精细化围术期护理在合并糖尿病患者术后切口感染预防中的运用研究  

Application of Refined Perioperative Nursing in the Prevention of Postoperative Incision Infection in Patients with Diabetes Mellitus

作　　者：王志英 明静 王小丽 WANG Zhi ying;MING Jing;WANG Xiao li(Department of Operating Room,Honghu Hospital of Traditional Chinese Medicine,Jingzhou,Hubei Province,433200 China;Department of Orthopedics,Honghu Hospital of Traditional Chinese Medicine,Jingzhou,Hubei Province,433200 China)

机构地区：[1]洪湖市中医医院手术室,湖北荆州433200 [2]洪湖市中医医院骨科,湖北荆州433200

出　　处：《糖尿病新世界》2024年第3期113-116,共4页Diabetes New World Magazine

摘　　要：目的研究在术后切口感染预防中予以合并糖尿病患者精细化围术期护理的效果。方法选取2022年11月—2023年4月洪湖市中医医院收治的接受手术治疗的64例合并糖尿病患者作为研究对象,用随机数表法分组,对照组(32例)施以常规围术期护理,研究组(32例)施以精细化围术期护理,比较两组并发症发生率、护理前后血糖水平、护理质量、护理满意度。结果干预后,研究组并发症总发生率(2.77%)相比对照组(21.88%)更低,研究组的护理满意度(96.88%)相较于对照组(81.25%)更高,差异有统计学意义(χ^(2)=5.143、4.010,P均<0.05);研究组的血糖水平较对照组低,差异有统计学意义(P<0.05);研究组的环境管理、基本护理、专业技术、沟通能力评分均比对照组要高,差异有统计学意义(P均<0.05)。结论在术后切口感染预防中为合并糖尿病患者提供精细化围术期护理的效果显著,可减少术后切口感染等并发症发生率,提升血糖水平控制效果、满意度,有较高临床应用价值。Objective To study the effect of refined perioperative nursing for patients with diabetes in the prevention of postoperative incision infection.Methods A total of 64 patients with diabetes who underwent surgery and were ad-mitted to Honghu Hospital of Traditional Chinese Medicine from November 2022 to April 2023 were selected as the study objects.They were grouped by random number table method.The control group(32 cases)received conventional perioperative nursing,and the study group(32 cases)received refined perioperative nursing.The complication rate,blood glucose level before and after nursing,nursing quality and nursing satisfaction among groups were compared between two groups.Results After intervention,the total complication rate(2.77%)of the study group were lower than those of the control group(21.88%),and the nursing satisfaction rate of the study group(96.88%)was higher than that of the control group(81.25%),and the differences were statistically significant(χ^(2)=5.143,4.010,both P<0.05).The blood glucose levels in the study group were lower than those in the control group,and the differences were statisti-cally significant(both P<0.05).The scores of environmental management,basic nursing,professional skills and com-munication ability of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion In the prevention of postoperative incision infection,providing refined periopera-tive nursing for patients with diabetes has a significant effect,which can reduce the incidence of postoperative incision infection and other complications,and improve the control effect and satisfaction of blood glucose level,which has high clinical application value.

关 键 词：糖尿病 精细化围术期护理 术后切口感染 

分 类 号：R587.1[医药卫生—内分泌]