腹腔镜下直肠癌合并糖尿病患者术中压疮预防的护理干预效果分析

Analysis of Nursing Intervention Effect of Intraoperative Pressure Sores Prevention in Patients with Laparoscopic Rectal Cancer Combined with Diabetes

目的探讨腹腔镜下直肠癌合并糖尿病患者术中压疮预防的护理干预效果。方法回顾性分析2017年1—12月直肠癌合并糖尿病患者80例的临床资料,全部患者均接受腹腔镜手术治疗,其中35例患者接受常规护理干预,将其设定为对照组,45例患者接受常规护理干预联合压疮预防护理(包括完善术前评估、控制机体血糖、术中减轻机体压迫、做好手术体位摆放、保持皮肤干燥,预防术中低温),将其设定为观察组,比较两组压疮发生情况。结果观察组的压疮发生率为4.44%,低于对照组的压疮发生率20.00%,差异有统计学意义(P<0.05)。结论压疮护理干预的实施可有效减少腹腔镜下直肠癌合并糖尿病患者术中压疮的发生,值得进一步推广应用。

Objective To study the nursing intervention effect of intraoperative pressure sores prevention in patients with laparoscopic rectal cancer combined with diabetes. Methods 80 cases of patients with laparoscopic rectal cancer combined with diabetes admitted and treated in our hospital from January to December 2017 were selected, and all patients were treated with laparoscopic surgery, and the patients were divided into two groups, the control group with 35 cases received the routine nursing intervention, while the observation group with 45 cases used the routine nursing intervention combined with pressure sore preventive nursing including improving the preoperative evaluation, controlling organ blood glucose, relieving the organ oppression in operation, doing well in the operative display, keeping the skin dry and preventing the introperative low temperature, and the occurrence of pressure sores was compared between the two groups. Results The incidence rate of pressure sores in the observation group was lower than that in the control group（4.44% vs 20.00%）, and the difference was statistically significant（P〈0.05）. Conclusion The nursing intervention of pressure sores can effectively reduce the occurrence of pressure sores of patients with laparoscopic rectal cancer combined with diabetes, and it is worth further promotion and application.