腫瘤合并糖尿病患者住院期間血糖控制不良原因分析和護理配合研究

陳秋鶯

[摘要] 目的 分析并研究腫瘤合并糖尿病患者住院期間血糖控制不良原因和護理配合。方法 選取2016年3月—2019年2月來該院接受治療的腫瘤合并糖尿病患者共計50例作為此次研究的研究對象，并按照護理方式的不同將上述50例患者平均分為兩組，即實驗組和常規組，每組25例患者。常規組采用一般護理方式開展護理干預工作，實驗組采用針對性護理干預開展護理工作。觀察并記錄兩組患者的血糖變化數據。結果 護理后，實驗組空腹血糖為（7.74±0.54）mmol/L，餐后2 h血糖為（9.12±0.95）mmol/L;常規組空腹血糖為（9.25±0.66）mmol/L，餐后2 h血糖為（11.25±1.26）mmol/L，相比于護理前，兩組患者的血糖水平均有所下降，且實驗組的血糖控制效果比常規組更加顯著（P<0.05）。結論 在腫瘤合并糖尿病患者住院期間，針對患者血糖控制不良的原因，開展具有針對性的護理干預，不但能夠幫助患者有效控制血糖波動，還能提升化療質量，具有積極的臨床意義。

[關鍵詞] 腫瘤;糖尿病;血糖控制;護理

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2019）09（b）-0170-02

[Abstract] Objective To analyze and study the causes and nursing cooperation of poor blood glucose control during hospitalization for patients with cancer and diabetes. Methods A total of 50 patients with tumors and diabetes mellitus from March 2016 to February 2019， were selected as the study subjects， and according to different nursing methods. The above 50 patients were equally divided into two groups， the experimental group and the regular group， with 25 patients in each group. The routine group used general nursing methods to carry out nursing intervention work， and the experimental group used targeted nursing interventions to carry out nursing work. Observe and record the blood glucose change data of the two groups of patients. Results After nursing， the fasting blood glucose of the experimental group was （7.74±0.54）mmol/L， and the blood glucose was （9.12±0.95）mmol/L 2 h after meal; the fasting blood glucose of the routine group was（9.25±0.66）mmol/L， and the blood glucose was 2 h after meal（11.25±1.26）mmol/L. Compared with pre-treatment， the blood glucose levels of both groups were decreased， and the blood glucose control effect of the experimental group was more significant than that of the conventional group（P<0.05）. Conclusion During the hospitalization of patients with diabetes mellitus and diabetes， targeted nursing interventions for patients with poor glycemic control can not only help patients to effectively control blood glucose fluctuations， but also improve the quality of chemotherapy， which has positive clinical significance.

[Key words] Tumor; Diabetes; Glycemic control; Nursing

隨著社會經濟的發展和飲食結構的轉變，近幾年來，我國患有腫瘤合并糖尿病的患者越來越多，已經嚴重威脅到了我國國民的身心健康。為了能夠有效延長患者生命，在臨床診治過程中需要采取化療的方式開展治療活動，但是，由于患者的血糖水平容易在化療過程中發生波動，引發酸中毒、低血糖等一些并發癥，不僅會影響化療的治療效果，還會加速患者死亡[1]。基于此，該次研究選取2016年3月—2019年2月該院收治的50例腫瘤合并糖尿病患者作為研究對象，針對腫瘤合并糖尿病患者住院期間血糖控制不良原因進行分析，同時也探討了研究腫瘤合并糖尿病患者住院期間血糖控制的護理方式及策略，希望能夠有效控制患者血糖，提升護理服務質量。現報道如下。