针对性护理模式对糖尿病合并直肠癌患者术前放化疗的干预效果

Intervention Effect of Targeted Nursing Mode on Preoperative Radiotherapy and Chemotherapy in Patients with Diabetes Mellitus Complicated with Rectal Cancer

目的探究在糖尿病合并直肠癌患者术前接受放化疗干预中将针对性护理模式进行应用对患者的干预效果。方法选取2019年1月—2021年2月在该院接受治疗的糖尿病合并直肠癌患者100例作为研究对象,患者均在手术前接受放化疗。将患者分为两组,分别为给予常规护理的对照组和给予针对性护理模式的研究组,探究两组的心理情绪变化、护理满意度和血糖情况。结果护理前,两组患者的焦虑评分(SAS)和抑郁评分(SDS)均相对较高,差异无统计学意义(P>0.05);护理后,均得以降低,研究组的SAS评分和SDS评分分别为(24.35±1.44)分和(28.93±1.29)分,均优于对照组,差异有统计学意义(t=48.763、45.103,P<0.05)。研究组患者的空腹血糖为(6.56±2.07)mmol/L、餐后2 h血糖(9.15±1.31)mmol/L,均优于对照组,差异有统计学意义(t=4.369、2.809,P<0.05)。研究组患者护理满意度94.00%,明显高于对照组的80.00%,差异有统计学意义(χ^(2)=4.332,P<0.05)。结论糖尿病合并直肠癌患者在手术前接受放化疗中通常存在不良心理问题,在此基础上给予针对性护理模式,可有效改善患者的不良心理问题,降低患者的血糖指标,提高患者满意度,对临床发展具有积极意义。

Objective To explore the intervention effect of applying targeted nursing model in patients with diabetes mellitus complicated with rectal cancer who received radiotherapy and chemotherapy before surgery.Methods 100 diabetic with rectal cancer patients who received treatment in the hospital from January 2019 to February 2021 were selected as the research subjects.All patients received chemoradiotherapy before surgery.The patients were divided into two groups.They were the control group given routine care and the study group given targeted nursing mode.To explore the psychological and emotional changes,nursing satisfaction and blood glucose of two groups.Results Before nursing,the depression score(SDS)and anxiety score(SAS)of the two groups were relatively high,the difference was not statistically significant(P>0.05).After nursing,both were reduced,and the SAS and SDS scores of the study group were(24.35±1.44)points and(28.93±1.29)points,respectively.All were better than the control group and the difference was statistically significant(t=48.763,45.103,P<0.05).The fasting blood glucose of the patients in the study group was(6.56±2.07)mmol/L,and the 2 h postprandial blood glucose was(9.15±1.31)mmol/L,which were all better than those of the control group,and the difference was statistically significant(t=4.369,2.809,P<0.05).The nursing satisfaction of the patients in the study group was 94.00%,which was significantly different from 80.00%in the control group,the difference was statistically significant(χ^(2)=4.332,P<0.05).Conclusion Diabetic patients with rectal cancer usually have adverse psychological problems when they receive radiotherapy and chemotherapy before surgery.On this basis,the targeted nursing model can effectively improve the adverse psychological problems of patients,reduce the blood sugar indicators of patients,and improve patient satisfaction,which has positive significance for clinical development.