老年阑尾炎伴糖尿病手术的护理体会

丁梅花

[摘要] 目的 探讨老年阑尾炎伴糖尿病患者围术期护理体会。 方法 选取2016年1—12月在该院行手术治疗的86例老年阑尾炎合并糖尿病患者，随机将其分为两组，常规组患者采取常规围术期护理服务，干预组患者采取针对性的围术期护理服务，并比较不同组患者护理效果。 结果 干预组患者住院时间、对护理服务满意度评分和术后不良反应率均明显优于常规组（P<0.05）；护理后干预组和常规组患者SAS评分均明显低于护理前（P<0.05），其中干预组患者SAS评分明显低于常规组（P<0.05）。 结论 围术期针对性护理干预不仅有助于缩短老年阑尾炎合并糖尿病患者住院时间和减少术后不良反应率，同时还能提高护理服务满意度以及改善患者焦虑症状，其值得推广借鉴。

[关键词] 老年；阑尾炎；糖尿病；围术期护理；临床效果

[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2017）07（b）-0009-02

Nursing Experience of Senile Appendicitis with Diabetes Surgery

DING Mei-hua

Huangdao Second Hospital of Traditional Chinese Medicine， Qingdao， Shandong Province， 266400 China

[Abstract] Objective To study the nursing experience of senile appendicitis with diabetes surgery. Methods 86 cases of senile appendicitis with diabetes treated with surgery in our hospital from Janaury to December 2016 were selected and randomly divided into two groups， the routine group adopted the routine nursing services during the perioperative period， while the intervention group adopted the targeted nursing services during the perioeprative period， and the nursing effect was compared between the two groups. Results The length of stay， satisfactory degree score to nursing services and incidence rate of postoperative adverse reactions in the intervention group were obviously better than those in the routine group（P<0.05）， after nursing， the SAS score in the two groups was obviously lower than those before nursing（P<0.05）， and the SAS score in the intervention group was obviously lower than that in the routine group（P<0.05）. Conclusion The targeted nursing intervention during the perioeprative period contributes to shortening the length of stay of senile patients with appendicitis with diabetes and reducing the incidence rate of adverse reactions， but also improving the nursing service satisfactory degree and improving the anxiety symptom of patients， and it is worth promotion and reference.

[Key words] Senile； Appendicitis； Diabetes； Nursing during the preoperative period； Clinical effect

闌尾炎是临床上一种较为多见的急腹症，随着老年人口的增多，老年急性阑尾炎发病率呈现出不断增加的趋势，这给老年患者身心健康带来严重影响[1]。文献报道，与非老年人群相比，老年人群身体机能的衰退，同时受到环境因素的影响，其合并基础疾病的几率也不断增加，其中老年糖尿病合并阑尾炎患者患病人数日益增多[2]。由于老年人群自身组织器官功能减弱，肝肾功能、应急机制障碍以及自主神经病变等较为常见，同时患者在进行糖尿病治疗时血糖波动较为明显，这些均不利于老年阑尾炎合糖尿病患者的手术治疗。该研究选取2016年1—12月收治的86例患者为研究对象，为进一步提高阑尾炎合并糖尿病患者手术治疗效果，加强患者围术期针对性护理干预十分重要现报道如下。

1 资料与方法

1.1 一般资料

选取在该院行手术治疗的86例老年阑尾炎合并糖尿病患者，随机将其分为两组（干预组43例和常规组43例），所有患者糖尿病符合相关诊断标准，经影像学和实验室检查确诊为阑尾炎。……