首页|心脏瓣膜置换和冠状动脉搭桥术合并糖尿病患者的术后护理

心脏瓣膜置换和冠状动脉搭桥术合并糖尿病患者的术后护理

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目的 探究实施强化护理干预模式对心脏瓣膜置换和冠状动脉搭桥术合并糖尿病患者术后的效果。方法 选择郑州市第七人民医院 2020 年 3 月至 2022 年 10 月收入的 82 例心脏瓣膜置换和冠状动脉搭桥术合并糖尿病患者,应用随机抽签的方法分成对照组和观察组,各 41 例。对照组术后护理方法为常规方法,观察组为强化护理干预,比较两组血糖指标、术后并发症发生率和护理满意率。结果 护理后,两组患者空腹血糖、餐后 2 h血糖、糖化血红蛋白值均有所降低,且观察组低于对照组,差异有统计学意义(P<0。05)。观察组术后并发症发生率(2。44%)低于对照组(14。63%),差异有统计学意义(P<0。05)。观察组护理满意率(100。00%)高于对照组(87。80%),差异有统计学意义(P<0。05)。结论 心脏瓣膜置换和冠状动脉搭桥术合并糖尿病患者术后实施强化护理干预能减低血糖值,减少并发症,提升护理满意度。
Postoperative Care for Patients with Diabetes Undergoing Cardiac Valve Replacement and Coronary Artery Bypass Surgery
Objective To explore the effect of implementing an enhanced nursing intervention model on patients with diabetes undergoing cardiac valve replacement and coronary artery bypass surgery.Methods A total of 82 patients with diabetes who underwent cardiac valve replacement and coronary artery bypass surgery in The Seventh People's Hospital of Zhengzhou from March 2020 to October 2022 were selected.They were divided into the control group and the observation group,each with 41 cases,by the method of random drawing.The control group was given conventional postoperative nursing methods,and the observation group was given enhanced nursing intervention.The blood glucose indicators,postoperative complication incidence rate,and nursing satisfaction rate of the two groups were compared.Results After nursing,the fasting blood glucose,postprandial 2-hour blood glucose,and glycated hemoglobin values of both groups decreased,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The postoperative complication incidence rate of the observation group(2.44%)was lower than that of the control group(14.63%),with a statistically significant difference(P<0.05).The nursing satisfaction rate of the observation group(100.00%)was higher than that of the control group(87.80%),with a statistically significant difference(P<0.05).Conclusion Implementing enhanced nursing intervention for patients with diabetes undergoing cardiac valve replacement and coronary artery bypass surgery can reduce blood glucose levels,reduce complications,and improve nursing satisfaction.

cardiac valve replacementcoronary artery bypass surgerydiabetespostoperative care

解璐、贺凯、郭行行

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郑州市第七人民医院 心外综合,河南 郑州 450000

郑州市第七人民医院 血液净化室,河南 郑州 450000

心脏瓣膜置换 冠状动脉搭桥术 糖尿病 术后护理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)