延续性护理在腹腔镜袖状胃切除术治疗肥胖合并2型糖尿病患者中的应用

Application of continuous nursing in obese patients with type 2 diabetes treated by laparoscopic sleeve gastrectomy

目的探讨延续性护理在腹腔镜袖状胃切除术治疗肥胖合并2型糖尿病患者中的应用效果,以期为临床相关治疗提供参考。方法选取2020年3月—2022年3月河北省保定市第一中医院收治的80例肥胖合并2型糖尿病患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组40例。对照组患者术后及出院后行常规护理措施,观察组患者在对照组基础上进行延续性护理干预。比较2组患者护理干预前及护理干预6个月时体质量、腰围、体质量指数(BMI)、空腹血糖(FBG)水平、糖化血红蛋白(Hb Alc)水平、餐后2 h血糖(2h PBG)水平及T2DM患者饮食管理量表评分。出院时比较2组患者护理满意度。结果干预前,2组患者体质量、腰围及BMI比较,差异无统计学意义(P>0.05)。干预后,2组患者体质量、腰围及BMI均低于干预前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。干预前,2组患者空腹血糖、Hb Alc、2h PBG水平比较,差异无统计学意义(P>0.05)。干预后,2组患者空腹血糖、Hb Alc、2h PBG水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者T2DM患者饮食管理量表评分比较,差异无统计学意义(P>0.05)。干预后,2组患者T2DM患者饮食管理量表评分均高于干预前,且观察组高于对照组,差异均具有统计学意义(P<0.05)。观察组患者护理总满意度高于对照组,差异具有统计学意义(P<0.05)。结论在腹腔镜袖状胃切除术治疗肥胖合并T2DM患者中实施延续性护理,不仅能有效改善患者体质量及血糖水平,提升患者自我饮食管理能力,同时还能提高患者满意度,值得临床推广应用。

Objective This study aimed to explore the effect of continuous nursing in obese patients with type 2 diabetes who received laparoscopic sleeve gastrectomy treatment to provide evidence for clinical treatment.Methods From March 2020 to March 2022,80 obese patients with type 2 diabetes were enrolled in the Baoding No.1 Hospital of TCM.They were allocated to the control group and observation group by a random number table,with 40 cases in each group.Patients in the control group received routine nursing after operation as well as after discharge;patients in the observation group,continuous nursing intervention based on the control group.Body weight,waist circumference,BMI,fasting blood glucose(FBG),glycosylated hemoglobin(HbAlc)level,2 h postprandial blood glucose(2hPBG)level,and dietary management scale score of T2DM patients were compared between the two groups before and 6 months after the nursing intervention.The degree of satisfaction with nursing was also compared between the groups at discharge.Results Before intervention,no significant difference was noted in body weight,waist circumference.or BMI between the two groups(P>0.05).Body weight,waist circumference,and BMI in the two groups showed a significant decrease after intervention,and the observation group was significantly lower than the control group(P<0.05).Before intervention,no significant difference was observed in FBG,HbAlc,and 2hPBG levels between the groups(P>0.05).After intervention,FBG,HbAlc,and 2hPBG levels in the two groups significantly dropped,and the observation group was significantly lower than the control group(P<0.05).Before intervention,no significant difference was found in the scores of the dietary management scale between the groups(P>0.05).After intervention,the scores of the diet management scale in T2DM patients in the two groups were significantly elevated,and the observation group was significantly higher than the control group(P<0.05).The overall degree of satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The application of continuous nursing in obese patients with T2DM receiving laparoscopic sleeve gastrectomy can not only effectively strengthen the body weight and blood glucose level,potentiate the self-diet management ability,but also raise their degree of satisfaction.These advantages hold promise for a wider application clinically.