热带病与寄生虫学

热带病与寄生虫学 ›› 2014, Vol. 12 ›› Issue (4): 245-247.doi: 10.3969/j.issn.1672-2302.2014.04.018

• 论著 • 上一篇    下一篇

64例重症胰腺炎合并糖尿病患者的护理

袁顺琼   

  1. 400010 重庆市， 重庆医科大学附属第二医院
  • 出版日期:2014-12-10 发布日期:2015-01-27

Nursing of the patients of severe pancreatitis associated with diabetes mellitus in 64 cases

Yuan Shunqiong   

  1. The 2nd Affiliated Hospital of Chongqing Medical University,Chongqing 40010,China
  • Online:2014-12-10 Published:2015-01-27

被引次数

19

摘要： 目的  探讨重症胰腺炎合并糖尿病患者的护理措施。 方法  本研究于2010年2月~2012年9月对收治的重症胰腺炎合并糖尿病患者实施系统性的整体护理，并与采用常规护理的对照组进行血糖控制情况、并发症发生率及治疗护理前后的SF-36评分比较。 结果  研究组患者在实施护理后期血糖水平较护理前明显下降，而且与同期的对照组相比较亦明显下降；另外研究组患者的血糖降至正常范围所用时间较对照组也明显缩短，且差异具有统计学意义（t=3.65、2.98，P<0.05）。研究组的并发症发生率（6.25%）明显低于对照组（25.00%），且差异具有统计学意义（t=4.27，P<0.05）。护理后研究组的SF-36评分仍明显高于对照组，且差异具有统计学意义（t=3.62、3.55、4.62、5.22、4.01、3.68、3.94、3.21，P<0.05）。 结论  重症胰腺炎患者病情危重，变化迅速，对重症胰腺炎合并糖尿病患者实施整体护理措施可有效减轻其心理负担，提高临床治疗效果，护士通过严密观察，进行了预见性护理，减轻治疗后并发症，促进患者早日康复。

关键词: 重症胰腺炎, 糖尿病, 护理

Abstract:

Objective To explore the nursing strategies for patients of severe pancreatitis associated with diabetes mellitus. Methods Holistic nursing was performed in the 64 patients of severe pancreatitis associated with diabetes mellitus between February and September of 2010, and the results were compared with control group(by conventional nursing) pertaining to blood glucose control, incidences of complications and scoring on the 36-Item Short Form Health Survey(SF-36)before and after treatment. Results The blood glucose level was downregulated significantly in the observational group with less time than the control group((t=3.65, 2.98, P<0.05). Still, the observational group had lower incidence of complications(6.25% vs. 25.00%, t=4.27, P<0.05), yet higher scoring on SF-36(t=3.62, 3.55, 4.62, 5.22, 4.01, 3.68, 3.94, 3.21, respectively, P<0.05). Conclusion Since severe acute pancreatitis may develop in quick manner, it is appropriate to give those patients with holistic nursing, which may improve the therapeutic outcomes and reduce the incidence of complications.

 

Key words: Severe pancreatitis, Diabetes, Nursing