正念减压疗法结合微课堂为主的教育对糖尿病腹腔镜阑尾切除术患者并发症知识掌握率的影响  

Influence of mindfulness-based stress reduction plus micro-class education on the complications and knowledge mastery rate in laparoscopic appendectomy patients with diabetes mellitus

作　　者：赵明明[1] 王英南[2] 赵国军[1] 胡楠楠[1] 郝丽娜[1] 李继忠[1] 任磊[3] Zhao Mingming;Wang Yingnan;Zhao Guojun;Hu Nannan;Hao Li Na;Li Jizhong;Ren lei(Department of Oprationg Room,the Affiliated Hospital of Chengde Medical College,Chengde 067000,China;Department of Endocrinology,the Affiliated Hospital of Chengde Medical College,Chengde 067000,China;Department of Pediatrics,the Affiliated Hospital of Chengde Medical College,Chengde 067000,China)

机构地区：[1]承德医学院附属医院手术室,067000 [2]承德医学院附属医院内分泌科,067000 [3]承德医学院附属医院小儿内科,067000

出　　处：《中国实用护理杂志》2021年第4期268-273,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨正念减压疗法结合微课堂为主的教育对糖尿病腹腔镜阑尾切除术患者并发症知识掌握率的影响。方法选取2019年1月至2020年1月于承德医学院附属医院确诊为糖尿病合并阑尾炎的患者共105例,为行腹腔镜阑尾切除术入院就诊,按照随机数字表法分为对照组52例与研究组53例,对照组给予常规护理,研究组给予正念减压疗法结合微课堂为主的教育。比较2组患者手术前后血糖控制情况、心理情绪,并统计2组术后并发症、患者对疾病知识的掌握率等。结果入组时2组血糖各指标对比差异无统计学意义(P>0.05);至手术中及术后24 h,2组空腹血糖(FBG)、糖化血红蛋白(HbA1c)等指标较入组时均有所好转,但研究组手术中FBG为(7.38±0.54)mmol/L、HbA1c为(6.39±0.21)%,术后24 h的FBG为(6.90±0.52)mmol/L、HbA1c为(6.10±0.39)%,较对照组的(8.16±1.21)mmol/L、(7.53±1.05)%、(7.60±0.57)mmol/L、(6.50±0.41)%有所降低,差异有统计学意义(t值为6.789~13.264,P<0.05);2组患者入组时焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义(P>0.05),至出院前,治疗组患者SAS、SDS评分分别为(35.81±5.49)、(42.08±4.91)分,较对照组(42.21±5.53)、(46.51±4.72)分有明显降低,2组患者治疗后指标差异有统计学意义(t值为5.386,4.265,P<0.05)。研究组并发症发生率5.66%(3/53),对照组并发症发生率17.31%(9/52),差异有统计学意义(χ^2值为6.789,P<0.05)。研究组疾病知识掌握合格率98.11%(52/53),明显高于对照组的86.53%(45/52),差异有统计学意义(χ^2值为5.062,P<0.05)。结论实施正念减压疗法结合微课堂为主的教育可有效提高糖尿病腹腔镜阑尾切除术患者的血糖控制效果,同时有助于稳定患者情绪,提高其对疾病的正确认知,使其以良好的心态接受手术,从而降低术后并发症,促进病情康复。Objective To discuss the influence of mindfulness-based stress reduction plus micro-class education on the complications and knowledge mastery rate in surgical patients with diabetes mellitus.Methods A total of 105 patients,diagnosed as diabetes mellitus complicated with appendicitis in the Affiliated Hospital of Chengde Medical College were selected from January 2019 to January 2020.They were hospitalized for laparoscopic appendectomy and were randomly divided into the control group(n=52)and the study group(n=53)in accordance with the random number table.The patients in the control group were given routine nursing care,and the patients in the study group were given mindfulness decompression therapy combined with micro-classroom education.The blood glucose control and psychological emotion of the two groups before and after operation,and the postoperative complications and the mastery rate of disease knowledge of the two groups were compared.Results There was no significant difference in blood glucose indexes between the two groups at baseline(P>0.05);FBG,HbA1c and other indicators in the two groups were improved during operation and 24h after operation,but FBG(7.38±0.54)mmol/L,HbA1c(6.39±0.21)%and FBG(6.90±0.52)mmol/L and HbA1c(6.10±0.39)%in the study group were lower than those in the control group[(8.16±1.21)mmol/L,(7.53±1.05)%,(7.60±0.57)mmol/L,(6.50±0.41)%],the difference was statistically significant(t value was 6.789-13.264,P<0.05);there was no significant difference in SAS and SDS scores between the two groups at baseline(P>0.05),until discharge,the SAS and SDS scores of the treatment group were 35.81±5.49 and 42.08±4.91 respectively,which were significantly lower than those of the control group(42.21±5.53,6.51±4.72)respectively,compared with the corresponding scale scores of the control group,the difference between the two groups after treatment was statistically significant(t value was 5.386,4.265,P<0.05).Compared with 17.31%(9/52)of the control group,the incidence of complications in the st

关 键 词：腹腔镜阑尾切除术 并发症发生率 血糖控制情况 合并阑尾炎 手术前后 心理情绪 正念减压疗法 术后并发症 

分 类 号：R473.6[医药卫生—护理学]