延续性护理干预对前列腺癌合并糖尿病患者术后生活质量及血糖控制的影响分析

Effect of Continuous Nursing Intervention on Postoperative Quality of Life and Blood Glucose Control in Patients with Prostate Cancer and Diabetes Mellitus

目的:探讨延续性护理干预在前列腺癌合并糖尿病患者中的应用效果。方法:选取笔者所在医院2019年9月-2020年8月收治的82例前列腺癌合并糖尿病患者。将其随机分为两组,各41例。对照组行常规院内护理,观察组在对照组基础上行延续性护理。随访6个月,比较两组生活质量、血糖、自护能力、心理状态。结果:护理前,两组生活质量评分比较,差异无统计学意义(P>0.05);护理后,观察组生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05)。护理前,两组空腹血糖、餐后2 h血糖比较差异均无统计学意义(P>0.05);护理后,观察组空腹血糖、餐后2 h血糖均低于对照组,差异有统计学意义(P<0.05)。护理前,两组自护能力评分比较差异无统计学意义(P>0.05);护理后,观察组自护能力得分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:延续性护理有助于提升前列腺癌合并糖尿病患者的自我护理能力,提升血糖控制效果,提高患者术后生活质量,改善心理状态,应用效果较好。

Objective:To explore the application effect of continuous nursing intervention in patients with prostate cancer and diabetes mellitus.Method:A total of 82 patients with prostate cancer and diabetes mellitus admitted in our hospital from September 2019 to August 2020 were selected.They were randomly divided into two groups with 41 cases in each group.The control group received routine hospital nursing,and the observation group received continuous nursing on the basis of the control group.The patients were followed up for 6 months,and the quality of life,blood glucose,self-nursing ability and psychological state were compared between the two groups.Result:Before nursing,there was no significant difference in quality of life score between the two groups(P>0.05).After nursing,the scores of all dimensions of quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in fasting blood glucose and 2 h postprandial blood glucose between the two groups(P>0.05).After nursing,fasting blood glucose and 2 h postprandial blood glucose in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in self-nursing ability score between the two groups(P>0.05).After nursing,the self-nursing ability score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After nursing,the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Continuous nursing is helpful to improve the self-nursing ability of patients with prostate cancer and diabetes mellitus,improve the effect of blood glucose control,improve the postoperative quality of life of patients,improve the psychological state,and the application effect is good.