摘要
目的早期护理在骨科糖尿病患者术后护理中的应用及对预防深静脉血栓形成(DVT)的作用。方法选取2018年7月—2020年7月该院骨科接收的120例糖尿病患者,按照抽签法均分样本为早期组(n=60)和传统组(n=60),传统组选择传统护理干预,早期组选择早期护理模式,对比两组患者护理前后的血糖指标、肢体功能评分、护理质量评分、生活质量评分、DVT发生率以及护理满意度。结果护理前,两组患者空腹血糖(FPG)、餐后2 h血糖(2 hPG)数据相近,差异无统计学意义(P>0.05);护理后,早期组FPG、2 hPG数据均优于传统组,差异有统计学意义(P<0.05);护理前,两组肢体功能评分数据相近,差异无统计学意义(P>0.05);护理后,早期组肢体功能评分高于传统组,且均高于护理前,差异有统计学意义(P<0.05);早期组健康教育、饮食护理、病房环境以及服务态度评分均高于传统组,差异有统计学意义(P<0.05);早期组身体健康、活力、社会职能、生活职能以及社交职能评分均高于传统组,差异有统计学意义(P<0.05);早期组DVT发生率(8.33%)低于传统组(25.00%),差异有统计学意义(χ^(2)=6.000,P=0.014);早期组护理总满意度(95.00%)高于传统组,差异有统计学意义(χ^(2)=8.292,P=0.003)。结论骨科糖尿病患者应用早期护理能有效改善患者的血糖指标,促进肢体功能的恢复,提高患者生活质量,优化护理质量,降低DVT发生率,进而满足患者的护理需求,提升护理满意度,避免医疗纠纷,值得推广。
Objective To explore the application of early nursing in postoperative nursing of patients with diabetes mellitus in orthopedics department and its effect on prevention of deep venous thrombosis(DVT).Methods 120 diabetic patients accepted by the orthopedics department of the hospital from July 2018 to July 2020.According to the lottery method,the samples were equally divided into early group(n=60) and traditional group(n=60).The traditional group chose traditional nursing intervention,and the early group chose the early nursing mode.The blood glucose index,limb function score,nursing quality score,quality of life score,DVT incidence rate,and nursing satisfaction were compared between the two groups before and after nursing.Results Before nursing,fasting blood glucose(FPG) and 2 h postprandial blood glucose(2 h PG) in two groups were similar,the difference was not statistically significant(P >0.05).After nursing,the FPG and 2 h PG data of the early group were better than those of the traditional group,the difference was statistically significant(P<0.05).Before nursing,there was no statistical difference in limb function score between the two groups(P>0.05).After nursing,the limb function score of the early group was higher than that of the traditional group,the difference was statistically significant(P<0.05).The scores of health education,diet nursing,ward environment and service attitude in early group were higher than those in traditional group,the difference was statistically significant(P<0.05).The scores of physical health,vitality,social function,life function and social function in early group were higher than those in traditional group,the difference was statistically significant(P <0.05).The incidence of DVT in the early group(8.33%) was lower than that in the traditional group(25.00%),the difference was statistically significant (χ^(2)=6.000,P =0.014 ).The total nursing satisfaction of the early group(95.00%) was higher than that of the traditional group,the difference was statistically significant (χ^(2)=8.292,P=0.003).Conclusion The application of early care for orthopedic diabetic patients can effectively improve the patient’s blood glucose index,promote the recovery of limb function,improve the patient’s quality of life,optimize the quality of care,and reduce the incidence of DVT.In turn,it can meet the nursing needs of patients,improve nursing satisfaction,and avoid medical disputes.It is worthy of promotion.
作者
刘晓丽
翁剑花
王在霞
LIU Xiaoli;WENG Jianhua;WANG Zaixia(The Second District of Orthopedics,Putian Medical District,No.900 Hospital of Joint Logistics Support Force,Putian,Fujian Province,351100 China)
出处
《糖尿病新世界》
2021年第19期137-140,149,共5页
Diabetes New World Magazine
关键词
早期护理
骨科糖尿病
深静脉血栓形成
预防作用
护理效果
Early nursing
Orthopedic diabetes
Deep vein thrombosis
Preventive effect
Nursing effect
