摘要
目的分析临床护理路径在合并2型糖尿病老年骨科手术患者护理中的应用价值。方法选取2019年2月-2020年8月该院收治的64例合并2型糖尿病老年骨科手术患者作为研究对象,随机数表法分两组,对照组(32例)应用常规护理,观察组(32例)应用临床护理路径,比较两组患者的血糖水平变化、恢复情况及并发症发生情况。结果对照组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白分别为(8.53±4.67)mmol/L、(11.50±5.14)mmol/L、(8.05±1.17)%;观察组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白分别为(6.35±1.13)mmol/L、(9.10±3.58)mmol/L、(7.43±0.52)%,与对照组相比,观察组均较低,差异有统计学意义(t=2.567、2.167、2.739,P=0.013、0.034、0.008);恢复情况比较,对照组术后首次排气时间、伤口愈合、下床时间、住院时间为别为(39.46±6.47)h、(13.47±2.35)d、(5.69±1.48)d、(16.58±4.95)d;观察组术后首次排气时间、伤口愈合、下床时间、住院时间为别为(32.25±6.13)h、(10.86±2.14)d、(3.76±1.01)d、(13.46±3.84)d,与对照组相比,观察组4项指标均较短,差异有统计学意义(t=4.576、4.645、6.093、2.917,P<0.05);对照组并发症总发生率为25.00%,观察组为3.13%,两组相比观察组较低,差异有统计学意义(χ^2=4.655,P=0.031<0.05)。结论在合并2型糖尿病老年骨科手术患者护理中应用临床护理路径,效果显著,能降低患者血糖水平,促进患者术后恢复,且降低患者并发症发生率。
Objective To analyze the application value of clinical nursing path in the nursing of elderly patients with type 2 diabetes undergoing orthopedic surgery.Methods 64 cases of elderly orthopedic surgery patients with type 2 diabetes who were admitted to the hospital from February 2019 to August 2020 were selected as the research objects.They were divided into 2 groups by random number table.The control group(32 cases)was treated with routine care,and the observation group(32 cases)adopted the clinical nursing path,to compare the changes in blood glucose levels,recovery and complications of the two groups of patients.Results The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin of the control group after intervention were(8.53±4.67)mmol/L,(11.50±5.14)mmol/L,and(8.05±1.17)%,respectively;in the observation,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin were(6.35±1.13)mmol/L,(9.10±3.58)mmol/L,and(7.43±0.52)%respectively.Compared with the control group,the observation group was lower,the difference was statistically significant(t=2.567,2.167,2.739,P=0.013,0.034,0.008);comparison of recovery conditions,the time of first exhaust,wound healing,time to get out of bed,and hospital stay in the control group were(39.46±6.47)h and(13.47±2.35)d,(5.69±1.48)d,(16.58±4.95)d after operation;the first postoperative exhaust time,wound healing,time to get out of bed,and hospital stay in the observation group were(32.25±6.13)h,(10.86±2.14)d,(3.76±1.01)d,(13.46±3.84)d,compared with the control group,the observation group of 4 indicators were shorter,the difference was statistically significant(t=4.576,4.645,6.093,2.917,P<0.05);the control group had total complications rate was 25.00%,and the observation group was 3.13%,which was lower in the two groups than in the observation group,the difference was statistically significant(χ^2=4.655,P=0.031<0.05).Conclusion The application of clinical nursing pathways in the nursing of elderly patients with type 2 diabetes undergoing orthopedic surgery has a significant effect.It can reduce the blood glucose level of the patients,promote the postoperative recovery of the patients,and reduce the incidence of complications.
作者
王雪娟
WANG Xue-juan(Department of Orthopedics,Fengxian People's Hospital,Fengxian,Jiangsu Province,221700 China)
出处
《系统医学》
2020年第24期158-161,共4页
Systems Medicine
关键词
临床护理路径
2型糖尿病
骨科手术
老年人
Clinical nursing path
Type 2 diabetes
Orthopedic surgery
Elderly
作者简介
王雪娟(1974-),女,本科,副主任护师,主要从事骨科临床护理工作。
