个性化心理护理干预在妇科肿瘤合并糖尿病患者围术期中的应用

The Application of Personalized Psychological Nursing Intervention in the Perioperative Period of Patients with Gynecological Tumors and Diabetes

目的分析个性化心理护理干预在妇科肿瘤合并糖尿病患者围术期中的应用效果。方法随机抽取60例患者,均是于2018年2月—2020年4月在该院中接受妇科肿瘤合并糖尿病治疗的患者,任意分为个性化心理护理组与常规护理组,前者30例患者采用个性化心理护理干预,后30例采用常规护理干预,对比两组血糖水平、治疗依从率、生存质量评分。结果干预前,两组患者血糖水平对比,差异无统计学意义(P>0.05);干预后,个性化心理护理组空腹血糖为(5.22±1.13)mmol/L、餐后2 h血糖为(8.41±1.23)mmol/L、糖化血红蛋白水平为(6.11±0.46)%,普通护理组空腹血糖为(7.21±1.13)mmol/L、餐后2 h血糖为(10.23±1.21)mmol/L、糖化血红蛋白水平为(7.23±0.51)%,组间对比,差异有统计学意义(P<0.05)。个性化心理护理组治疗依从性相较于常规护理组更高,前者依从率为93.33%,后者依从率为66.67%,差异有统计学意义(P<0.05)。干预前,个性化心理护理组生存质量评分相较于常规护理组,差异无统计学意义(P>0.05);干预后,个性化心理护理组生存质量评分相较于常规护理组更高,前者生理功能评分为(67.32±7.46)分、心理健康评分为(9.23±0.34)分、社会功能评分为(4.54±0.44)分、精神健康评分为(4.34±0.63)分,后者生理功能评分为(62.65±6.41)分、心理健康评分为(7.23±0.45)分、社会功能评分为(3.24±0.45)分、精神健康评分为(3.67±0.76)分,组间差异有统计学意义(P<0.05)。结论个性化心理护理干预在妇科肿瘤合并糖尿病患者围术期中的应用效果更甚,值得临床推广。

Objective To analyze the effect of personalized psychological nursing intervention in the perioperative period of patients with gynecological tumors and diabetes.Methods Sixty patients were randomly selected,all of whom were treated for gynecological tumors and diabetes in the hospital from February 2018 to April 2020.They were randomly divided into a personalized psychological care group and a routine care group.The former 30 patients used individualized psychological nursing intervention.The last 30 cases were treated with conventional nursing intervention.The blood glucose level,treatment compliance rate,and quality of life scores were compared between the two groups.Results Before intervention,the difference in blood glucose levels between the two groups was small and not statistically significant(P>0.05);after nursing,the fasting blood glucose of the personalized psychological care group was(5.22±1.13)mmol/L,2 h after meal of blood glucose was(8.41±1.23)mmol/L,the glycosylated hemoglobin level was(6.11±0.46)%,the fasting blood glucose of the general care group was(7.21±1.13)mmol/L,and the 2-hour postprandial blood glucose was(10.23±1.21)mmol/L,the level of glycosylated hemoglobin was(7.23±0.51)%.The difference between the two groups of patients was statistically significant(P<0.05).The treatment compliance of the personalized psychological nursing group was higher than that of the conventional nursing group.The compliance rate of the former was 93.33%,and the compliance rate of the latter was 66.67%,the difference was statistically significant(P<0.05).Before the intervention,the quality of life score of the personalized psychological care group was not statistically significantly different from that of the conventional care group(P>0.05);after the intervention,the quality of life score of the personalized psychological care group was higher than that of the conventional care group,and the physical function score of the former(67.32±7.46)points,mental health score of(9.23±0.34)points,social function score of(4.54±0.44)points,mental health score of(4.34±0.63)points,the latter’s physiological function score of(62.65±6.41)points,and mental health score of(7.23±0.45)points,social function score was(3.24±0.45)points,mental health score was(3.67±0.76)points,the differences between groups were statistically significant(P<0.05).Conclusion The personalized psychological nursing intervention is more effective in the perioperative period of patients with gynecological tumors and diabetes,and it is worthy of clinical promotion.