胃肠道恶性肿瘤合并糖尿病患者围手术期的临床观察与护理

Clinical Observation and Nursing of Patients with Gastrointestinal Malignant Tumor Complicated with Diabetes During Perioperative Period

目的研究胃肠道恶性肿瘤合并糖尿病患者围手术期的临床观察以及护理策略。方法择取2018年2月—2019年10月期间于该院收治的94例胃肠道恶性肿瘤合并糖尿病的患者作为研究对象,根据围手术期护理措施分为项目组和普通组,每组47例患者。项目组患者接受优质护理,普通组患者接受常规护理,比较两组患者护理效果。结果项目组患者术后各项指标优于普通组患者,两组间差异有统计学意义(P<0.05);项目组患者术后并发症发生率低于普通组,差异有统计学意义(P<0.05);项目组患者满意度高于普通组患者,组间差异有统计学意义(P<0.05);项目组患者术后血糖管理水平优于普通组患者,组间差异有统计学意义(P<0.05)。结论胃肠道恶性肿瘤合并糖尿病情况下围手术期引入优质护理可保障患者术后康复质量,降低患者术后并发症风险,具有现实借鉴意义。

Objective To study the clinical observation and nursing strategies of patients with gastrointestinal malignant tumors complicated with diabetes during perioperative period.Methods 94 patients with gastrointestinal malignant tumors complicated with diabetes admitted in the hospital from February 2018 to October 2019 were selected as the research object.They were divided into project group and general group according to the perioperative nursing measures,each group 47 patients each.The patients in the project group received high-quality care,and the patients in the ordinary group received routine care.The nursing effects of the two groups were compared.Results The postoperative indexes of patients in the project group were better than those in the ordinary group,and the difference between the two groups was statistically significant(P<0.05).The incidence of postoperative complications of patients in the project group was lower than that of the general group,and the difference between the groups was statistically significant(P<0.05).The satisfaction of patients in the project group was higher than that in the ordinary group,and the difference between the groups was statistically significant(P<0.05).The postoperative blood glucose management level of patients in the project group was better than that of the ordinary group,and the difference between the groups was statistically significant(P<0.05).Conclusion In the case of gastrointestinal malignant tumors combined with diabetes,the introduction of high-quality nursing during the perioperative period can guarantee the quality of postoperative rehabilitation of patients and reduce the risk of postoperative complications of patients,which has practical significance.