胃旁路手术治疗2型糖尿病病人围手术期焦虑的影响性研究

Study for the effect of Peri-operative anxiety for patients with type II diabetes mellitus treated by gastric bypass

目的探讨护理干预对胃旁路手术治疗2型糖尿病病人围手术期焦虑的影响。方法对62例胃旁路手术治疗2型糖尿病的病人随机编入实验组和对照组,并测定其围手术期的焦虑、心率、收缩压以及术后身体恢复有关的各项指标。结果实验组胃旁路手术治疗2型糖尿病的患者围手术期焦虑与术后疼痛明显低于对照组,血糖改善情况也好于对照组,术后首次下床活动时间和首次肠道排气时间也显著提前,P<0.05,健康教育知识知晓率明显提高。结论个性化护理干预方法能有效缓解胃旁路手术治疗2型糖尿病病人围手术期的焦虑。

Objective To study the effects of reducing preoperative anxiety and accelerating recovery for patients with type Ⅱ diabetes mellitus treated by gastric bypass. Method 62 patients were randomly divided into two groups, 30 patients in experimental group （accepted individualized intervention） and 32 patients in control group （accepted routine nursing care）. Preoperative anxiety, heart rate, blood pressure and index of postoperative recovery were observed and compared. Result The patients＇ anxiety at the evening before operation and postoperative pain in experimental group were reduced remarkably compared with the control group. The improvement of blood glucose level, The time of start to walk after operation and exhaustion were better than that in control group （P〈0.05）. The rate of awareness diabetes health education was higher than that of control group. Conclusion The individualized nursing intervention will effectively reduce preoperative anxiety and accelerating postoperative recovery for patients with type Ⅱ diabetes mellitus treated by gastric bypass.