糖尿病患者安置永久性心臟起搏器的手術(shù)配合及術(shù)后護(hù)理措施研究

俞辰榮 陳琦 劉曉洪

[摘要] 目的 研究糖尿病患者安置永久性心臟起搏器開展手術(shù)配合及術(shù)后護(hù)理措施的價(jià)值。方法 選取2018年4月—2019年4月接收100例糖尿病患者研究，均開展安置永久性心臟起搏器手術(shù)，以隨機(jī)法分為兩組對(duì)照組（n=50，常規(guī)護(hù)理），試驗(yàn)組（n=50，圍術(shù)期手術(shù)配合及術(shù)后護(hù)理），對(duì)比血糖水平（FBG、PBG、HbA1c）、生活質(zhì)量、并發(fā)癥發(fā)生率。結(jié)果 血糖水平對(duì)比，試驗(yàn)組較對(duì)照組低，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。生活質(zhì)量對(duì)比，試驗(yàn)組（94.61±1.26）分較對(duì)照組（80.46±1.34）分高，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。并發(fā)癥發(fā)生率對(duì)比，試驗(yàn)組（10.00%）較對(duì)照組（28.00%）低，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 糖尿病患者安置永久性心臟起搏器開展圍術(shù)期手術(shù)配合及術(shù)后護(hù)理對(duì)降低并發(fā)癥發(fā)生率，改善患者生活質(zhì)量效果更理想。

[關(guān)鍵詞] 糖尿病;永久性心臟起搏器;手術(shù)配合

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）10（a）-0004-03

[Abstract] Objective To study the value of permanent cardiac pacemaker placement in diabetic patients for surgical cooperation and postoperative nursing measures. Methods From April 2018 to April 2019， 100 cases of diabetic patients were studied， all of whom carried out permanent pacemaker surgery. They were randomly divided into two groups： control group （n=50， routine care） and experimental group （n=50， perioperative period） surgical cooperation and postoperative care， and compare blood glucose levels （FBG，PBG， HbA1c）， quality of life， and complication rate. Results The blood sugar level of the test group was lower than that of the control group， and the difference was statistically significant（P<0.05）. The quality of life comparison test group （94.61±1.26）points was higher than the control group （80.46±1.34）points， and the difference was statistically significant（P<0.05）. The complication rate of the comparative test group （10.00%） was lower than that of the control group （28.00%）， and the difference was statistically significant（P<0.05）. Conclusion Placement of permanent cardiac pacemaker for diabetic patients for perioperative cooperation and postoperative care is more effective in reducing the incidence of complications and improving the quality of life of patients.

[Key words] Diabetes; Permanent cardiac pacemaker; Surgical cooperation

糖尿病患者血糖水平升高會(huì)損傷冠狀動(dòng)脈，增加心律失常、慢性心衰等疾病心臟疾病發(fā)生率，加重對(duì)機(jī)體損傷，永久性心臟起搏器因安裝簡(jiǎn)單、創(chuàng)傷小、疼痛輕成為當(dāng)前治療心臟疾病常見方法，但因患者對(duì)自身疾病、永久性心臟起搏器安裝方法、價(jià)值等無準(zhǔn)確認(rèn)知，入院后受陌生環(huán)境等影響增加身心應(yīng)激反應(yīng)發(fā)生率，故臨床在開展永久性心臟起搏器治療同時(shí)要提供優(yōu)質(zhì)護(hù)理服務(wù)，盡可能降低身心應(yīng)激反應(yīng)對(duì)手術(shù)結(jié)果影響，術(shù)中及術(shù)后配合進(jìn)行優(yōu)質(zhì)、針對(duì)性護(hù)理改善醫(yī)患關(guān)系同時(shí)提高患者遵醫(yī)行為，楊瑞琴[1]研究表明臨床護(hù)理及健康教育可降低永久性心臟起搏器植入術(shù)后并發(fā)癥發(fā)生率，羅詒珺[2]研究護(hù)理干預(yù)可降低糖尿病患者血糖水平，故該次選擇100例2018年4月—2019年4月接受安置永久性心臟起搏器糖尿病患者研究，評(píng)價(jià)圍術(shù)期護(hù)理價(jià)值，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

選擇100例接受安置永久性心臟起搏器糖尿病患者研究。……