王振虹

[摘要] 目的 探讨手术室护理干预对结石性胆囊炎伴糖尿病患者的临床应用效果。方法 以该院于收治的结石性胆囊炎伴糖尿病患者100例为研究对象，随机的将患者分为观察组与对照组，对照组实施普通的护理。观察组中为患者量身定制合适舒心的护理干预方案。手术结束后比较两组患者血糖的控制情况、术后恢复情况、术后并发症发生率、护理满意度、焦慮以及抑郁评分等差异。结果 术前术后比较，发现术后观察组患者的SDS与SAS的评分优于对照组评分（P<0.05）；术后观察组的患者生活质量高于对照组的生活质量（P<0.05）。结论 对患者实施积极的手术室护理干预能带来一系列好处，是值得在此后积极提倡的。

[关键词] 手术室护理干预；结石性胆囊炎伴糖尿病；临床

[中图分类号] R472.3 [文献标识码] A [文章编号] 1672-4062（2018）03（a）-0004-03

[Abstract] Objective To study the clinical application effect of nursing intervention in the operating room in patients with calculous cholecystitis with diabetes. Methods 100 cace patients with calculous cholecystitis with diabetes admitted and treated in our hospital were randomly divided into two groups， the control group used the common nursing， while the observation group used the proper and comfortable nursing intervention plan， and the control of blood glucose， postoperative recovery， incidence rate of complications after surgery， nursing satisfactory degree， and anxiety and depression scores were compared between the two groups. Results The SDS and SAS scores in the observation group after surgery were better than those in the control group（P<0.05）， and the quality of life of patients in the observation group was higher than that in the control group（P<0.05）. Conclusion The active nursing intervention in the operating room can bring a series of benefits， which is worth recommendation in future.

[Key words] Nursing intervention in the operating room； Calculous cholecystitis with diabetes； Clinic

结石性胆囊炎伴糖尿病普遍的患者群体为老年人群体[1-2]。由于胆囊炎伴糖尿病，这就导致了患者不仅容易胆囊穿孔，还会因为患者机体内血糖的代谢相对较紊乱，导致免疫功能较弱，手术后切口不容易愈合并且容易受病毒感染[3]。并且站在患者的自身角度来说，凡是接受手术，无论手术的程度大小，都会影响到患者的治疗心理[4-6]，例如会产生恐惧心理以及应激心理，所以针对这类疾病的特点和患者自身的心理特点，在治疗过程中，应用积极的手术室护理干预措施具有很重要的作用。该研究通过实验观察法对验证对患者进行积极干预的有效性，现报道如下。

1 资料与方法

1.1 一般资料

选择来该院欲进行结石性胆囊炎伴糖尿病手术的患者100 例，并且随机把这100例分为两个组：观察组（n=49）和对照组（n=51），其中观察组患者中男性为40例，女性为9例，年龄为26～78岁，平均（46.5±1.5）岁；……