PMID- 37171373 OWN - NLM STAT- Publisher LR - 20230512 IS - 2046-5556 (Electronic) IS - 0264-8725 (Linking) DP - 2023 May 12 TI - Analysis on application effect and prognostic factors of medical care combined with nursing in the elderly with T2DM and Cerebral Infarction based on targeted management mode. PG - 1-12 LID - 10.1080/02648725.2023.2207935 [doi] AB - To explore the analysis on application effect and prognostic factors of medical care combined with nursing in the elderly with type 2 diabetes mellitus (T2DM) and cerebral infraction (CI) based on targeted management mode. The clinical data of 180 elderly patients with T2DM and CI in our hospital from August 2017 to August 2019 were selected for retrospective analysis. Their cognitive function and daily living ability before and after intervention were evaluated, using the National Institutes of Health Stroke Scale (NIHSS) to evaluate their prognosis. They were divided into good prognosis group (n = 134) and poor prognosis group (n = 46) according to the score. Binary Logistic regression analysis was adopted to analyze the prognostic factors of such patients. After intervention, patients had visibly lower indexes of blood glucose fluctuation and lower average scores of ADL and MMSE (P < 0.001), with differences in body mass index, systolic pressure, diastolic pressure, fasting blood glucose and triglyceride in both groups (P < 0.001). Binary Logistic regression analysis showed that systolic pressure, diastolic pressure and triglyceride were risk factors affecting patients' prognosis (P < 0.05). Medical care combined with nursing based on targeted management mode has a remarkable control effect on blood glucose, and has a positive effect on improving cognitive function and living ability of elderly patients with T2DM and CI. In addition, attention should be paid to monitoring systolic and diastolic blood pressures, and triglyceride in patients to improve the prognosis. FAU - Qin, Hongyan AU - Qin H AD - Medical Records Room, Jinan Authority Hospital, Jinan, Shandong, China. FAU - Du, Haiyan AU - Du H AD - Community Health Service Center, Qingdao, Shandong, China. FAU - Wang, Haizhen AU - Wang H AD - Cadre Ward Section 1, The 960th Hospital of the People's Liberation Army, Jinan, Shandong, China. FAU - Li, Shan AU - Li S AD - Health Section II, Weifang People's Hospital, Weifang, Shandong, China. LA - eng PT - Journal Article DEP - 20230512 PL - England TA - Biotechnol Genet Eng Rev JT - Biotechnology & genetic engineering reviews JID - 8510274 SB - IM OTO - NOTNLM OT - Targeted management mode OT - application effect OT - medical care combined with nursing OT - prognostic factors OT - type 2 diabetes mellitus and cerebral infraction EDAT- 2023/05/12 13:08 MHDA- 2023/05/12 13:08 CRDT- 2023/05/12 10:23 PHST- 2023/05/12 13:08 [medline] PHST- 2023/05/12 13:08 [pubmed] PHST- 2023/05/12 10:23 [entrez] AID - 10.1080/02648725.2023.2207935 [doi] PST - aheadofprint SO - Biotechnol Genet Eng Rev. 2023 May 12:1-12. doi: 10.1080/02648725.2023.2207935.