分析直肠癌合并糖尿病患者围手术期的护理干预(1)

http://www.100md.com 2019年8月15日 《糖尿病新世界》 2019年第16期

     [摘要] 目的 總结并归纳直肠癌合并糖尿病患者围手术期的护理干预效果。方法 该文在该院所收直肠癌合并糖尿病患者中随机挑选出56例患者，时间选取为2017年4月—2018年3月。采用随机分组法将患者分组，分为对照组和探究组，每组28例，分组方式为计算机表法。两组均采用手术治疗，对照组围术期采用常规护理，探究组围术期在对照组基础上采用综合性护理。整理两组数据，比较两组护理前后多项指标(包括护理前后血糖水平、生活质量评分及术后并发症发生率等多项内容)。 结果 护理后，探究组患者血糖水平远低于对照组，组间比较，差异有统计学意义(P<0.05);探究组患者MQOL评分为(140.13±2.05)分，远高于对照组的(115.09±2.48)分，组间比较差异有统计学意义(t=15.932 5，P=0.000 0<0.05);探究组患者并发症发生率为7.14%(2/28)，明显低于对照组的32.14%(9/28)，组间比较，差异有统计学意义(χ2=5.543 4，P=0.018 6<0.05)。结论 直肠癌合并糖尿病患者在手术治疗中，围手术期给予患者综合性护理干预的效果远优于常规护理，可有效改善患者血糖水平，提高患者生活质量。

    [关键词] 直肠癌合并糖尿病;围手术期;护理干预

    [中图分类号] R473.73 [文献标识码] A [文章编号] 1672-4062(2019)08(b)-0170-03

    [Abstract] Objective To summarize the effect of perioperative nursing intervention in patients with rectal cancer and diabetes. Methods A total of 56 patients were randomly selected from rectal cancer patients with diabetes mellitus in our hospital. The time was selected from April 2017 to March 2018. Patients were divided into control group and inquiry group by random grouping method， 28 cases in each group， and the grouping method was computer table method. Surgical treatment was used in both groups. The perioperative period of the control group was routinely treated. The perioperative period of the study group was based on the control group. The two groups of data were sorted， and a number of indicators (including blood glucose levels before and after treatment， quality of life scores， and postoperative complication rates) were compared between the two groups. Results After nursing， the blood glucose level of the patients in the inquiry group was much lower than that of the control group， and the difference between the groups was statistically significant. The difference was statistically significant(P<0.05). The MQOL score of the inquiry group was (140.13±2.05)points， which was much higher than that of the control group (115.09±2.48)points， the comparison between groups， the difference was statistically significant(t=15.932 5， P=0.000 0<0.05); the incidence of complications in the inquiry group was 7.14% (2/28)， which was significantly lower than that of the control group 32.14% (9/28)， comparison between groups， the difference was statistically significant(χ2=5.543 4， P=0.018 6<0.05). Conclusion In the surgical treatment of patients with rectal cancer and diabetes， the effect of comprehensive nursing intervention in patients during perioperative period is much better than that of routine nursing， which can effectively improve the blood glucose level of patients and improve their quality of life.(王茹)

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