摘要
目的探讨依从性差的糖尿病患者手术护理中采取细节护理的应用效果。方法选取2018年1月—2020年1月该院收治的糖尿病手术患者100例为对象进行研究,并以随机数表法将其均等分为对照组(采用常规护理)和观察组(以常规护理此为基础采用细节护理),对比两组患者依从率、并发症发生率、满意度评分、护理前后的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及血糖水平。结果观察组的依从率为96.00%,比对照组的依从率80.00%高,差异有统计学意义(P<0.05);观察组的并发症发生率为2.00%,比对照组的并发症发生率16.00%低,差异有统计学意义(P<0.05);护理前,两组的SAS评分、SDS评分、餐后2 h血糖、空腹血糖对比,差异无统计学意义(P>0.05);经护理后,两组SAS评分、SDS评分、餐后2 h血糖、空腹血糖均优于护理前,且观察组比对照组低,差异有统计学意义(P<0.05);观察组的满意度评分比对照组高,差异有统计学意义(P<0.05)。结论针对依从性差的糖尿病患者手术护理过程中应用细节护理,不仅能够使患者的依从性得到改善,而且还能够减少并发症发生,使患者对护理工作更加满意,还可有效改善患者血糖水平和心理状态,使护理质量得到提升。
Objective To explore the application effect of detail nursing in surgical nursing of diabetic patients with poor compliance. Methods Selected 100 patients with diabetes surgery admitted to the hospital from January 2018 to January 2020 as subjects for the study. They were equally divided into the control group(using routine care) and the observation group(using detailed care based on routine care) by the random number table method. The compliance rate, complication rate, satisfaction score, self-rating anxiety scale(SAS) score before and after nursing, self-rating depression scale(SDS)score and blood glucose level were compared between the two groups. Results The compliance rate of the observation group was 96.00%, which was higher than the compliance rate of the control group of 80.00%, and the difference was statistically significant(P<0.05). The complication rate of the observation group was 2.00%, which was lower than the control group’s complication rate of 16.00%, and the difference was statistically significant(P <0.05). Before nursing, there was no statistically significant difference between the two groups of SAS score, SDS score, 2 h postprandial blood glucose, and fasting blood glucose(P>0.05). After nursing, the two groups’ SAS score, SDS score, 2 h postprandial blood glucose and fasting blood glucose were better than those before nursing, and the observation group was lower than the control group, the difference was statistically significant(P<0.05). The satisfaction score of the observation group was higher than that of the control group, and the difference was statistically significant(P <0.05). Conclusion Detailed care is applied during the surgical care of patients with poor compliance. Not only can the patient’s compliance be improved, but also the occurrence of complications can be reduced, so that the patient is more satisfied with the treatment and nursing work. It can also effectively improve the patient’s blood glucose level and psychological state, and improve the quality of care.
作者
孙佃华
SUN Dianhua(Department of Surgery,Jinling Branch of Traditional Chinese Medicine Hospital of Zhangdian District,Zibo,Shandong Province,255080 China)
出处
《糖尿病新世界》
2021年第21期5-9,共5页
Diabetes New World Magazine
关键词
细节护理
依从性
糖尿病
手术护理
满意度
并发症
Detail nursing
Compliance
Diabetes
Surgical care
Satisfaction
Complications
