摘要
目的分析护理干预在肛瘘合并糖尿病患者中对FBG、2 h PG及满意度的影响。方法基于2019年1月—2020年12月纳入的76例肛瘘合并糖尿病病例样本作为观察对象,以护理模式差异性进行分组,38例为对比组(常规护理)、38例为研究组(优质护理),对真实护理效果、价值进行比较分析。结果干预前,两组血糖水平差异无统计学意义(t=0.459、0.073,P>0.05),干预后,研究组的FBG、2 hPG水平均较对比组更低,差异有统计学意义(t=8.637、6.093,P<0.05);研究组并发症发生率0.00%较对比组15.78%更低,差异有统计学意义(χ^(2)=4.524,P<0.05);研究组术后6 h、12 h、24 h、48 hVAS评分均较对比组更低,差异有统计学意义(t=6.822、5.917、12.768、13.750,P<0.05);研究组对基础护理(90.26±3.18)分、护理方法(90.44±3.39)分、护理措施(90.28±3.27)分以及护理态度(90.46±3.31)分均较对比组更高,差异有统计学意义(t=7.862、7.668、7.242、7.810,P<0.05);研究组ESCA量表各维度评分均较对比组更高,差异有统计学意义(t=5.830、6.531、4.979、6.899,P<0.05)。结论在肛瘘合并糖尿病患者临床护理服务中配合优质护理干预,能够更好控制血糖水平,降低并发症发生率,同时,还可以减轻术后疼痛情况,提升患者对护理服务的满意度以及自护能力,因此,优质护理干预可作为推荐在肛瘘合并糖尿病患者临床护理服务中推广、应用。
Objective To analyze the effect of nursing intervention on FBG,2 hPG and satisfaction in patients with anal fistula complicated with diabetes mellitus.Methods Based on the 76 cases of anal fistula combined with diabetes from January2019 to December 2020 were included as observation objects,and the groups were grouped according to differences in nursing mode.38 cases were set as the control group(routine care) and 38 cases were set as the study group(high-quality care),and the real nursing effect and value were compared and analyzed.Results Before the intervention,there was no statistically significant difference in blood glucose levels between the two groups(t=0.459,0.073,P>0.05).After the intervention,the levels of FBG and 2 hPG in the study group were lower than those in the control group,the difference was statistically significant(t=8.637,6.093,P<0.05).The complication rate of the study group was 0.00% lower than that of the control group15.78%,the difference was statistically significant (χ^(2)=4.524,P<0.05).The VAS scores of the study group at 6 h,12 h,24 h,and 48 h were lower than those in the control group,the difference was statistically significant(t=6.822,5.917,12.768,13.750,P<0.05).The scores of the study group on basic nursing(90.26±3.18)points,nursing methods(90.44±3.39)points,nursing measures(90.28±3.27)points and nursing attitude(90.46±3.31)points were higher than those of the control group,the difference was statistically significant(t=7.862,7.668,7.242,7.810,P<0.05).The scores of all dimensions of the ESCA scale in the study group were higher than those in the control group,the difference was statistically significant(t=5.830,6.531,4.979,6.899,P <0.05).Conclusion Cooperating with high-quality nursing interventions in clinical nursing services for patients with anal fistula and diabetes can better control blood glucose levels and reduce the incidence of complications.At the same time,it can also reduce postoperative pain and improve patients’ satisfaction with nursing services and self-care ability.Therefore,high-quality nursing intervention can be promoted and applied as a recommendation in clinical nursing services for patients with anal fistula and diabetes.
作者
关喜珍
兰海英
GUAN Xizhen;LAN Haiying(Department of Surgery,Ningde Hospital of Traditional Chinese Medicine,Ningde,Fujian Province,352100China)
出处
《糖尿病新世界》
2021年第19期141-144,149,共5页
Diabetes New World Magazine
关键词
肛瘘
糖尿病
护理干预
FBG
2
h
PG
满意度
Anal fistula
Diabetes
Nursing intervention
FBG
2 hPG
Satisfaction
