胸外肿瘤合并糖尿病围手术期的护理干预应用效果

目的探究胸外肿瘤合并糖尿病围手术期的护理干预应用效果。方法将该院2016年8月-2019年4月期间治疗的94例胸外肿瘤合并糖尿病患者作为研究对象。在患者及家属签署知情同意书后,按照入院先后的顺序将其分成观察组(47例)、对照组(47例)。对照组患者进行常规护理,观察组患者进行围术期护理。护理期结束后,医护人员将其并发症机率与护理前后焦虑、抑郁评分进行对比。结果观察组与对照组患者并发症机率分别为(4.25%)、(12.76%),差异有统计学意义(P<0.05);护理前,两组患者焦虑、抑郁评分差异无统计学意义(P>0.05),护理后,观察组与对照组患者焦虑评分分别为(20.14±1.17)分、(43.75±0.15)分,抑郁评分分别为(21.07±0.94)分、(45.16±1.09)分,差异有统计学意义(P<0.05);护理前,两组患者空腹血糖值、餐后血糖值差异无统计学意义(P>0.05);护理后,观察组患者空腹血糖值及餐后血糖值明显低于对照组患者,差异有统计学意义(P<0.05)。结论围术期护理能够有效提升胸外肿瘤合并糖尿病患者的治疗质量,降低其并发症发生机率,并改善患者焦虑、抑郁的消极心理,护理方法安全且疗效极其显著,应推广使用。

Effect of Nursing Intervention on Perioperative Operation of Chest Cancer and Diabetes

Objective To explore the effect of nursing intervention on perioperative complications of chest tumors and diabetes. Methods A total of 94 patients with thoracic tumors and diabetes mellitus treated in our hospital from August2016 to April 2019 were taken as the research subjects. After the patients and their families signed the informed consent,they were divided into observation group(47 cases) and control group(47 cases) in the order of admission. Patients in the control group were given routine nursing care, and patients in the observation group were given perioperative nursing care.At the end of the nursing period, medical staff compared their chance of complications with anxiety and depression scores before and after nursing. Results The probability of complications in the observation group and the control group were(4.25%) and(12.76%),the difference was statistically significant;there was no statistically significant difference in anxiety and depression scores between the two groups of patients before nursing(P>0.05), and the observation group after nursing,compared with the control group, the anxiety scores were(20.14±1.17)points and(43.75±0.15)points, and the depression scores were(21.07±0.94)points and(45.16±1.09)points the difference was statistically significant. Before nursing, the two groups of patients had no statistically significant difference in fasting blood glucose and postprandial blood glucose(P >0.05);after nursing, the fasting blood glucose and postprandial blood glucose of patients in the observation group were significantly lower than those in the control group, the difference was statistically significant. Conclusion Perioperative nursing can effectively improve the quality of treatment for patients with chest tumors and diabetes, reduce the incidence of complications, and improve the negative psychology of patients’ anxiety and depression. The nursing method is safe and the effect is extremely significant. It should be promoted and used.