2型糖尿病高齡患者全膝關(guān)節(jié)置換術(shù)術(shù)中護(hù)理干預(yù)

孫淼 王婧

[摘要] 目的 對(duì)2型糖尿病患者實(shí)施全膝關(guān)節(jié)置換術(shù)中采用護(hù)理干預(yù)的效果進(jìn)行探究。方法 選擇該院2018年6月—2019年5月收治的實(shí)施全膝關(guān)節(jié)置換術(shù)的2型糖尿病高齡患者70例作為該次研究納入的對(duì)象，按照隨機(jī)數(shù)字表法將其劃分為常規(guī)護(hù)理組和護(hù)理干預(yù)組，每組35例。采用不同護(hù)理方式對(duì)兩組患者予以護(hù)理，比較并分析兩組患者的護(hù)理效果。結(jié)果 護(hù)理干預(yù)組的血糖水平明顯低于常規(guī)護(hù)理組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。常規(guī)組護(hù)理組并發(fā)癥發(fā)生率為22.9%，護(hù)理干預(yù)組并發(fā)癥發(fā)生率為2.9%。護(hù)理干預(yù)組的并發(fā)癥發(fā)生率明顯低于常規(guī)護(hù)理組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 針對(duì)實(shí)施全膝關(guān)節(jié)置換術(shù)的2型糖尿病高齡患者進(jìn)行護(hù)理干預(yù)效果顯著，可以有效控制患者的血糖水平，并且減少其并發(fā)癥。

[關(guān)鍵詞] 2型糖尿病;全膝關(guān)節(jié)置換術(shù);護(hù)理干預(yù);常規(guī)護(hù)理;血糖水平;并發(fā)癥

[中圖分類號(hào)] R587.1? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）06（b）-0021-03

[Abstract] Objective To investigate the effect of nursing intervention in patients with type 2 diabetes undergoing total knee replacement. Methods Seventy elderly patients with type 2 diabetes who underwent total knee arthroplasty in the hospital were selected as the subjects of this study from June 2018 to May 2019. They were divided into routine nursing group and nursing intervention group according to random number table method， each group had 35 examples. Different nursing methods were used to care for the two groups of patients， and the nursing effects of the two groups of patients were compared and analyzed. Results The blood glucose level of the nursing intervention group was significantly lower than that of the conventional nursing group， and the difference was statistically significant（P<0.05）. The complication rate in the routine care group was 22.9%， and the complication rate in the nursing intervention group was 2.9%. The incidence of complications in the nursing intervention group was significantly lower than that in the conventional nursing group， and the difference was statistically significant（P<0.05）. Conclusion Nursing intervention for elderly patients with type 2 diabetes undergoing total knee arthroplasty has a significant effect， which can effectively control patients' blood sugar levels and reduce their complications.

[Key words] Type 2 diabetes; Total knee replacement; Nursing intervention; Routine care; Blood glucose levels; Complications

作為一種骨科疾病，膝關(guān)節(jié)病變?cè)谂R床中屬于一種常見(jiàn)病和多發(fā)病，目前臨床上在治療膝關(guān)節(jié)病變時(shí)常常采用膝關(guān)節(jié)置換術(shù)，其能夠極大改善患者的關(guān)節(jié)畸形癥狀，并且提高其膝關(guān)節(jié)功能，對(duì)于患者生活質(zhì)量的提升十分有利[1]。很多高齡膝關(guān)節(jié)病變患者往往合并糖尿病，在對(duì)其實(shí)施膝關(guān)節(jié)置換術(shù)的治療中如果沒(méi)有控制好患者的血糖水平，很容易引起術(shù)后感染，導(dǎo)致手術(shù)治療效果受到影響[2]。為此，必須要重視對(duì)2型糖尿病患者在全膝關(guān)節(jié)置換術(shù)中的護(hù)理工作，有效控制其血糖水平，降低并發(fā)癥發(fā)生率，促進(jìn)患者康復(fù)。對(duì)此，該文選擇2018年6月—2019年5月該院收治的實(shí)施全膝關(guān)節(jié)置換術(shù)的2型糖尿病高齡患者70例作為研究對(duì)象，分析全膝關(guān)節(jié)置換術(shù)中采用護(hù)理干預(yù)的效果，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

選擇該院收治的實(shí)施全膝關(guān)節(jié)置換術(shù)的2型糖尿病高齡患者70例作為該次研究納入的對(duì)象，按照隨機(jī)數(shù)字表法將其劃分為常規(guī)護(hù)理組和護(hù)理干預(yù)組，每組35例。在獲得倫理委員會(huì)批準(zhǔn)的條件下，筆者順利實(shí)施了該次研究，所有患者均對(duì)該次研究知曉同意，且自愿參與。常規(guī)護(hù)理組中有16例女，19例男;在年齡方面最上限為79歲，最下限為61歲，中位年齡為（72.7±5.3）歲。護(hù)理干預(yù)組中有17例女，18例男;在年齡方面最上限為80歲，最下限為62歲，中位年齡為（73.1±5.2）歲。在上述基本資料方面，兩組患者比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具備了實(shí)施組間比較的基礎(chǔ)。