急性结石性胆囊炎合并T2DM患者行正性暗示语言+细节护理对HR、FPG的分析

Analysis of HR and FPG in Patients with Acute Calculous Cholecystitis Combined with T2DM Undergoing Positive Suggestive Language+Detailed Nursing

目的分析探究将正性暗示语言、细节护理应用于急性结石性胆囊炎合并2型糖尿病(T2DM)患者中对心率(HR)、血糖指标(FPG)所产生的影响。方法选取该院2020年1—12月收治的78例急性结石性胆囊炎合并T2DM患者作为研究对象,以随机数表法作为分组方式,将患者划分为对照组(n=39)和观察组(n=39),对照组患者应用常规护理措施,观察组联合应用正性暗示语言+细节护理,对比评估护理效果。结果干预前,两组患者血糖指标对比,差异无统计学意义(P>0.05);干预后,观察组血糖指标数值均低于对照组,差异有统计学意义(t=5.142、6.097、4.219,P<0.05)。干预前,两组患者心率、血压等指标数值对比,差异无统计学意义(P>0.05);干预后,对照组、观察组血压及心率等指标数值对比,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.129,P<0.05)。观察组患者各项生活质量评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度评分所得数值高于对照组,差异有统计学意义(P<0.05)。结论急性结石性胆囊炎合并T2DM患者在护理期间应用正性暗示语言+细节护理,可以稳定血糖以及心率水平,有利于降低术中应激反应,对于提高患者生活质量具有积极意义,具有较高的应用安全性,患者对于此护理措施满意度较高,值得推广。

Objective To analyze and explore the impact of applying positive suggestive language and detailed nursing to patients with acute calculous cholecystitis and type 2 diabetes(T2DM)on heart rate(HR)and blood glucose(FPG).Methods The 78 patients with acute calculous cholecystitis and T2DM who were admitted to the hospital from January to December 2020 were selected as the research objects,and the random number table method was used as the grouping method,and the patients were divided into a control group(n=39)and an observation group(n=39).Patients in the control group chose to apply conventional nursing measures,and the observation group combined positive suggestive language+detailed nursing to evaluate the nursing effect.Results Before the intervention,there was no statistically significant difference in blood glucose index between the two groups of patients(P>0.05);after the intervention,the blood glucose index values of the observation group were lower than those of the control group,and the difference was statistically significant(t=5.142,6.097,4.219,P<0.05).Before the intervention,there was no statistically significant difference between the two groups of patients'heart rate,blood pressure and other indicators(P>0.05);after the intervention,the comparison of blood pressure and heart rate and other indicators in the control group and the observation group showed a statistically significant difference(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.129,P<0.05);the quality of life scores of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction scores of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with acute calculous cholecystitis and T2DM,applying positive suggestive language+detailed nursing during nursing can stabilize blood glucose and heart rate levels,help reduce intraoperative stress response,and have positive significance for improving the quality of life of patients,and has a high safety of the application,patients were highly satisfied with this nursing measure,and it is worthy of promotion.