浅析直肠癌合并糖尿病患者根治术中的皮肤干预护理措施

Analysis of Skin Intervention Nursing Measures of Patients with Rectal Cancer and Diabetes in Radical Surgery

目的研究分析直肠癌糖尿病患者接受根治术的皮肤护理干预方式,为临床护理提供参考。方法选取2015年1月—2016年12月该院的直肠癌合并糖尿病患者84例来进行研究分析,将患者分成常规组和干预组,常规组使用基础护理,干预组使用手术室综合护理,对两组患者的压疮几率,护理前后焦虑情况,抑郁情进行对比分析。结果干预组空腹血糖为(6.2±0.8)mmol/L,餐后2 h血糖为(7.5±0.6)mmol/L,常规组空腹血糖为(8.5±0.4)mmol/L,餐后2 h血糖为(10.4±0.7)mmol/L,患者空腹血糖和餐后2 h血糖对比显示,干预组要比常规组优秀(t=5.234,4.251,P<0.05);干预组患者的压疮发生率是4.8%,常规组患者的压疮发生率是19.0%,两组的压疮发生率比较差异有统计学意义(P<0.05);经过护理,干预组患者和常规组患者的SAS、SDS均有所降低,干预组较为明显(P<0.05)。结论直肠癌合并糖尿病患者接受加强手术室综合护理干预能够减少患者的压疮发生率,对患者不良情绪有改善效果,临床中应该进行推广使用。

Objective To investigate the skin intervention nursing measures of patients with rectal cancer and diabetes in radical surgery thus providing reference for the clinical nursing. Methods 84 cases of patients with rectal cancer and diabetes in our hospital from January 2015 to December 2016 were selected and divided into two groups, the routine group used the basic nursing, while the intervention group used the general nursing in the operation room, and the occurrence probability of pressure cores, anxiety before and after nursing and depression were compared between the two groups. Results The fasting blood glucose and postprandial 2 h blood glucose in the intervention group and in the routine group were respectively（ 6.2±0.8） mmol/L,（7.5±0.6） mmol/L and（8.5±0.4） mmol/L,（10.4±0.7） mmol/L, and the indicators in the intervention group were better than those in the routine group（t=5.234,4.251, P〈0.05）; and the incidence rate of pressure cores in the intervention group and in the routine group was respectively 4.8% and 19.0%, and the difference was statistically significant（P〈0.05）, after nursing, the SAS and SDS in the two groups decreased, and the decrease in the intervention group was obvious（P〈0.05）. Conclusion The enhancement of general nursing intervention in the operating room in patients with rectal cancer and diabetes can reduce the incidence rate of pressure cores, which can improve the adverse emotions, and it can be promoted and applied in clinic.