摘要
目的探究糖尿病胸肺部手术患者在围术期护理中实施外科快速康复干预的作用。方法选择该院2019年5月—2020年5月收治的86例糖尿病胸肺部手术患者为研究对象,采取随机数字排列表法将其分成常规组(43例)及观察组(43例),予以常规组患者基础护理,予以观察组患者基础护理以及外科快速康复干预。对比两组患者肛门排气时间、排便时间、住院时间以及伤口愈合时间;围术期血糖水平;护理前后视觉模拟评分法(VAS)得分以及生活质量量表(SF-36)得分。结果观察组患者肛门排气时间、排便时间、住院时间以及伤口愈合时间均短于常规组,差异有统计学意义(P<0.05)。术中及术后观察组患者血糖水平均低于常规组,差异有统计学意义(P<0.05)。护理后,观察组患者VAS得分低于常规组,差异有统计学意义(P<0.05)。护理后,观察组患者生活质量得分高于常规组,差异有统计学意义(P<0.05)。结论对糖尿病胸肺部手术患者开展外科快速康复护理,能够缩短术后机体康复时间,减轻疼痛感,提升患者生活质量水平,发挥一定干预效果。
Objective To explore the role of rapid surgical rehabilitation intervention in perioperative nursing for patients with diabetic chest and lung surgery. Methods A total of 86 diabetic patients undergoing thoracic and lung surgery in the hospital were selected as the research objects from May 2019 to May 2020, and a random number list method was used to divide them into the routine group(43 cases) and the observation group(43 cases). Provide basic care for patients in the routine group, basic care and rapid surgical rehabilitation intervention for patients in the observation group. Compared patients’ anal exhaust time, defecation time, hospital stay and wound healing time;perioperative blood glucose levels, visual analogue scale(VAS) scores and quality of life scale(SF-36) scores before and after nursing of two groups. Results Anal exhaust time, defecation time, hospitalization time, and wound healing time of the observation group were shorter than those of the routine group, the difference was statistically significant(P<0.05). During and after the operation, the blood glucose level of the observation group was lower than that of the routine group, the difference was statistically significant(P<0.05). After nursing, the VAS score of the observation group was lower than that of the routine group, the difference was statistically significant(P<0.05). The quality of life score of patients in the observation group after nursing was higher than that in the routine group, the difference was statistically significant(P<0.05). Conclusion Carrying out rapid surgical rehabilitation nursing for diabetic patients undergoing thoracic and lung surgery can shorten the postoperative recovery time, reduce pain, improve the quality of life of patients, and exert certain intervention effects.
作者
林亚妹
LIN Yamei(Department of Thoracic Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361001 China)
出处
《糖尿病新世界》
2022年第1期118-122,共5页
Diabetes New World Magazine
关键词
围术期
胸肺部
糖尿病
胸腔镜
外科快速康复护理
Perioperative period
Chest and lungs
Diabetes
Thoracoscopy
Rapid surgical rehabilitation nursing
