胃癌伴糖尿病患者术后早期肠内营养的护理

Nursing Care of Early Enteral Nutrition after Operation for Patients with Gastric Cancer and Diabetes

目的探究对行早期肠内营养治疗的胃癌伴糖尿病患者实施循证护理的效果。方法随机将2017年3月—2019年10月该院82例胃癌伴糖尿病患者(行早期肠内营养治疗)分为对照组(41例,应用常规护理)、实验组(41例,应用循证护理)。对比两组血糖水平、鹿特丹症状量表评分、营养指标及护理满意度。结果实验组护理后空腹血糖、餐后2 h血糖水平及鹿特丹症状量表评分较对照组更低(P<0.05);实验组护理满意度(97.56%)高于对照组(82.93%)(P<0.05);实验组护理后白蛋白、总蛋白水平较对照组更高(P<0.05)。结论对行早期肠内营养治疗的胃癌伴糖尿病患者实施循证护理具有良好可行性,有助于增强血糖控制效果,满意度更佳。

Objective To explore the effect of evidence-based nursing for patients with gastric cancer and diabetes who received early enteral nutrition therapy.Methods From March 2017 to October 2019,82 patients with gastric cancer and diabetes(early enteral nutrition therapy)in the hospital were randomly divided into control group(41 cases,routine nursing)and experimental group(41 cases,evidence-based care).The blood glucose level,Rotterdam Symptom Scale score,nutritional indicators and nursing satisfaction were compared between the two groups.Results The experimental group's fasting blood glucose,2 h postprandial blood glucose level and Rotterdam Symptom Scale scores after nursing were lower than those of the control group(P<0.05);the nursing satisfaction of the experimental group(97.56%)was higher than that of the control group(82.93%)(P<0.05);The levels of albumin and total protein in the experimental group after nursing were higher than those in the control group(P<0.05).Conclusion It is feasible to implement evidence-based care for patients with gastric cancer and diabetes mellitus undergoing early enteral nutrition therapy,which is helpful to enhance the effect of blood glucose control and improve satisfaction.