摘要
目的分析专科护理在子宫肌瘤合并糖尿病围术期中的应用效果及对并发症发生率的影响。方法选取2018年10月—2020年10月收治的80例子宫肌瘤合并糖尿病患者展开研究,以护理模式差异性分组,40例实施常规护理者归入对比组,40例配合专科护理者归入研究组,比较分析护理效果及价值。结果术前,两组血糖水平差异无统计学意义(P>0.05),术后,研究组空腹血糖为(5.99±0.74)mmol/L、餐后2 h血糖为(9.88±1.21)mmol/L,均优于对比组,差异有统计学意义(t=8.131、5.382,P<0.05);研究组总并发症发生率为7.50%,较对比组25.00%更低,差异有统计学意义(χ^(2)=4.501,P=0.034);研究组肛门通气恢复时间为(34.55±1.58)h、自主排尿恢复时间为(14.69±1.24)h、下床活动时间为(25.33±2.15)h、住院用时为(11.51±1.39)d,均较对比组更短,差异有统计学意义(t=12.751、12.399、17.709、6.345,P<0.05);研究组各项护理满意度评价指标(基础护理、护理方法、护理措施、护理态度)得分均较对比组更高,差异有统计学意义(P<0.05);研究组GQOL-74量表各维度(躯体功能、心理功能、社会功能、物质生活状态)评分均较对比组更高,差异有统计学意义(P<0.05)。结论在子宫肌瘤合并糖尿病患者围术期中,配合专科护理干预,能够帮助患者更好控制血糖水平,促进术后恢复,同时,还可以降低并发症发生率,提升患者护理服务满意度、生活质量,整体护理效果较佳,因此,专科护理可作为推荐干预模式在子宫肌瘤合并糖尿病患者围术期中推广、应用。
Objective To analyze the application effect of specialized nursing in the perioperative period of hysteromyoma complicated with diabetes mellitus and its influence on the incidence of complications.Methods Selected 80 patients with uterine fibroids and diabetes mellitus admitted from October 2018 to October 2020 to start the study.They were divided into two groups according to the difference of nursing mode.40 cases of routine nursing were included in the comparison group,and 40 cases of specialized nursing were included in the study group.The nursing effect and value were compared and analyzed.Results Before operation,there was no significant difference in blood glucose levels between the two groups(P>0.05).After operation,the fasting blood glucose of the study group was(5.99±0.74)mmol/L,and the blood glucose 2 h after meal was(9.88±1.21)mmol/L,which were better than the comparison group,the difference were statistically significant(t=8.131,5.382,P<0.05);the total complication rate of the study group was 7.50%,which was lower than the comparison group 25.00%,and the difference was statistically significant(χ^(2)=4.501,P=0.034);in the study group,anal ventilation recovery time was(34.55±1.58)h,spontaneous urination recovery time was(14.69±1.24)h,getting out of bed time was(25.33±2.15)h,and hospitalization time was(11.51±1.39)d,which were shorter than the comparison group,and the difference was statistically significant(t=12.751,12.399,17.709,6.345,P<0.05);various nursing satisfaction evaluation indicators of the study group(basic nursing,nursing methods,nursing measures,nursing attitude)scores were higher than those of the comparison group,and the difference was statistically significant(P<0.05);the scores of all dimensions(physical function,mental function,social function,and material life status)on the GQOL-74 scale of the study group were higher than those of the comparison group,the difference was statistically significant(P<0.05).Conclusion In the perioperative period of patients with uterine fibroids and diabetes,with specialist nursing intervention,it can help patients better control blood glucose levels and promote postoperative recovery.At the same time,it can also reduce the incidence of complications,improve patient care service satisfaction,quality of life,and better overall nursing effect.Therefore,specialist nursing can be used as a recommended intervention mode to promote and apply in patients with uterine fibroids and diabetes during the perioperative period.
作者
关少娟
张真真
GUAN Shaojuan;ZHANG Zhenzhen(Department of Gynecology,Ningde Hospital Affiliated to Ningde Normal University,Ningde,Fujian Province,352100 China)
出处
《糖尿病新世界》
2021年第17期134-137,共4页
Diabetes New World Magazine
关键词
子宫肌瘤
糖尿病
围术期
专科护理
并发症发生率
应用效果
Hysteromyoma
Diabetes mellitus
Perioperative period
Specialized nursing
Complication rate
Application effect
