摘要
目的探究预防性护理干预对老年肠梗阻并糖尿病患者脂肪乳静脉输注致静脉炎发生的影响。方法选择2017年11月—2019年11月该院收治的老年肠梗阻合并糖尿病患者86例,按随机数字表法分为两组,各43例。对照组采取常规护理,观察组实施预防性护理干预,比较两组静脉炎发生情况、康复情况(肛门排气时间、排便时间及住院时间)及血糖水平(空腹血糖及餐后2 h血糖)。结果观察组静脉炎发生率为2.33%,低于对照组18.60%,差异有统计学意义(P<0.05)。观察组肛门排气时间(3.35±1.04)d、排便时间(3.85±1.25)d、住院时间(8.21±2.33)d,短于对照组的(3.98±1.01)、(4.98±1.32)、(10.24±2.34)d,差异有统计学意义(P<0.05)。观察组出院时空腹血糖(7.45±0.56)mmol/L、餐后2 h血糖(9.95±0.78)mmol/L,分别低于对照组的(8.23±1.01)、(12.14±1.16)mmol/L,差异有统计学意义(P<0.05)。结论老年肠梗阻并糖尿病患者脂肪乳静脉输注过程中采取预防性护理干预,能够减少静脉炎发生,有效控制血糖水平,促进患者早日康复。
Objective To explore the effect of preventive nursing intervention on the occurrence of phlebitis caused by intravenous infusion of fatty emulsion in elderly patients with intestinal obstruction and diabetes.Methods A total of 86 elderly intestinal obstruction patients with diabetes mellitus who were admitted to the hospital from November 2017 to November 2019 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group took routine nursing care,and the observation group implemented preventive nursing intervention.The two groups were compared with the occurrence of phlebitis,recovery(anal exhaust time,defecation time,and hospital stay)and blood glucose levels(fasting blood gluscose and 2 h post-prandial blood glucose).Results The incidence of phlebitis in the observation group was 2.33%,which was lower than that in the control group 18.60%.The difference was statistically significant(P<0.05).Observation group's anal exhaust time(3.35±1.04)d,defecation time(3.85±1.25)d,hospitalization time(8.21±2.33)d,shorter than the control group(3.98±1.01)d,(4.98±1.32)d,(10.24±2.34)d,the difference was statistically significant(P<0.05).The fasting blood glucose at discharge(7.45±0.56)mmol/L and the 2 h postprandial blood glucose(9.95±0.78)mmol/L in the observation group were lower than those in the control group(8.23±1.01)mmol/L and(12.14±1.16)mmol/L,the difference was statistically significant(P<0.05).Conclusion Preventive nursing intervention during the process of intravenous infusion of fat emulsion in elderly patients with intestinal obstruction and diabetes can reduce the occurrence of phlebitis,effectively control the blood glucose level,and promote the patient's speedy recovery.
作者
罗金莲
LUO Jin-lian(Department of Gastrointestinal Surgery,Longyan Second Hospital,Longyan,Fujian Province,364000 China)
出处
《糖尿病新世界》
2021年第4期140-142,共3页
Diabetes New World Magazine
关键词
预防性护理
肠梗阻
糖尿病
脂肪乳
静脉输注
静脉炎
Preventive care
Intestinal obstruction
Diabetes
Fatty emulsion
Intravenous infusion
Phlebitis
