郭静

[摘要] 目的 探讨观察糖尿病合并胆结石手术患者应用个体化护理干预的效果。 方法 以2018年2月—2019年10月为时间段，在该院收治的糖尿病合并胆结石手术患者中选择130例作为对象，将其随机分成对照组、研究组，每组65例。对照组患者施以常规护理干预，而研究组给予个体化护理干预。对比观察不同时间点的血糖指标，同时，比较患者手术情况，另外，统计观察并发症的发生情况。 结果 研究组术前1 d、术后3 d的空腹血糖及餐后2 h血糖均低于对照组，差异有统计学意义（P<0.05）;研究组术后进食时间、排气时间、下床时间、住院时间和VAS评分均优于对照组，差异有统计学意义（P<0.05）;研究组的并发症发生率低于对照组，差异有统计学意义（P<0.05）。  结论 糖尿病合并胆结石患者，手术期间给予个体化护理干预，效果满意。

[关键词] 糖尿病;胆结石;手术;个体化;护理干预

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0087-03

Effect of Individualized Nursing Intervention on Patients with Diabetes Combined with Gallstone Operation

GUO Jing

Department of General Surgery， People's Hospital of Jilin Province， Changchun， Jilin Province， 130021 China

[Abstract] Objective To investigate the effect of individualized nursing intervention on patients with diabetes and gallstone surgery. Methods From February 2018 to October 2019， 130 cases of diabetic patients with gallstone surgery treated in the hospital were selected as subjects， and they were randomly divided into a control group and a research group， with 65 cases in each group. Patients in the control group were given routine nursing intervention， while the study group was given individualized nursing intervention. The blood glucose indexes at different time points were compared and observed. At the same time， the surgical conditions of the patients were compared. In addition， the occurrence of complications was statistically observed. Results The fasting blood glucose and 2 h postprandial blood glucose of the study group were lower than that of the control group 1 day before and 3 d after the operation， and there was a statistical difference between the two groups（P<0.05）， bed time， length of stay， and VAS score were better than the control group， the data of the two groups were statistically different（P<0.05）; the incidence of complications in the study group was lower than that of the control group， and there was a statistical difference between the two groups（P<0.05）. Conclusion Patients with diabetes and gallstones were given individualized nursing intervention during surgery with satisfactory results.

[Key words] Diabetes; Gallstones; Surgery; Individualization; Nursing intervention

糖尿病與胆结石都是临床常见病、多发病。研究发现，糖尿病的病程越长，合并胆结石的风险系数越高。现如今，胆囊切除术是治疗胆结石的常用方式，腹腔镜胆囊切除术属于微创疗法，具有创伤小、并发症少和术后恢复快等优点，深受青睐[1]。然而，胆结石合并糖尿病的情况下，机体免疫力与抵抗力下降，术后切口愈合缓慢，容易出现感染等系列并发症，不利于预后[2]。因此，糖尿病合并胆结石患者手术治疗时，需要加强护理干预。传统常规护理，在以往应用较为广泛，基本上可以满足护理需求，但是这属于被动护理形式，未将患者作为中心，强调疾病，忽视患者，缺乏针对性、个体化特征。个体化护理，是一种新型护理模式，转变被动护理为主动护理，将患者作为护理的中心，根据患者需求，制定护理计划，解决患者的实际问题，提高护理质量。……