精心护理在恶性肿瘤合并糖尿病护理中的效果分析  

Analysis of the Effect of Intensive Care in the Nursing of Malignant Tu⁃mors with Diabetes Mellitus

作　　者：林辉亮 杨春月 林艺碧 LIN Huiliang;YANG Chunyue;LIN Yibi(Second Ward of Thoracic Oncology,the Second Affiliated Hospital of Xiamen Medical College,Xiamen,Fujian Prov-ince,361021 China;Department of Gastroenterology,the Second Affiliated Hospital of Xiamen Medical College,Xia-men,Fujian Province,361021 China)

机构地区：[1]厦门医学院附属第二医院胸部肿瘤二病区,福建厦门361021 [2]厦门医学院附属第二医院消化内科,福建厦门361021

出　　处：《糖尿病新世界》2023年第14期149-152,共4页Diabetes New World Magazine

摘　　要：目的分析精细护理模式在恶性肿瘤合并糖尿病患者干预中的可行性。方法选择2020年3月—2021年3月厦门医学院附属第二医院收治的恶性肿瘤合并糖尿病患者68例,根据护理方法分组,其中观察组(n=34)接受精心护理干预,对照组患者(n=34)接受常规护理,比较两组血糖水平、护理满意度、营养指标及依从性。结果观察组患者空腹血糖与餐后2 h血糖分别为(6.18±0.23)mmol/L、(9.31±0.29)mmol/L,均低于对照组,差异有统计学意义(t=13.810、9.786,P<0.05)。观察组护理满意度为97.06%,高于对照组的76.47%,差异有统计学意义(χ^(2)=4.610,P<0.05)。护理后观察组患者的白蛋白、转铁蛋白、前白蛋白分别为(38.92±4.24)g/L、(217.61±20.81)mg/L、(248.66±19.52)mg/L,显著高于对照组,差异有统计学意义(t=3.502、3.028、3.664,P<0.05)。观察组血糖管理依从性优于对照组,差异有统计学意义(P<0.05)。结论在恶性肿瘤合并糖尿病患者护理干预中,精心护理模式已经成为改善患者血糖与预后的重要手段,有助于提升患者护理满意度,其临床优势显著。Objective To analyze the feasibility of fine nursing mode in the intervention of malignant tumor patients with diabetes mellitus.Methods A total of 68 patients with malignant tumors and diabetes who were admitted to the Second Affiliated Hospital of Xiamen Medical University between March 2020 and March 2021 were selected.Accord⁃ing to nursing methods,the observation group(n=34)received intensive nursing intervention,and the control group(n=34)received routine nursing.Blood glucose level,nursing satisfaction,nutrition index and compliance were compared between the two groups.Results Fasting blood glucose and 2-hour postprandial blood glucose in observation group were(6.18±0.23)mmol/L and(9.31±0.29)mmol/L,respectively,which were lower than those in control group,and the difference was statistically significant(t=13.810,9.786,P<0.05).Nursing satisfaction in the observation group was 97.06%,higher than 76.47%in the control group,and the difference was statistically significant(χ^(2)=4.610,P<0.05).Af⁃ter nursing,the albumin,transferrin and prealbumin of observation group were(38.92±4.24)g/L,(217.61±20.81)mg/L and(248.66±19.52)mg/L,respectively,which were significantly higher than those of control group,and the difference was statistically significant(t=3.502,3.028,3.664,P<0.05).The compliance of blood glucose management in the ob⁃servation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In the nursing intervention of patients with malignant tumors and diabetes mellitus,the careful nursing model has become an important means to improve blood glucose and prognosis of patients,and it is helpful to improve patient satisfaction with nursing care,and its clinical advantages are significant.

关 键 词：精心护理 恶性肿瘤 糖尿病 血糖指标 预后 

分 类 号：R47[医药卫生—护理学]