首页|集束化护理在胃肠肿瘤合并糖尿病围手术期的应用

集束化护理在胃肠肿瘤合并糖尿病围手术期的应用

Effect of cluster nursing on perioperative blood glucose management in patients with gastrointestinal tumor complicated with diabetes

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目的:探讨集束化护理在胃肠肿瘤合并糖尿病患者围手术期血糖管理的效果.方法:将在某医院行手术治疗且合并糖尿病的50例胃肠肿瘤患者按照随机数表法分为对照组与观察组,每组25例患者,对照组患者行常规护理,观察组患者行集束化护理.对比两组患者围术期空腹血糖指标水平、术后康复指标水平、术后并发症发生情况、生存质量和护理总满意情况.结果:观察组患者手术中、术后的空腹血糖水平以及术后首次排气时间、术后胃管拔除时间、切口拆线时间、住院时间、术后并发症发生率显著低于对照组(P<0.05),但其QLQ-C30评分、护理总满意率高于对照组(P<0.05).结论:胃肠肿瘤合并糖尿病患者围手术期应用集束化护理效果明显,能将患者的血糖控制在更合理的范围内,对缩短病情、促进康复十分重要.
Objective:To explore the effect of cluster nursing on perioperative blood glucose management in patients with gastrointestinal tumor and diabetes.Methods:50 cases of gastrointestinal tumor patients with diabetes who underwent surgery were divided into a control group and an observation group(25 cases in each group)according to the method of drawing lots.The control group received routine care,and the observation group received cluster care.Compare the perioperative fasting blood glucose levels,postoperative rehabilitation indicators,incidence of postoperative complications,quality of life,and overall nursing satisfaction between two groups of patients.Result:The fasting blood glucose levels during and after surgery,as well as the first postoperative exhaust time,postoperative gastric tube removal time,incision suture removal time,hospital stay,and incidence of postoperative complications in the observation group were significantly lower than those in the control group(P<0.05);However,the QLQ-C30 score and overall nursing satisfaction rate were higher in the control group(P<0.05).Conclusion:The application of cluster nursing in the perioperative period of gastrointestinal tumor patients with diabetes has obvious effect,which can control the blood sugar of patients in a more reasonable range,and is very important to shorten the condition and promote rehabilitation.

bundled caregastrointestinal tumorsdiabetesperioperative periodblood sugar

朱沁雪、杨麦兰

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合肥市第二人民医院普外二科 安徽合肥 230000

集束化护理 胃肠肿瘤 糖尿病 围术期 血糖

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(2)
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