针对糖尿病合并胆结石手术患者35例实施个体化护理干预的护理效果(1)
[摘要] 目的 对在糖尿病合并胆结石手术患者应用个体化护理干预的价值进行分析。 方法 选择该院2018年4月—2019年5月期间的收治70例实施糖尿病合并胆结石手术患者的临床资料，按照病历单双号将其划分为两组，每组各有35例。两组患者分别采用常规个体化护理和护理干预进行护理，对两组患者的护理效果进行比较。 结果 护理干预组和常规护理组在护理前的血糖水平比较差异无统计学意义(P>0.05);护理后，护理干预组的空腹血糖(7.4±1.2)mmol/L、餐后2 h血糖(8.1±2.0)mmol/L明显优于常规护理组(8.6±2.6)、(10.5±3.4)mmol/L，两组比较差异有统计学意义(t=3.216、3.957，P<0.05)。护理干预组的总满意度97.1%明显优于常规护理组77.1%，两组比较差异有统计学意义(χ2=6.248，P<0.05)。 结论 针对糖尿病合并胆结石手术患者实施个体化护理干预可以有效控制患者血糖，并且提升患者护理满意度。
[关键词] 糖尿病;胆结石;个体化护理;效果
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2020)06(b)-0130-03
[Abstract] Objective To analyze the value of applying individualized nursing intervention in patients with diabetes and gallstone surgery. Methods The clinical data of 70 patients with diabetes mellitus and gallstone surgery who were treated in the hospital from April 2018 to May 2019 were selected， and they were divided into two groups according to the medical records. The two groups of patients were treated with conventional nursing and individualized nursing intervention， and the nursing effects of the two groups of patients were compared. Results There was no statistically significant difference between the nursing intervention group and the routine nursing group before the nursing， and the the difference was statistically significant(P>0.05); after nursing， the fasting blood glucose (7.4±1.2)mmol/L and the 2-hour blood glucose (8.1±2.0)mmol/L was significantly better than the conventional care group (8.6±2.6)mmol/L， (10.5±3.4)mmol/L， the difference was statistically significant(t=3.216， 3.957， P<0.05). The total satisfaction of the nursing intervention group was 97.1%， which was significantly better than that of the conventional nursing group， 77.1%. The difference was statistically significant(χ2=6.248， P<0.05). Conclusion Individualized nursing intervention for patients with diabetes and gallstone surgery can effectively control patients’ blood glucose and improve patients’ nursing satisfaction.
[Key words] Diabetes; Gallstones; Personalized care; Effects
在胆结石的临床治疗中普遍采用手术的方式，而且具有比较好的临床效果。如果胆结石患者合并糖尿病，那么患者的血糖水平就会对手术的进行及效果产生很大的影响，所以必须要对患者进行有效护理，确保顺利地开展手术，并且最大限度地控制手术并发症发生率，从而促进患者的术后康复[1]。基于此，該文选择该院2018年4月—2019年5月期间收治的70例实施糖尿病合并胆结石手术患者的临床资料，按照病历单双号将其划分为常规护理组和护理干预组，每组35例， 常规护理组的方式对常规护理组患者进行护理，护理干预组在常规护理的基础上，采用个体化护理干预的方式对护理干预组进行护理，对在糖尿病合并胆结石手术患者应用个体化护理干预的价值进行了深入分析和研究，现报道如下。
1 资料与方法
1.1 一般资料
选择该院收治的70例实施糖尿病合并胆结石手术患者的临床资料，按照病历单双号将其划分为常规护理组和护理干预组，每组35例。该次研究获得了该院伦理委员会的批准和通过，纳入标准：①经过临床诊断确诊为糖尿病合并胆结石的患者;②对该次研究知情同意，自愿参与;③不存在手术禁忌证。排除标准：①合并严重脏器疾病;②中途退出或者具有较差依从性。常规护理组中共计有16例女，19例男，年龄在26～65岁之间，平均年龄为(43.4±9.1) 岁;病程在1～5年之间，平均病程为(2.8±1.6)年。护理干预组中共计有17例女，18例男，年龄在27～66岁之间，平均年龄为(44.5±8.7) 岁;病程在10个月～6年之间，平均病程为(3.1±1.3) 年。在基线资料方面两组患者比较差异无统计学意义(P>0.05)，具备进行组间比较的基础。, http://www.100md.com(韩凤兰)
[关键词] 糖尿病;胆结石;个体化护理;效果
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2020)06(b)-0130-03
[Abstract] Objective To analyze the value of applying individualized nursing intervention in patients with diabetes and gallstone surgery. Methods The clinical data of 70 patients with diabetes mellitus and gallstone surgery who were treated in the hospital from April 2018 to May 2019 were selected， and they were divided into two groups according to the medical records. The two groups of patients were treated with conventional nursing and individualized nursing intervention， and the nursing effects of the two groups of patients were compared. Results There was no statistically significant difference between the nursing intervention group and the routine nursing group before the nursing， and the the difference was statistically significant(P>0.05); after nursing， the fasting blood glucose (7.4±1.2)mmol/L and the 2-hour blood glucose (8.1±2.0)mmol/L was significantly better than the conventional care group (8.6±2.6)mmol/L， (10.5±3.4)mmol/L， the difference was statistically significant(t=3.216， 3.957， P<0.05). The total satisfaction of the nursing intervention group was 97.1%， which was significantly better than that of the conventional nursing group， 77.1%. The difference was statistically significant(χ2=6.248， P<0.05). Conclusion Individualized nursing intervention for patients with diabetes and gallstone surgery can effectively control patients’ blood glucose and improve patients’ nursing satisfaction.
[Key words] Diabetes; Gallstones; Personalized care; Effects
在胆结石的临床治疗中普遍采用手术的方式，而且具有比较好的临床效果。如果胆结石患者合并糖尿病，那么患者的血糖水平就会对手术的进行及效果产生很大的影响，所以必须要对患者进行有效护理，确保顺利地开展手术，并且最大限度地控制手术并发症发生率，从而促进患者的术后康复[1]。基于此，該文选择该院2018年4月—2019年5月期间收治的70例实施糖尿病合并胆结石手术患者的临床资料，按照病历单双号将其划分为常规护理组和护理干预组，每组35例， 常规护理组的方式对常规护理组患者进行护理，护理干预组在常规护理的基础上，采用个体化护理干预的方式对护理干预组进行护理，对在糖尿病合并胆结石手术患者应用个体化护理干预的价值进行了深入分析和研究，现报道如下。
1 资料与方法
1.1 一般资料
选择该院收治的70例实施糖尿病合并胆结石手术患者的临床资料，按照病历单双号将其划分为常规护理组和护理干预组，每组35例。该次研究获得了该院伦理委员会的批准和通过，纳入标准：①经过临床诊断确诊为糖尿病合并胆结石的患者;②对该次研究知情同意，自愿参与;③不存在手术禁忌证。排除标准：①合并严重脏器疾病;②中途退出或者具有较差依从性。常规护理组中共计有16例女，19例男，年龄在26～65岁之间，平均年龄为(43.4±9.1) 岁;病程在1～5年之间，平均病程为(2.8±1.6)年。护理干预组中共计有17例女，18例男，年龄在27～66岁之间，平均年龄为(44.5±8.7) 岁;病程在10个月～6年之间，平均病程为(3.1±1.3) 年。在基线资料方面两组患者比较差异无统计学意义(P>0.05)，具备进行组间比较的基础。, http://www.100md.com(韩凤兰)