摘要
目的 探讨情景式健康教育在胰腺癌合并糖尿病患者围术期的应用效果.方法 将60例胰腺癌合并糖尿病患者随机分成研究组和对照组各30例,研究组接受情景式健康教育,对照组给予常规护理,比较两组患者干预前后血糖、围术期并发症发生率、平均住院天数、总费用的情况及营养状况.结果 干预前两组空腹血糖（FPG）、餐后2h血糖（2hPG）差异无统计学意义（P＞0.05）,干预后研究组FPG、2 hPG均优于对照组,差异有统计学意义（P＜0.05）;研究组围术期并发症发生率6.67％,低于对照组26.67％,差异有统计学意义（P＜0.05）;研究组平均住院天数（18.37 ±4.03）d,总费用（3.17±0.55）万元,均少于对照组（29.70 ±4.53）d,（5.21 ±0.46）万元,差异有统计学意义（P＜0.01）.结论 情景式教育模式能够帮助医护人员更好地控制胰腺癌合并糖尿病患者的围术期相关代谢指标,减少患者围术期并发症的发生,缩短住院天数,减少治疗费用.
Objective To evaluate the effect of situational health education in pancreatic cancer patients with diabetes mellitus （DM）.Methods A total of 60 pancreatic cancer patients with DM was randomly assigned to the control group （n =30） and the study group （n =30）.The control group received conventional nursing,while the study group received situational health education.Fasting blood glucose （FBG）,2-hour plasma glucose （2 hPG）,incidence of complications,average hospital stay and average hospital charges were observed during the perioperative period.Results FPG and 2 hPG were not significantly different between the two groups at baseline （P 〉 0.05）.After intervention,FPG,2 hPG,incidence of complications,average hospital stay and average hospital charges of the two groups were significantly decreased （P 〈 0.05）.FPG and 2 hPG were significantly lower than those of the control group （P 〈 0.05）.The incidence of complications was 6.67% in the study group,which was lower than 26.67% of the control group;the average hospital stay was （18.37 ± 4.03）d,which was shorter than （29.70 ± 4.53）d of the control group;the average hospital charges was （31.7 ± 5.5）thousand yuan,which was shorter than（52.1 ± 4.6）thousand yuan;the differences were statistically significant （P 〈 0.05）.Conclusions Situational education could improve glycemic control of pancreatic cancer patients with DM.It could also reduce the incidence of complications,shorten the length of hospital stay and reduce the cost of treatments.
出处
《中华现代护理杂志》
2016年第11期1576-1579,共4页
Chinese Journal of Modern Nursing
关键词
胰腺癌
糖尿病
健康教育
情景教学
Pancreatic cancer
Diabetes
Health education
Situational teaching
