不同护理模式在胃旁路手术伴胰岛素抵抗患者中应用价值比较.docVIP

不同护理模式在胃旁路手术伴胰岛素抵抗患者中的应用价值比较 　　[摘要] 目的 比较不同护理模式在胃旁路手术伴胰岛素抵抗患者中的应用价值。 方法 选择2013年6月～2015年10月于中国医科大学附属盛京医院进行胃旁路手术治疗且伴胰岛素抵抗的患者50例，随机分为A组和B组，每组各25例。A组进行常规护理干预，B组进行个性化护理。比较两组患者护理前后不同时间点的治疗护理认知度、治疗护理依从性、一般自我效能感及生存质量。 结果 护理前两组患者的治疗护理认知度、治疗护理依从性、一般自我效能感及生存质量评分差异均无统计学意义（均P 0.05），而护理后1、2周及4周两组治疗护理认知度、治疗护理依从性、一般自我效能感及生存质量评分均显著优于护理前，且B组显著优于A组（均P 0.05）。 结论 个性化护理在胃旁路手术伴胰岛素抵抗患者中的应用价值明显高于常规护理，具有积极的临床应用价值。 　　[关键词] 常规护理；个性化护理；胃旁路手术伴胰岛素抵抗 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0166-04 　　[Abstract] Objective To compare the application value of different nursing modes in the patients with insulin resistance underwent gastric bypass surgery. Methods 50 patients insulin resistance underwent gastric bypass surgery in Shengjing Hospital Affiliated to China Medical University from June 2013 to October 2015 were selected， and randomly divided into group A and group B， with 25 cases in each group. Patients in group A were given conventional nursing intervention， patients in group B were given personalized nursing. Then the treatment and nursing cognition， treatment and nursing compliance， general self-efficacy and life quality of the two groups before nursing and at different time after nursing were compared. Results The evaluation results of treatment and nursing cognition， treatment and nursing compliance， general self-efficacy and life quality scores of the two groups before nursing had no significant differences （all P 0.05）， while the evaluation results of treatment and nursing cognition， treatment and nursing compliance， general self-efficacy and life quality scores of the two groups 1， 2， 4 weeks after nursing were significantly better than those before nursing， and which in group B were significantly better than those in group A （all P 0.05）. Conclusion The application value of personalized nursing in the patients with insulin resistance underwent gastric bypass surgery is higher than conventional nursing， it has active clinical application value. 　　[Key words] C