于干预前（P<0.05）；对照组干预前后糖化血红蛋白检测值无统计学差异（P〉0.05）,观察组干预6个月后糖化血红蛋白检测值明显低于干预前，差异只有统计学意义（P<0.05）。结论：采用综合护理干预能有效的改善患者的心脏功能，降低患者的糖化血红蛋白，增加自我效能。【关键词】综合护理干预；2型糖尿病；血浆钠肽水平；自我管理能力；自我效能InfluenceofcomprehensivenursinginterventiononplasmabrainnatriureticpeptidelevelsinpatientswithdiabetesAbstract：Objective：Tounderstandtheimpactofourhospitalcomprehensivenursinginterventionontype2plasmabrainnatriureticpeptidelevelsinpatientswithdiabetes.Methods：HospitalfromJanuary2013toNovember2014forthe100patientsdiagnosedwithtype2diabetes，accordingtoarandomnumbertableweredividedintotwogroups，acontrolgroupof50patientsreceivinghospitalcareandregularhospitaldiabeteshealtheducation，theobservationgroup，50casesinthecontrolgrouponthebasisofanintegratednursinginterventionmode.Twogroupsofpatientswithejectionfractionsofplasmabrainnatriureticpeptidelevelsandtheleftventriclewerepre-interventionandpost-intervention,theleftventricularend-diastolicdiameterindex,sixmonthsaftertheinterventionglycatedhemoglobin，self-efficacyandotherindicatorswereanalyzedtoexplorethetwointerventioninourhospitalpatientswithtype2diabetes.Results：sodiumplasmapeptidelevelsobservedaftertheinterventiongroupthanthecontrolgroup,thetwogroupshavesignificantdifference(P<0.05)；observationgroupwassignificantlyhigherleftventricularejectionfraction,withasignificantdifferencebetweenthetwogroups(P<0.05)；leftventricularend-diastolicdiameteroftheobservationgroupthanthecontrolgroup,thetwogroupshavesignificantdifference(P<0.05)；6monthsaftertheinterventiongroupself-efficacywithnosignificantdifferencebetweenthepre-interventionscores(P>0.05)wereobservedbeforetheinterventiongroup,aftersixmonthsofself-efficacyscorewassignificantlyhigherthantheintervention(P<0.05)；glycatedhemoglobinvaluesoftheinterventioninthecontrolgroupnosignificantdifference(P>0.05),theinterventiongroupwasobservedafter6monthsbeforetheglycatedhemoglobinvaluewassignificantlylowerthantheintervention，thedifferencewasstatisticallysignificant(P<0.05).Conclusion：Comprehensivenursinginterventioncaninterventioncaneffectivelyimprovethepatient'scardiacfunctionandreducethepatient'sglycatedhemoglobin，increaseself-efficacy.Keywords：comprehensivenursingintervention；type2diabetes；sodiumplasmapeptidelevels；self-managementskills；self-efficacy【中图分类号】R587.1【文献标识码】A【文章编号】2096-0867(2...