护理结局分类系统下多维护理干预对2型糖尿病合并重症肺炎患者血糖控制效果、APACHEⅡ评分的影响

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[中图分类号]R473 [文献标识码]A [文章编号]1672-4062（2026）02（b）-0122-04

Effect of Multi-maintenance Intervention under the Nursing Outcome Classification System on Blood Glucose Control and APACHE I Score in Patients with Type 2 Diabetes Mellitus Complicated with Severe Pneumonia

CHENingzhu，LAIhaoyun，CHENChunna Departmentof Intensive Care Medicine，Quanzhou First Hospital，Quanzhou 362Ooo，Fujian，China [Abstract] Objective Toanalyzetheefectof multi-maintenance intervention under the nursing outcomeclassification systemon patients with type2diabetes mellituscomplicated with severe pneumonia.Methods A totalof 106 patients with type2diabetes melituscomplicated with severe pneumoniainQuanzhou First Hospital from March 2024 to January 2O25 were conveniently selected.According tothe nursing intervention methods，the patients were divided into control groupand observation group，with 53 cases ineach group.The control group received routine nursing，and the observation group received multi-maintenance intervention under the nursing outcome clasification system.The blood glucosecontrol efect，Acute Physiologyand Chronic Health Evaluation II （APACHEII）score，qualityof life and adverse reactions were compared betweenthe two groups.Results After intervention，the fasting plasma glucose， 2-hour postprandial plasma glucose，glycated hemoglobin A1c levels，APACHE I score and quality of life in the observation group were lower than those in thecontrol group，and the diferences were statistically significant （all P< 0.05）.There was no significant diference in the incidence of adverse reactions between the two groups （ P >0.05）. Conclusion The multi-maintenance nursing intervention under the nursing outcome clasification system can further improve the blood glucosecontrol efect，APACHEIscoreandqualityof lifeof patients withtype2diabetes mellitus complicated with severe pneumonia，and the safety of the two nursing methods is high.

[Keywords]Nursing outcome clasificationsystem;Blood glucosecontrol efect; Qualityoflife;Type2diabetesmellitus

作为临床常见代谢性疾病，2型糖尿病导致患者长期处于血糖波动状态，易增加诸多疾病发生风险[-2]。（剩余5258字）