摘要
目的:探讨基于快速康复外科(FTS)理念的个性化护理对肾结石合并糖尿病患者围手术期相关指标的影响。方法:选取2020年1月—2023年1月徐州医科大学附属医院收治的70例肾结石合并糖尿病患者为研究对象,采用随机数表法分为对照组和试验组,各35例。对照组采用常规护理,试验组则采用基于FTS理念的个性化护理。观察两组的血糖指标、术后恢复情况、肾功能指标、生活质量及并发症发生情况。结果:术后2 d,试验组空腹血糖、餐后2 h血糖、糖化血红蛋白低于对照组,差异有统计学意义(P<0.05)。试验组下床时间、导尿管留置时间和出院时间短于对照组,差异有统计学意义(P<0.05)。术后2 d,试验组肌酐(Scr)、尿素氮(BUN)和血尿酸(BUA)低于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。试验组健康调查简表(SF-36)各项评分均高于对照组,差异有统计学意义(P<0.05)。试验组总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:基于FTS理念的个性化护理可以帮助肾结石合并糖尿病患者的围手术期血糖水平的控制,加速患者恢复、降低并发症发生率,提高患者生活质量。
Objective:To explore the influence of personalized nursing based on the fast track surgery(FTS)concept on perioperative related indexes in patients with renal calculus and diabetes.Method:A total of 70 patients with renal calculus complicated with diabetes admitted to the Affiliated Hospital of Xuzhou Medical University from January 2020 to January 2023 were selected as the study objects,and they were divided into control group and experimental group by random number table method,with 35 cases in each group.The control group received routine nursing,and the experimental group received personalized nursing based on the FTS concept.Blood glucose index,postoperative recovery,renal function index,quality of life and complications of the two groups were observed.Result:At 2 d after surgery,the fasting blood glucose,2 h postprandial blood glucose and glycated hemoglobin of the experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).The time of getting out of bed,catheter indwelling time and discharge time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 2 d after surgery,serum creatinine(Scr),blood urea nitrogen(BUN)and blood uric acid(BUA)in the experimental groups were lower than those in the control group,and the differences were statistically significant(P<0.05).The total complication rate of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).At 2 d after surgery,the scores of the MOS item short form health survey(SF-36)in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction of the experimental group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Personalized nursing based on the FTS concept can help control perioperative blood glucose level in patients with renal calculus complicated with diabetes,accelerate patient recovery,reduce the incidence of complications,and improve the quality of life of patients.
作者
张香玉
王蒙蒙
张雪莲
张娇娇
ZHANG Xiangyu;WANG Mengmeng;ZHANG Xuelian;ZHANG Jiaojiao(The Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China;不详)
出处
《中外医学研究》
2024年第10期77-81,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肾结石
糖尿病
快速康复外科
血糖
并发症
Renal calculus
Diabetes mellitus
Fast track surgery
Blood glucose
Complications
