Neuman干预模式在肝移植术后高血糖患者中的应用效果  

Application effect of Neuman intervention model in patients with hyperglycemia after liver transplantation

作　　者：周利平 崔恒 盛俊 胡婕 夏雪峰 ZHOU Liping;CUI Heng;SHENG Jun;HU Jie;XIA Xuefeng(Department of General Surgery,Nanjing Drum Tower Hospital,Nanjing University Medical College,Jiangsu Province,Nanjing210008,China)

机构地区：[1]南京大学医学院附属南京鼓楼医院普外科,江苏南京210008

出　　处：《中国医药导报》2020年第28期155-158,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81501380)。

摘　　要：目的探究Neuman干预模式应用于肝移植术后高血糖患者中的应用效果。方法选取2018年1月—2019年1月南京大学医学院附属南京鼓楼医院收治的肝移植术患者86例,采用随机数字表法分为对照组和观察组,各43例。对照组给予常规干预模式,观察组给予Neuman干预模式。比较两组血糖控制情况、治疗相关指标变化情况及术后并发症发生率及患者家属满意度。结果干预后,两组空腹血糖及餐后2 h血糖水平均低于干预前,且观察组低于对照组,差异有高度统计学意义(P<0.01);观察组干预后切口愈合时间、血糖达标时间及住院时间均短于对照组,血糖达标时胰岛素用量低于对照组,差异均有高度统计学意义(均P<0.01);观察组干预后术后并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者家属满意度高于对照组,差异有统计学意义(P<0.05)。结论Neuman干预模式应用于肝移植术患者中,可有效控制患者的血糖情况,改善其治疗相关指标变化情况,同时对于降低术后并发症发生率具有重要意义,值得推广。Objective To investigate the effect of Neuman intervention model in patients with hyperglycemia after liver transplantation.Methods From January 2018 to January 2019,86 patients with liver transplantation admitted to Nanjing Drum Tower Hospital of Nanjing University Medical College were selected and divided into control group and observation group by random number table method,43 in each group.The control group was given routine intervention mode,while the observation group was given Neuman intervention mode.The blood sugar control,the change of treatment-related indicators and the incidence of postoperatre complications and familys'satisfaction were compared between the two groups.Results After intervention,fasting blood glucose and 2 h postprandial blood glucose levels in both groups were lower than those before intervention,and the observation group was lower than the control group,with high statistically significant differences(P<0.01);the incision healing time,blood glucose compliance time,and hospital stay time of observation group were all shorter than the control group,and the insulin consumption was lower than that of the control group when the blood glucose reached the standard,the differences were statistically significant(all P<0.01);the incidence of postoperative complications in the observation group was less than in the control group,the difference was statistically significant(P<0.05).The satisfaction of the family in observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion Neuman intervention model can effectively control the blood sugar of patients after liver transplantation,improve the changes of treatment-related indicators,and reduce the incidence of postoperative complications,it is worth promoting.

关 键 词：Neuman干预模式 肝移植术 血糖控制 术后并发症 

分 类 号：R473.6[医药卫生—护理学]