观察个体化护理干预对恶性肿瘤合并糖尿病患者化疗期护理质量和血糖的影响

叶雪花 郑剑菁

[摘要] 目的 观察在恶性肿瘤合并糖尿病患者化疗期实施个体化护理干预后护理质量以及患者血糖变化情况。 方法从2018年6月—2019年5月期间该院肿瘤内科接收化疗治疗的恶性肿瘤合并糖尿病患中选择152例为研究对象，借助网络技术将其平均分成个体组和常规组，每组76例，个体组实施个体化护理干预，常规组实施常规护理干预，对比分析两组患者血糖水平、护理质量以及对护理满意度。结果  经不同护理干预后 ，个体组患者血糖水平低于常规组，护理质量评分及护理满意度高于常规组，差异有统计学意义（P<0.05）。结论  对恶性肿瘤合并糖尿病患者实施个体化干预有利于控制患者血糖水平，提升护理质量，患者对护理的满意度更高。

[关键词] 个体化护理;恶性肿瘤合并糖尿病;化疗期;护理质量;血糖

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）07（b）-0159-03

[Abstract] Objective To observe the quality of care and changes in blood glucose of patients with malignant tumors and diabetes after individual nursing intervention during chemotherapy. Methods From June 2018 to May 2019， 152 patients with malignant tumors and diabetes mellitus receiving chemotherapy treatment in the hospital's oncology department were selected as research subjects， and they were evenly divided into individual group and conventional group with the help of network technology， each group of 76 The individual group implements individualized nursing intervention， and the conventional group implements conventional nursing intervention. The blood glucose level， quality of care and satisfaction with nursing of the two groups are compared and analyzed. Results After different nursing interventions， the blood glucose level of the individual group was lower than the conventional group， and the nursing quality score and nursing satisfaction were higher than the conventional group，the difference was statistically significant（P<0.05）. Conclusion Personalized intervention for patients with malignant tumors and diabetes is beneficial to control the blood glucose level of patients and improve the quality of care， with higher satisfaction with nursing of patients.

[Key words] Individualized care; Malignant tumor with diabetes; Chemotherapy period; Quality of care; Blood glucose

據统计我国恶性肿瘤发病率不断升高，影响人们的生活质量，严重地甚至威胁生命安全[1]。目前临床上治疗恶性肿瘤多采用化疗方式，但化疗产生的毒副作用导致患者出现不良生理反应，特别是对同时患有糖尿病的患者来说，身体不良反应往往更为明显，患者容易出现抑郁、焦虑等不良情绪。相关文献显示个体化护理干预有利于改善恶性肿瘤合并糖尿病患者在化疗期间的不良心理状态，及时干预患者身体出现的不良反应，基于此开展该次研究[2]。该研究针对2018年6月—2019年5月期间到该院肿瘤内科进行化疗治疗的恶性肿瘤合并糖尿病患者152例，通过不同的护理干预措施观察患者化疗期间血糖变化情况、护理质量以及患者对护理的满意度，现报道如下。……