Neurology Department Nursing on the rehabilitation of stroke patients with diabetes
神经内科护理对脑卒中糖尿病患者康复的护理效果研究

摘要

目的 探究神经内科针对性护理干预对脑卒中合并糖尿病患者康复进程的影响，为临床护理方案优化提供实践依据。方法 选取2024年5月-2025年5月本院收治的80例脑卒中合并糖尿病患者进行研究，按照随机数字表法分为对照组与观察组，各40例。对照组采用神经内科常规护理模式，观察组在常规护理基础上实施针对性康复护理干预。比较两组患者护理后的神经功能缺损程度、血糖控制效果及日常生活能力恢复情况。结果 护理后，观察组神经功能缺损评分低于对照组，空腹血糖及餐后2h血糖水平低于对照组，日常生活能力评分高于对照组，差异均具有统计学意义（P<0.05）。结论 神经内科针对性护理干预可有效改善脑卒中合并糖尿病患者的神经功能，提升血糖控制效果，促进患者日常生活能力恢复。

Abstract

Objective To explore the impact of targeted nursing intervention in neurology department on the rehabilitation process of stroke patients with diabetes, and to provide practical basis for the optimization of clinical nursing program.
Methods 80 cases of stroke patients with diabetes admitted to our hospital from May 2024 to May 2025 were selected and studied. They were divided into control group and observation group according to random number table, 40 cases in each group. The control group received routine nursing care in neurology, while the observation group received targeted rehabilitation nursing interventions on the basis of routine nursing. Compare the degree of neurological deficit, blood glucose control effect, and recovery of daily living ability between two groups of patients after nursing care.
Results After nursing, the observation group had lower scores for neurological deficits compared to the control group, lower levels of fasting blood glucose and 2-hour postprandial blood glucose compared to the control group, and higher scores for daily living abilities compared to the control group, with statistically significant differences (P<0.05).
Conclusion   The targeted nursing intervention in neurology department can effectively improve the neurological function of stroke patients with diabetes, improve the effect of blood sugar control, and promote the recovery of patients' ability of daily living.