摘要
目的观察探讨对泌尿系结石合并糖尿病术后留置双J管的患者开展延续性护理的临床应用效果分析。方法选取2021年2月—2022年2月福建省龙岩市第二医院收治的60例泌尿系结石合并糖尿病术后留置双J管患者为研究对象,随机数表法分成两组,各30例。其中30例实施出院前常规指导为对照组,另30例实施出院后延续性护理指导为研究组。比较两组患者在出院前、出院后1个月的血糖指标水平、对疾病的应对方式水平、自我护理能力及生活质量水平,统计并发症发生情况及患者对护理的满意率。结果在出院后1个月后血糖指标水平及对疾病的消极应对方式水平较出院前下降,研究组与对照组相比更低,而对疾病的积极应对方式水平、自我护理能力及生活质量水平较出院前升高,研究组与对照组相比更高,差异有统计学意义(P<0.05)。研究组患者出院后1个月内的并发症率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论在泌尿系结石合并糖尿病术后留置双J管的患者中,开展延续性护理后,可明显的控制患者的血糖指标水平,改变患者对疾病的应对方式,提升自我护理能力,减少术后留置双J管产生的并发症,提升患者对护理的满意率,效果理想。
Objective To observe the clinical application effect of continuous nursing in patients with urinary calculi and diabetes who underwent postoperative indwelling double J tube.Methods A total of 60 patients with urinary calculi and diabetes with postoperative indwelling double J tube who were admitted to the Second Hospital of Longyan City,Fujian Province from February 2021 to February 2022 were selected as the research objects,and divided into two groups by random number table method,30 cases in each group.Among them,30 patients received routine guidance before discharge as the control group,and the other 30 patients received continuous nursing guidance after discharge as the study group.The two groups of patients were compared in terms of blood glucose level,coping style,self-care ability and quality of life before discharge and one month after discharge.The incidence of complications and the satisfaction rate of patients with nursing were compared.Results One month after discharge,the level of blood glucose indicators and the level of negative coping styles to the disease decreased compared with those before discharge,and the research group was lower than the control group,while the level of positive coping styles,self-care ability and quality of life for the disease were higher than those before discharge.The increase before discharge was higher in the study group than in the control group,and the difference was statistically significant(P<0.05).The complication rate within 1 month after discharge in the study group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group,the difference was statistically significant statistical significance(P<0.05).Conclusion In patients with urinary calculi and diabetes with postoperative indwelling double-J tube,continuous nursing can significantly control the blood glucose level of the patients and change the patients’response to the disease,improve self-care ability,reduce complications caused by postoperative indwelling double J tube,improve patient satisfaction rate of nursing,and the effect is ideal.
作者
丁金娥
陈秀惠
DING Jin'e;CHEN Xiuhui(Outpatient Operating Room,Second Hospital of Longyan City,Longyan,Fujian Province,364000 China)
出处
《糖尿病新世界》
2022年第16期158-161,165,共5页
Diabetes New World Magazine
关键词
泌尿系结石
糖尿病患者
术后留置双J管
延续性护理
自我护理能力
血糖指标
生活质量
Urinary calculi
Diabetic patients
Postoperative indwelling double J tube
Continuous nursing
Self-care ability
Blood glucose index
Quality of life
