糖尿病合并惡性腫瘤患者行護(hù)理風(fēng)險(xiǎn)管理的價(jià)值研究

陳春玲 葉玉環(huán)

[摘要] 目的 分析糖尿病合并惡性腫瘤患者行護(hù)理風(fēng)險(xiǎn)管理的價(jià)值。方法 糖尿病合并惡性腫瘤患者作為該次研究的主要對(duì)象，總例數(shù)200例，患者收取時(shí)間在2018—2019年度，研究對(duì)象200例使用電腦隨機(jī)分配方式分為兩組，其中100例作為觀察組（實(shí)施護(hù)理風(fēng)險(xiǎn)管理）、100例作為對(duì)照組（實(shí)施常規(guī)護(hù)理），將兩組各項(xiàng)指標(biāo)進(jìn)行對(duì)比。結(jié)果 觀察組低血糖發(fā)生率2.00%、高滲性酮癥酸中毒發(fā)生率2.00%低于對(duì)照組患者，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組護(hù)理滿意度98.00%顯著高于對(duì)照組護(hù)理滿意度84.00%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組藥物外滲發(fā)生率1.00%低于對(duì)照組患者，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 通過(guò)對(duì)糖尿病合并惡性腫瘤患者行護(hù)理風(fēng)險(xiǎn)管理，取得顯著的管理效果，值得在臨床中推廣及運(yùn)用。

[關(guān)鍵詞] 糖尿病;惡性腫瘤;護(hù)理風(fēng)險(xiǎn)管理

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）09（b）-0089-03

Study on the Value of Nursing Risk Management for Patients with Diabetes Malignant Tumors

CHEN Chun-ling， YE Yu-huan

Department of Oncology， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To analyze the value of nursing risk management for patients with diabetes malignant tumors. Methods Diabetes patients with malignant tumors were the main subjects of this study. The total number of cases （selected number） was 200. The patients were collected from 2018 to 2019. The 200 subjects were divided into two groups using a computer random allocation method. 100 cases were taken as the observation group （implementing nursing risk management）， and 100 cases were taken as the control group （implementing routine nursing）. The indicators of the two groups were compared. Results The incidence of hypoglycemia in the observation group was 2.00% and the incidence of hypertonic ketoacidosis was 2.00% lower than those in the control group，the difference was statistically significant（P<0.05）. The 98.00% nursing satisfaction of the observation group was significantly higher than the 84.00% nursing satisfaction of the control group，the difference was statistically significant（P<0.05）. The incidence of drug extravasation in the observation group was 1.00% lower than that in the control group，the difference was statistically significant（P<0.05）. Conclusion Through the nursing risk management of patients with diabetes and malignant tumors， significant management effects have been achieved， which is worthy of promotion and application in clinical practice.

[Key words] Diabetes; Malignant tumor; Nursing risk management

近年來(lái)，由于生態(tài)環(huán)境和人們生活習(xí)慣不斷變化，導(dǎo)致惡性腫瘤、糖尿病發(fā)病率也不斷增加，上述兩種疾病易對(duì)患者健康造成影響，對(duì)患者機(jī)體造成損害，從而降低患者生活質(zhì)量。目前臨床對(duì)于惡性腫瘤主要以化療手段為主，但化療藥物易損傷人體胰腺，進(jìn)而導(dǎo)致胰島素分泌減少，引發(fā)糖代謝紊亂情況加重，增加各類并發(fā)癥風(fēng)險(xiǎn)，比如酮癥酸中毒、低血糖等，同時(shí)增加患者死亡風(fēng)險(xiǎn)[1]。研究顯示[2]，在化療期間，合并糖尿病酮癥酸中毒的病死率達(dá)到5%。而常規(guī)護(hù)理在該疾病的護(hù)理中缺乏針對(duì)性、主動(dòng)性和全面性，進(jìn)而導(dǎo)致護(hù)理效果不佳，無(wú)法提升護(hù)理質(zhì)量以及改善患者預(yù)后。而在護(hù)理過(guò)程中實(shí)施一項(xiàng)有效的管理措施，能顯著提高管理效果，利于管理工作順利進(jìn)行。目前護(hù)理風(fēng)險(xiǎn)管理在臨床廣泛應(yīng)用，其與常規(guī)管理相比，具有多種優(yōu)勢(shì)，能顯著提高患者的護(hù)理效果，降低化療過(guò)程中的不良反應(yīng)，保障每例患者的健康安全，促進(jìn)患者早期康復(fù)。風(fēng)險(xiǎn)管理主要是指對(duì)潛在和現(xiàn)有的風(fēng)險(xiǎn)識(shí)別、評(píng)價(jià)以及處理，以此達(dá)到降低風(fēng)險(xiǎn)事件發(fā)生的目的，從而使風(fēng)險(xiǎn)事件對(duì)醫(yī)院以及患者安全的危害降至最低。而如何對(duì)糖尿病合并惡性腫瘤患者的護(hù)理風(fēng)險(xiǎn)進(jìn)行識(shí)別和處理為臨床護(hù)理難點(diǎn)[3]。因此，該次研究選擇2018—2019年度200例糖尿病合并惡性腫瘤患者作為研究對(duì)象，并探討其行護(hù)理風(fēng)險(xiǎn)管理的效果，現(xiàn)報(bào)道如下。