论文部分内容阅读
目的:探讨正念减压疗法结合微课堂为主的教育对糖尿病腹腔镜阑尾切除术患者并发症知识掌握率的影响。方法:选取2019年1月至2020年1月于承德医学院附属医院确诊为糖尿病合并阑尾炎的患者共105例，为行腹腔镜阑尾切除术入院就诊，按照随机数字表法分为对照组52例与研究组53例，对照组给予常规护理，研究组给予正念减压疗法结合微课堂为主的教育。比较2组患者手术前后血糖控制情况、心理情绪，并统计2组术后并发症、患者对疾病知识的掌握率等。结果:入组时2组血糖各指标对比差异无统计学意义（n P>0.05）；至手术中及术后24 h，2组空腹血糖（FBG）、糖化血红蛋白（HbA1c）等指标较入组时均有所好转，但研究组手术中FBG为（7.38 ± 0.54）mmol/L、HbA1c为（6.39 ± 0.21）%，术后24 h的FBG为（6.90 ± 0.52）mmol/L、HbA1c为（6.10 ± 0.39）%，较对照组的（8.16 ± 1.21）mmol/L、（7.53 ± 1.05）%、（7.60 ± 0.57）mmol/L、（6.50 ± 0.41）%有所降低，差异有统计学意义（n t值为6.789~13.264，n P0.05），至出院前，治疗组患者SAS、SDS评分分别为（35.81 ± 5.49）、（42.08 ± 4.91）分，较对照组（42.21 ± 5.53）、（46.51 ± 4.72）分有明显降低，2组患者治疗后指标差异有统计学意义（n t值为5.386，4.265，n P<0.05）。研究组并发症发生率5.66%（3/53），对照组并发症发生率17.31%（9/52），差异有统计学意义（n χ2值为6.789，n P<0.05）。研究组疾病知识掌握合格率98.11%（52/53），明显高于对照组的86.53%（45/52），差异有统计学意义（n χ2值为5.062，n P0.05); FBG, HbA1c and other indicators in the two groups were improved during operation and 24h after operation, but FBG (7.38±0.54) mmol/L, HbA1c (6.39±0.21)% and FBG (6.90±0.52) mmol/L and HbA1c (6.10±0.39)% in the study group were lower than those in the control group [(8.16±1.21) mmol/L, (7.53±1.05)%, (7.60±0.57) mmol/L, (6.50±0.41)%], the difference was statistically significant (n t value was 6.789-13.264, n P 0.05), until discharge, the SAS and SDS scores of the treatment group were 35.81±5.49 and 42.08±4.91 respectively, which were significantly lower than those of the control group (42.21±5.53, 6.51±4.72) respectively, compared with the corresponding scale scores of the control group, the difference between the two groups after treatment was statistically significant ( n t value was 5.386, 4.265, n P < 0.05). Compared with 17.31% (9/52) of the control group, the incidence of complications in the study group decreased to 5.66% (3/53), there was significant difference ( n χ2 value was 6.789, n P < 0.05). The qualified rate of disease knowledge mastery in the study group (98.11%,52/53) was significantly higher than that in the control group (86.53%, 45/52), and the difference was significant ( n χ2 value was 5.062, n P < 0.05).n Conclusion:The mindfulness-based stress reduction plus micro-class education can effectively control the laparoscopic appendectomy patients blood glucose, stabilize the mental emotions, increase the illness knowledge mastery degree, keep in good mood, reduce the postoperative complications and promote the fast recovery.