摘要
目的探讨延续性护理对膀胱肿瘤合并糖尿病患者术后生活质量和血糖控制的影响。方法选取膀胱肿瘤合并2型糖尿病行泌尿造口的老年患者80例为研究对象,随机分为观察组(n=40)和对照组(n=40)。对照组术后常规护理和健康教育,观察组在对照组基础上实施延续性护理。采用自制量表调查2组患者术后生活质量,比较2组术后血糖控制效果及并发症发生情况。结果术后3个月,观察组生活质量各因子评分中睡眠质量、活动及感觉、疾病认知能力、工作与适应社会、生活与娱乐评分均优于对照组,差异有统计学意义(P<0.05或P<0.01)。术后6个月,观察组空腹血糖水平和糖化血红蛋白值低于对照组,差异有统计学意义(P<0.05或P<0.01)。术后12个月,观察组造口旁疝及造口周围皮炎发生率低于对照组,差异有统计学意义(P<0.05)。结论针对膀胱肿瘤合并2型糖尿病行泌尿造口的老年患者,开展延续性护理能提高患者术后生活质量,促进血糖控制效果。
Objective To investigate the effect of continuing nursing care on quality of life and blood glucose control in patients with bladder cancer and diabetes mellitus after receiving cys- tostomy. Methods A total of 80 elderly patients with bladder cancer and type 2 diabetes mellitus were randomly divided into the observation group and the control group, with 40 cases in each group. Both two groups received routine nursing and health education after operation, and the continuing nursing interventions were carried out in the observation group. Self-made question-naire was used to investigate the patients ^ quality of life after operation. The efficacy of blood glucose control and postoperative complications were compared between two groups. Results Pa-tients in the observation group had higher score in assessment of sleeping quality, motor and feel-ing, cognitive function on disease, working and social adjustment, living and entertainment com-pared with those in the control group at three months after operation, with significant difference （P 〈0. 05 or P 〈 0. 01）. The level of fasting blood glucose and glycosylated hemoglobin were lower in the observation group than those in the control group, with significant difference （ P 〈 0. 05 or P 〈 0. 01）. The incidence of parastomal hernia and peristomal dermatitis were lower in the observation group than those in the control group, with significant difference （ P 〈 0. 05）. Conclusion Continuing nursing care can improve the quality of life and efficacy of blood glucose control in elderly patients with bladder cancer and diabetes mellitus after cystostomy.
出处
《中西医结合护理（中英文）》
2017年第2期54-57,共4页
Journal of Clinical Nursing in Practice
