老年糖尿病合并腹股沟疝术后患者的延续护理干预

Continuous nursing intervention of elderly diabetic patients with inguinal hernia after operation

目的对老年糖尿病合并腹股沟疝术后患者实施延续干预措施,分析其应用效果。方法选取2015年1月至2017年1月,首都医科大学附属北京朝阳医院104例老年糖尿病合并腹股沟疝术后患者的临床资料。随机分为干预组与对照组,2组均实施无张力疝修补术,对照组采用常规护理模式,干预组在对照组的基础上给予出院后延续的干预措施。结果干预组在出院6个月后的血糖控制情况、体质量指数(body mass index,BMI)及生活质量方面均显著高于对照组,术后切口感染的发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论对老年糖尿病合并腹股沟疝术后患者实施延续干预护理措施,能有效控制患者血糖及BMI,减少术后并发症的发生,提高生活质量。

Objective To analyze the effect of continuous intervention in elderly diabetic patients with inguinal hernia after operation. Methods From January 2015 to January 2017, 104 cases of elderly diabetic patients with inguinal hernia were selected from Beijing Chaoyang Hospital attached to the Capital Medical University. Random divided into intervention group and control group, both groups performed tension-free hernia repair.The control group adopted the conventional treatment model, and the intervention group was given continuous intervention after discharge on the basis of the control group.Results The blood glucose control, BMI and quality of life of the intervention group were significantly higher than those of the control group(P<0.05), and the incidence of postoperative incision infection was significantly lower than that of the control group(P<0.05). Conclusion Continuous nursing intervention for elderly diabetic patients with inguinal hernia after operation can effectively control patients’ blood glucose and BMI, reduce the occurrence of postoperative complications and improve the quality of life.