临床护理路径在糖尿病胃转流术后患者护理中的实践与观察

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• 论文作者：安丹 ; 贺乾 ; 王玉巍
• 年：2016
• 作者机构：解放军309医院;
• 论文关键词：临床护理路径 ; 糖尿病 ; 胃转流术 ; 实践
• 英文论文关键词：clinic nursing pathway ; diabetes mellitus ; gastric bypass ; practice
• 会议召开时间：2016-11-25
• 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
• 语种：中文
• 分类号：R473.6
• 学会代码：HNZY
• 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
• 会议地点：中国广东珠海
• 主办单位：国际数字医学会、Digital Chinese Medicine
• 学会名称：湖南中医药大学期刊杂志社
• 页数：2
• 文件大小：2027k
• 原文格式：D
• 会议级别：全国

摘要

目的探讨临床护理路径在糖尿病胃转流术后患者护理中的应用,提高手术成功率,减少术后并发症发生。方法 2014年9月至2015年9月我科共进行糖尿病胃转流手术62例,随机将其分为实验组32例和对照组30例,实验组在常规护理措施基础上按临床护理路径给予综合干预措施,术前及术后6个月分别测定了空腹血糖及Hb A1c水平,统计两组住院天数,并对结果进行统计分析。将术后6个月空腹血糖≤7.0mmol/L及Hb A1c≤6.0%定为达标。结果实验组术后达标率明显高于对照组,P<0.05。实验组平均住院天数明显短于对照组,P<0.05。术后6个月,两组患者空腹血糖及Hb A1c较术前明显改善,P<0.01;实验组与对照组比较,空腹血糖及Hb A1c下降更明显,P<0.05。结论临床护理路径干预能明显改善糖尿病胃转流术后血糖控制情况,缩短了住院天数和临床康复时间。
Objective To improve operation success rate and decrease post-operative complications by applying clinic nursing pathway in diabetic patients with gastric bypass. MethodsSixty-two diabetic patients who received gastric bypass in our department in between Sep. 2014 to Sep. 2015 were randomly divided into experiment group(n=32) and control group(n=30), experimentgroup were given clinic nursing pathway besides conventional nursing, while control group received conventional nursing only. Before operation and six months after operation, serum fasting bloodglucose(FBG) and hemoglobin(Hb A1c) were measured in two groups, hospitalized time and FBG and Hb A1 c analyzed and compared in two groups. Six months after operation, FBG ≤ 7.0mmol/L andHb A1 c ≤ 6.0% as qualified control. Results The qualified rate in blood glucose control in experiment group was significantly higher than that of control group, P < 0.05. The hospitalized time inexperiment group was significantly lower than that of control group, P<0.05. Six months after gastric bypass, FBG and Hb A1 c in two groups decreased significantly compared with pre-operation, P<0.01, but FBG and Hb A1 c in experiment group still lower than that of control group, P < 0.05. Conclusion Clinic nursing pathway could significantly improve blood glucose control in diabetic patients withgastric bypass, and reduce hospitalized time and medical expenditure.

引文

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