胆石症伴糖尿病高龄患者围手术期的护理  

Perioperative Nursing for the Elderly Patients with Cholelithiasis Combined with Diabetes

作　　者：吴遥[1] 

机构地区：[1]辽宁医学院附属第一医院,辽宁锦州121000

出　　处：《辽宁医学院学报》2013年第4期88-89,共2页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨胆石症伴糖尿病高龄患者围手术期的临床护理方法。方法选取我院收治的50例胆石病伴糖尿病高龄患者,将其随机分为对照组和观察组,每组各25例,对照组患者给予常规护理,观察组患者在对照组基础上给予心理护理、饮食指导、预防并发症等综合护理干预措施,观察两组的护理效果。结果观察组患者并发症和低血糖发生率均明显低于对照组,观察组患者术前和术后的空腹和餐后2 h血糖值明显低于对照组,两组对比差异均具有统计学意义(P<0.05)。结论对高龄胆石病伴糖尿病患者实施综合护理干预措施,可有效提高临床护理效果,并降低低血糖以及并发症的发生率,提高患者对护理的满意度。Objective To investigate perioperative clinical nursing method for elderly patients with cholelithiasis combined with diabetes. Methods 50 cases of elderly diabetic patients with cholelithiasis were selected and randomly divided into the control group and the observation group with 25 cases in each group. In the control group, routine nursing was given, and in observation group, in addition to the routine nursing, such comprehensive nursing intervention measures as psychological care, diet guidance and complications prevention were taken. Different nursing effects were afterwards ob- served. Results Patients in the observation group had lower incidence of complications and hypoglycemia compared with the control group. Besides, in the observation group, patients＇ blood glucose level of fasting and postprandial 2 hours were significantly lower than the control group whether it was preoperative or postoperative. Both differences were statistical- ly significant （ P 〈 0. 05 ）. Conclusion By offering comprehensive nursing intervention measures to the elderly diabetic patients with cholelithiasis can obviously improve nursing efficiency. It can also lower incidences of hypoglycemia and other complications, meanwhile improve patients＇ satisfaction on the nursing.

关 键 词：胆石症 糖尿病 高龄 围手术期 护理 

分 类 号：R473.6[医药卫生—护理学]