护理干预在胃癌合并糖尿病患者围术期中的应用

Application of perioperative nursing intervention in gastric cancer with diabetic patient

目的观察围术期护理干预对胃癌合并糖尿病患者的影响。方法将56例胃癌合并糖尿病患者随机分为观察组和对照组各28例。对照组采用常规护理,观察组给予护理干预措施。观察对比2组干预前后血糖、血压、心率变化情况及手术后情况。结果 2组空腹血糖均下降,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组收缩压与心率均增高,但仅对照组与干预前比较差异有统计学意义(P<0.05);且干预后观察组收缩压及心率低于对照组,差异均有统计学意义(P<0.05)。观察组首次下床时间和排气时间、拔引流管时间与住院时间均短于对照组,差异均有统计学意义(P<0.05)。结论对胃癌合并糖尿病患者进行精心的治疗和护理,是其顺利度过围术期的关键。

Objective To observe the perioperative nursing intervention in gastric cancer with diabetic patient. Meth- ods 56 cases of gastric cancer complicated with diabetes were randomly divided into observation group and control group, each of 28 cases. Control group received routine nursing care, observation group received nursing intervention measure. Observed the blood glucose, blood pressure, heart rate changes and post-operative situation in two groups. Results Compared with those be- fore intervention, the fasting blood glucose in two groups were decreased, and observation group was lower than that of control group ,the difference were statistically significant（ P 〈 0.05 ）. Compared with those before intervention ,the systolic blood pres- sure and heart rate in two groups were increased, but only control group had a significantdifference （P 〈 0.05 ） ;and the systolic blood pressure and heart rate of observation group were lower than those of control group, there were significant difference（P 〈 0.05 ）. The first to get out of bed and exhaust time ,pull out the drainage time and hospital stay of observation group were shor- ter than those of control group, and the difference were statistically significant （ P 〈 0.05 ）. Conclusion With careful treatment nursing, gastric cancer patient with diabetes mellitus can passed through operation.