APP下载

快速康复与循证护理在糖尿病并高血压前列腺电切术患者护理中的应用对比

2020-12-06林英姿

糖尿病新世界 2020年20期
关键词:快速康复护理循证护理高血压

林英姿

DOI:10.16658/j.cnki.1672-4062.2020.20.138

[摘要] 目的 探究在糖尿病并高血压前列腺电切术患者护理中应用快速康复与循证护理的临床效果。 方法 选取该院2018年11月—2019年11月期间收治的78例糖尿病合并高血压且需行前列腺电切术治疗的患者作为研究对象,以不同的护理方式将患者平均分为两组,即应用快速康复护理的39例患者纳入对照组,而应用循证护理的39例患者纳入观察组。对比两组护理前国际前列腺评分表(IPSS)评分、收缩压(SBP)水平与空腹血糖(FPG)水平。 结果 护理前,两组IPSS评分差異无统计学意义(P>0.05);护理后,两组IPSS评分均已下降,且观察组降幅大于对照组(P<0.05)。护理前,两组SBP水平与FPG水平差异无统计学意义(P>0.05);护理后,两组以上两项指标水平均已下降,且观察组降幅大于对照组(P<0.05)。对照组与观察组并发症发生率分别为12.82%、10.26%,比较差异无统计学意义(P>0.05)。结论 在糖尿病并高血压前列腺电切术患者中应用循证护理,可减轻患者前列腺增生严重程度,并减少并发症的发生。

[关键词] 高血压;糖尿病;循证护理;快速康复护理;前列腺电切术

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062(2020)10(b)-0138-03

Application Comparison of Rapid Rehabilitation and Evidence-based Nursing in the Nursing of Diabetic Patients with Hypertension Undergoing Resection of Prostate

LIN Ying-zi

Department of Urology, Fuzhou First Hospital, Fuzhou, Fujian Province, 350009 China

[Abstract] Objective To explore the clinical effects of rapid rehabilitation and evidence-based nursing in the nursing of diabetic and hypertensive patients undergoing prostatectomy. Methods A total of 78 patients with diabetes mellitus and hypertension who needed electrosurgical resection of the prostate who were admitted to the hospital from November 2018 to November 2019 were selected as the research objects. The patients were divided into two groups with different nursing methods, namely 39 patients receiving rapid rehabilitation care were included in the control group, while 39 patients receiving evidence-based nursing were included in the observation group. The International Prostate Score (IPSS) scores, systolic blood pressure (SBP) levels and fasting blood glucose (FPG) levels were compared between the two groups before nursing. Results Before nursing, the IPSS scores of the two groups were not statistically significant different(P>0.05); after nursing, the IPSS scores of the two groups had decreased, and the decrease in the observation group was greater than that of the control group (P<0.05). Before nursing, the levels of SBP and FPG in the two groups were not statistically significantt different(P>0.05); after nursing, the levels of the above two indicators in the two groups had decreased, and the decrease in the observation group was greater than that in the control group (P<0.05). The complication rate of the control group and the observation group were 12.82% and 10.26%, respectively. There was no statistically significant difference between the two groups (P>0.05). Conclusion The application of evidence-based nursing in diabetic and hypertensive prostate resection patients can reduce the severity of prostate hyperplasia and reduce the occurrence of complications.

3  讨论

据相关研究报道,前列腺疾病患者在合并糖尿病、高血压的情况下,不仅机体免疫力相对较弱,而且血糖与血压持续处于高水平,可破坏自身免疫与再生机制[4],不断影响修复能力,从而增添尿路感染等并发症发生率。因此,临床护理人员通常会采取快速康复护理、循证护理为患者提供指导,确保患者治疗后前列腺增生严重程度得以减轻[5],有效预防并发症的发生。此次研究结果显示:护理前,两组IPSS评分差异无统计学意义(P>0.05);护理后,两组IPSS评分均已下降,且观察组降幅大于对照组(P<0.05)。分析可知,循证护理在改善患者前列腺增生严重程度上效果更为优越。研究认为,快速康复护理内容相对单一,或是过度注重康复,而忽略患者的实际情况与需求[6],导致应用效果欠佳。而循证护理是基于循证医学开展的护理工作,其核心思想是结合患者实际情况,为其提供优质、高效的护理服务[7]。例如,护理人员术前合理控制患者血糖与血压水平,可保证患者机体状态达到手术要求与标准,促进手术治疗的顺利开展,有效改善患者的前列腺增生嚴重程度。同时,术后根据患者机体状态、手术特点,做好相应的护理工作,能够加快切口愈合速度[8],减轻患者术后不适感,避免外界因素对患者血糖与血压水平造成影响。结合该研究结果:护理前,两组SBP水平与FPG水平差异无统计学意义(P>0.05);护理后,两组以上两项指标水平均已下降,且观察组降幅大于对照组(P<0.05)。以上结果说明循证护理在改善患者血糖与血压水平上效果更为理想。分析是因为患者血糖、血压水平不仅与疾病有关,而且患者的身心状态也可对两项指标造成影响。护理人员有条不紊的开展术后护理工作,并遵医嘱指导患者服用降压药与降糖药,可保证患者得到良好的恢复,并且护理人员提供的优质护理服务有利于稳定患者内心情绪,让患者高度配合医护人员,从而促进血糖与血压水平的下降。此次研究结果显示:对照组与观察组并发症发生率分别为12.82%、10.26%,比较发现两组数据差异无统计学意义(P>0.05)。由以上数据可知,快速康复护理、循证护理均可预防或减少术后并发症的发生,但此次研究样本量较少,样本之间可能存在误差,故需要医疗领域学者今后加大研究力度。

综上所述,予以糖尿病并高血压前列腺电切术患者循证护理,可显著改善患者血糖与血压水平,并减轻其前列腺增生严重程度,有效预防并发症的发生。

[参考文献]

[1]  江章敏,林燕明,方丽钦,等.循证护理在老年糖尿病骨折患者手术期间应用的效果分析[J].福建医药杂志,2019,41(2):172-174.

[2]  中国高血压防治指南修订委员会.中国高血压防治指南(2010年修订版)[J].中国实用乡村医生杂志,2012,19(10):1-15.

[3]  中华医学会糖尿病学分会.中国2型糖尿病防治指南(2010年版)[J].中国实用乡村医生杂志,2012,20(2):54-109.

[4]  刘祝娟,杨胜菊,孙春霞.循证护理在老年2型糖尿病合并高血压病患者中的应用[J].内蒙古医学杂志,2018,50(6):739-741.

[5]  郝玉芳.优质护理干预在老年高血压合并糖尿病患者护理中的应用价值[J].中国医药指南,2018,16(16):287-288.

[6]  孙丹丹.总体化护理对75例高血压合并糖尿病老年患者的影响[J].中国医药指南,2019,17(16):253-254.

[7]  夏晓红,余良胜.手术室护理对经尿道前列腺电切术患者生理应激指标及术后并发症的影响[J].医学理论与实践,2019,32(10):1597-1599.

[8]  白璟.临床护理路径干预对经尿道前列腺电切术患者的应用价值[J].国际医药卫生导报,2019,25(9):1486-1489.

(收稿日期:2020-07-16)

猜你喜欢

快速康复护理循证护理高血压
全国高血压日
如何把高血压“吃”回去?
高血压,并非一降了之
快速康复护理在胃肠手术患者围手术期的应用
艾滋病患者合并机会性感染护理中循证护理的应用效果
快速康复护理在胃肠外科中的应用效果解析
中医干预治疗高血压49例