手术室细节护理在并发糖尿病的手术患者中的应用研究  

Study on the Application of Operating Room Detail Care in Surgical Patients with Concomitant Diabetes Mellitus

作　　者：黄文玉 王伟榕[2] 谢玉娟 HUANG Wenyu;WANG Weirong;XIE Yujuan(Operating Room,Gutian County Hospital,Gutian,Fujian Province,352200 China;Operating Room,Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350000 China;Cardiac Surgery Departing Romm,Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350000 China)

机构地区：[1]古田县医院手术室,福建古田352200 [2]福建医科大学附属协和医院手术室,福建福州350000 [3]福建医科大学附属协和医院心脏外科手术室,福建福州350000

出　　处：《糖尿病新世界》2023年第12期149-152,共4页Diabetes New World Magazine

摘　　要：目的探讨在并发糖尿病的手术患者中实施手术室细节护理的应用价值。方法选取2020年1月—2021年12月古田县医院收治的68例并发糖尿病的手术患者为研究对象,随机分为两组,各34例。对照组实施常规护理,观察组实施手术室细节护理,比较两组手术前后血糖指标、胰岛素功能改善情况、患者满意度。结果术前,两组FPG、2 hPG以及HbA1c水平比较,差异无统计学意义(P>0.05);术后,观察组FPG、2 hPG以及HbA1c水平低于对照组,差异有统计学意义(P<0.05)。术前,两组HOMA-IR、HOMA-β水平比较,差异无统计学意义(P>0.05);术后,观察组HOMA-IR低于对照组,HOMA-β高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论在并发糖尿病的手术患者中实施手术室细节护理的应用价值较高,有利于巩固手术疗效,改善胰岛功能,控制血糖水平,从而促进病情康复,并提高患者对护理的满意度,维持良好的护患关系。Objective To explore the application value of implementing operating room detail care in surgical patients with concomitant diabetes mellitus.Methods Sixty-eight surgical patients with diabetes mellitus admitted to Gutian County Hospital from January 2020 to December 2021 were selected as the study objects and randomly divided into two groups,with 34 cases in each group.The control group received routine nursing,and the observation group received detailed nursing in the operating room.Blood glucose indexes before and after surgery,the improvement of insulin function,patient satisfaction of the two groups were compared.Results Before operation,there was no statistically significant difference in the levels of FPG,2 hPG and HbA1c between the two groups(P>0.05).After operation,the levels of FPG,2 hPG and HbA1c in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before operation,there was no statistically significant difference in HOMA-IR and HOMA-βlevels between the two groups(P>0.05).After operation,HOMA-IR in observation group was lower than control group,HOMA-βwas higher than control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application value of operating room detailed nursing in surgical patients with concurrent diabetes is high,which is conducive to consolidating surgical efficacy,improving islet function,controlling blood sugar level,thus promoting disease recovery,improving patients'satisfaction with nursing,maintain ing a good nurse-patient relationship.

关 键 词：手术室 细节护理 糖尿病 血糖 

分 类 号：R47[医药卫生—护理学]