2型糖尿病患者腹腔镜下胃旁路手术护理干预效果评价.docVIP

2型糖尿病患者腹腔镜下胃旁路手术护理干预效果评价 　　[摘要] 目的 探讨2型糖尿病（T2DM）患者腹腔镜下胃旁路手术治疗后护理干预效果。方法 将80例腹腔镜下胃旁路手术治疗的T2DM患者分为对照组与观察组各40例，分别采用常规护理与个性化护理，比较两组护理前后各项指标（BMI、FPG、餐后2 h血糖、HbA1c及空腹C肽）、SAS及SDS评分、术后各项指标恢复所需时间。 结果 两组护理前后BMI、FPG、餐后2 h血糖、HbA1c及空腹C肽水平差异均有统计学意义（P0.05），且两组护理后上述指标差异也均有统计学意义（P0.05）；两组护理前后SAS及SDS评分差异均有统计学意义（P0.05），且护理后观察组上述评分显著小于对照组（P0.05）；观察组首次下床活动时间、首次排气时间及伤口拆线时间均显著短于对照组（P0.05）。结论 针对性护理干预在腹腔镜下胃旁路手术治疗T2DM患者护理中效果显著，值得在临床上推广应用。 　　[关键词] 2型糖尿病；腹腔镜；胃旁路手术；个性化护理 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2014）27-0073-02 　　[Abstract] Objective To investigate the effect of nursing interventions on type 2 diabetic（T2DM） patients after laparoscopic gastric bypass surgery treatment. Methods Eighty patients with T2DM cases of laparoscopic gastric bypass surgery in accordance with balloting were divided into control group and observation group， each of 40 cases， which were treated with routine care and personalized care respectively， the indicators （including BMI， FPG， 2 h postprandial blood glucose， HbA1c and fasting C-peptide）， SAS and SDS scores， postoperative recovery time indicators were compared before and after treatment. Results BMI， FPG， 2 h postprandial blood glucose， HbA1c and fasting C- peptide levels were statistically significant differences between two groups before and after nursing （P0.05）， and these indicators were statistically significant difference between two groups after treatment（P0.05）； SAS and SDS scores were statistically significant differences in two groups before and after nursing （P0.05）， and post-treatment observation group was significantly lower than the above rates in the control group after treatment （P0.05）； First ambulation time， exhaust time and wound stitches first time of observation group were significantly lower than the control group， the difference was significant （P0.05）. Conclusion Nursing intervention targeted patient care of laparoscopic gastric bypass surgery in the treatment of T2DM is significant effect， it is worth to the promotion an