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作 者:陈静梅 朱益香 林水妹 CHEN Jingmei;ZHU Yixiang;LIN Shuimei(Department of Gastroenterology,Fujian Provincial Geriatric Hospital,Fuzhou 350001,Fujian,China)
机构地区:[1]福建省老年医院消化内科,福建福州350001
出 处:《糖尿病新世界》2025年第5期136-139,共4页Diabetes New World
摘 要:目的探讨动态可视化健康教育模式在肠息肉合并糖尿病患者中的应用价值。方法选择2023年1月—2024年8月福建省老年医院收治的2型糖尿病合并结肠息肉接受内镜下息肉切除术患者80例,按照护理方法的不同分为两组,各40例。对照组实施常规护理,观察组在对照组基础上实施动态可视化健康教育模式干预。比较两组服用导泻药物前后的血糖波动范围及血糖恢复正常耗时、行结肠镜护理干预前后的血糖水平及并发症发生情况。结果观察组服用导泻药物前后的血糖波动范围小于对照组,血糖恢复正常耗时短于对照组,差异均有统计学意义(P均<0.05)。护理干预后,观察组空腹血糖水平高于对照组,差异有统计学意义(P<0.05)。两组胃肠胀气、感染发生例数比较,差异均无统计学意义(P均>0.05);观察组出现低血糖、高血糖的比例低于对照组,差异均有统计学意义(P均<0.05)。结论结肠息肉合并糖尿病接受结肠镜下息肉切除护理干预的患者实施动态可视化健康教育模式,可更好地维持血糖稳定,减少围手术期因血糖波动导致的并发症。Objective To explore the application value of dynamic visualization health education model in patients with intestinal polyps and diabetes mellitus.Methods From January 2023 to August 2024,80 patients with type 2 diabetes mellitus complicated with colonic polyps who underwent endoscopic polypectomy in Fujian Provincial Geriatric Hospital were selected.They were divided into two groups according to different nursing methods,40 cases in each group.The control group was given routine nursing,and the observation group was given dynamic visualization health education model intervention on the basis of the control group.The blood glucose fluctuation range before and after taking cathartic drugs and blood glucose recovery time,blood glucose levels before and after colonoscopy nursing intervention and complications were compared between the two groups.Results The blood glucose fluctuation range before and after taking cathartics in the observation group was smaller than that in the control group,and the time of blood glucose recovery was shorter than that in the control group,the differences were statistically significant(both P<0.05).After nursing intervention,the fasting blood glucose level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the number of cases of flatulence and infection between the two groups(both P>0.05).The proportion of hypoglycemia and hyperglycemia in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The implementation of dynamic visualization health education model for patients with colon polyps and diabetes mellitus who underwent colonoscopic polypectomy nursing intervention can better maintain blood glucose stability and reduce perioperative complications caused by blood glucose fluctuations.
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