针对性围手术期护理对甲状腺恶性肿瘤合并糖尿病患者的效果观察(1)
摘 要：目的 观察针对性围手术期护理模式应用于甲状腺恶性肿瘤合并糖尿病患者的临床效果。方法 将2015年9月～2017年9月在我院进行治疗的90例甲状腺恶性肿瘤合并糖尿病患者通过单双号分组法分为常规组和实验组。常规组实施传统护理模式，实验组采用针对性围手术期护理模式。对比两组患者护理前后的血糖水平、满意度以及住院天数。结果 实验组患者干预后空腹血糖水平为(8.15±0.67)mmol/L，低于常规组(11.67±0.64)mmol/L，差异有统计学意义(P<0.05)；实验组护理满意度为95.56%，高于常规组的80.00%，差异有统计学意义(P<0.05)。结论 应用针对性围手术期护理模式可以较好地控制甲状腺恶性肿瘤合并糖尿病患者的血糖，提高患者的满意度，促进患者康复。
关键词：甲状腺恶性肿瘤；糖尿病；围手术期护理
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.056
, http://www.100md.com
文章编号：1006-1959(2018)15-0169-02
Effect of Targeted Perioperative Nursing on Patients with Thyroid Malignant Tumor Complicated with Diabetes
REN Yan
(Department of Thyroid Surgery，Jiangyuan Hospital，Jiangsu Institute of Atomic Medicine，Wuxi 214000，Jiangsu，China)
Abstract：Objective To observe the clinical effect of perioperative nursing mode in patients with thyroid malignant tumor and diabetes.Methods 90 patients with thyroid malignant tumor and diabetes mellitus who were treated in our hospital from September 2015 to September 2017 were divided into the conventional group and the experimental group by single and double number grouping.The conventional group implemented the traditional nursing model，and the experimental group used a targeted perioperative care model.Blood glucose levels，satisfaction，and length of hospital stay were compared between the two groups before and after treatment.Results The fasting blood glucose level of the experimental group was(8.15±0.67)mmol/L，which was lower than that of the conventional group (11.67±0.64)mmol/L，the difference was statistically significant(P<0.05).The nursing satisfaction of the experimental group was 95.56%，80.00% higher than the conventional group，the difference was statistically significant(P<0.05)；Conclusion The targeted perioperative nursing model can better control the blood glucose of patients with thyroid malignant tumors and diabetes， improve patient satisfaction and promote rehabilitation.
, 百拇医药
Key words：Thyroid malignant tumor；Diabetes；Perioperative nursing
目前，甲狀腺恶性肿瘤的治疗以手术为主，对于合并糖尿病的患者，其手术难度更大，术后极易出现各种并发症，影响治疗效果[1-3]。目前针对此类患者的护理往往以控制术前血糖为主，并没有形成针对性的系统化护理模式。若围手术期护理效果不佳，患者血糖控制不稳，极易影响手术效果。因此，为进一步提高甲状腺恶性肿瘤合并糖尿病患者的治疗效果，特制定针对性的围手术期护理模式。选取我院2015年9月～2017年9月收治的90例患者进行观察，现报告如下。
1 资料与方法
1.1一般资料 抽取江苏省原子医学研究所附属江原医院2015年9月～2017年9月收治的甲状腺恶性肿瘤合并糖尿病患者90例作为本次研究对象。纳入标准：①年龄≥18岁；②初次诊断为甲状腺恶性肿瘤拟行手术者；③符合糖尿病的诊断标准；④对本研究知情同意，自愿参加。通过单双号分组法，将患者分为常规组与实验组，各45例。常规组中男24例，女21例，年龄46～76岁，平均年龄(45.36±3.54)岁，糖尿病病程1～11年，平均病程(5.54±2.34)年。实验组中男23例，女22例，年龄45～78岁，平均年龄(44.55±3.26)岁，糖尿病病程1～12年，平均病程(5.64±2.55)年。两组患者年龄、性别及病程资料比较，差异无统计学意义(P>0.05)，研究可进行。, 百拇医药(任燕)
关键词：甲状腺恶性肿瘤；糖尿病；围手术期护理
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.056
, http://www.100md.com
文章编号：1006-1959(2018)15-0169-02
Effect of Targeted Perioperative Nursing on Patients with Thyroid Malignant Tumor Complicated with Diabetes
REN Yan
(Department of Thyroid Surgery，Jiangyuan Hospital，Jiangsu Institute of Atomic Medicine，Wuxi 214000，Jiangsu，China)
Abstract：Objective To observe the clinical effect of perioperative nursing mode in patients with thyroid malignant tumor and diabetes.Methods 90 patients with thyroid malignant tumor and diabetes mellitus who were treated in our hospital from September 2015 to September 2017 were divided into the conventional group and the experimental group by single and double number grouping.The conventional group implemented the traditional nursing model，and the experimental group used a targeted perioperative care model.Blood glucose levels，satisfaction，and length of hospital stay were compared between the two groups before and after treatment.Results The fasting blood glucose level of the experimental group was(8.15±0.67)mmol/L，which was lower than that of the conventional group (11.67±0.64)mmol/L，the difference was statistically significant(P<0.05).The nursing satisfaction of the experimental group was 95.56%，80.00% higher than the conventional group，the difference was statistically significant(P<0.05)；Conclusion The targeted perioperative nursing model can better control the blood glucose of patients with thyroid malignant tumors and diabetes， improve patient satisfaction and promote rehabilitation.
, 百拇医药
Key words：Thyroid malignant tumor；Diabetes；Perioperative nursing
目前，甲狀腺恶性肿瘤的治疗以手术为主，对于合并糖尿病的患者，其手术难度更大，术后极易出现各种并发症，影响治疗效果[1-3]。目前针对此类患者的护理往往以控制术前血糖为主，并没有形成针对性的系统化护理模式。若围手术期护理效果不佳，患者血糖控制不稳，极易影响手术效果。因此，为进一步提高甲状腺恶性肿瘤合并糖尿病患者的治疗效果，特制定针对性的围手术期护理模式。选取我院2015年9月～2017年9月收治的90例患者进行观察，现报告如下。
1 资料与方法
1.1一般资料 抽取江苏省原子医学研究所附属江原医院2015年9月～2017年9月收治的甲状腺恶性肿瘤合并糖尿病患者90例作为本次研究对象。纳入标准：①年龄≥18岁；②初次诊断为甲状腺恶性肿瘤拟行手术者；③符合糖尿病的诊断标准；④对本研究知情同意，自愿参加。通过单双号分组法，将患者分为常规组与实验组，各45例。常规组中男24例，女21例，年龄46～76岁，平均年龄(45.36±3.54)岁，糖尿病病程1～11年，平均病程(5.54±2.34)年。实验组中男23例，女22例，年龄45～78岁，平均年龄(44.55±3.26)岁，糖尿病病程1～12年，平均病程(5.64±2.55)年。两组患者年龄、性别及病程资料比较，差异无统计学意义(P>0.05)，研究可进行。, 百拇医药(任燕)