乳腺癌合并2型糖尿病患者化疗期间的护理效果观察

张娟娟

[摘要] 目的 探析护理干预在乳腺癌合并2型糖尿病患者化疗期间的护理效果。方法 共选取于2018年4月—2019年5月在该院接受化疗的60例乳腺癌合并2型糖尿病患者作为研究对象，用数字随机表法分组，各30例。对照组和观察组分别实施常规护理、常规+护理干预，比较护理效果。结果 观察组患者护理后的空腹血糖、餐后2 h血糖、糖化血红蛋白均显著低于对照组，差异有统计学意义（P<0.05）;观察组患者的并发症发生率显著低于对照组，生活质量评分高于对照组，护理满意度评分高于对照组，差异有统计学意义（P<0.05）。 结论 乳腺癌合并2型糖尿病患者化疗期间接受护理干预更有利于稳定患者的血糖，同时可减少并发症，提高患者的生活质量，且患者满意度更高。

[关键词] 护理干预;乳腺癌;2型糖尿病;化疗期间;护理效果

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0102-03

Observation on Nursing Effect of Breast Cancer Patients with Type 2 Diabetes During Chemotherapy

ZHANG Juan-juan

Chengdong Branch of Quanzhou First Hospital， Quanzhou， Fujian Province， 362000 China

[Abstract] Objective To analyze the nursing effect of nursing intervention in patients with breast cancer combined with type 2 diabetes during chemotherapy. Methods A total of 60 patients with breast cancer combined with type 2 diabetes who underwent chemotherapy in the hospital from April 2018 to May 2019 were selected as the research subjects and grouped by digital random table， 30 cases each. The control group and observation group were given routine nursing， routine + nursing intervention， respectively， to compare the nursing effects. Results After observation， the fasting blood glucose， 2 h postprandial blood glucose， and glycated hemoglobin of the observation group were significantly lower than those of the control group， and the differences were statistically（P<0.05）. The incidence of complications was significantly lower in the observation group than in the control group. The satisfaction score was higher than that of the control group， with statistically significant differences（P<0.05）. Conclusion Nursing interventions for patients with breast cancer combined with type 2 diabetes during chemotherapy are more conducive to stabilizing the patients' blood glucose， meanwhile， they can reduce complications and improve the quality of life of patients. Patient satisfaction is higher.

[Key words] Nursing intervention; Breast cancer; Type 2 diabetes; Chemotherapy period; Nursing effect

乳腺癌是婦科临床上的常见、多发的恶性肿瘤，近年来，该病的发生率呈现逐年递增的发生趋势，且患病人群逐渐趋于年轻化，这对广大女性的身体和心理健康均造成了严重影响[1]。目前，临床上主要采用手术、化疗、放疗治疗乳腺癌，对于合并糖尿病的乳腺癌患者，化疗是首选的治疗方案[2]。但并非所有患者对化疗方案均有清晰明确的了解，加上糖尿病的影响，往往会加重患者的身心负担。因此，在化疗的过程中，需要配合针对性的护理干预。护理干预是基于患者为中心的护理管理模式，各项护理工作的建立和实施均以患者的身心需求为出发点，体现了护理工作的全面性和系统性[3]。于2018年4月—2019年5月选取60例乳腺癌合并2型糖尿病患者，旨在评价护理干预的应用价值，为临床护理方案的制定提供参考，报道如下。

1  资料与方法

1.1  一般资料

共选取该院收治的60例乳腺癌合并2型糖尿病患者，用数字随机表法分组，各30例。……