CAJ | 학술논문

目的：探讨Orem自理理论在胃癌合并糖尿病患者临床护理中的应用价值。方法根据不同患者的自理能力，对48例胃癌合并糖尿病患者实行相应的护理支持；在患者出院时对其综合自理能力进行评估；出院三月后回访测量清晨空腹血糖并统计低血糖发生率。结果48例患者术后有2例出现肺部感染，3例切口感染，其余患者恢复良好；术后平均住院时间13.4±3.8天，住院期间血糖控制在5.5-11.8 mmol/L；出院综合自理能力评估平均87.6分；术后第三月回访，清晨空腹血糖5.8±1.6 mmol/L，每月平均发生低血糖0.5次。结论 Orem自理理论应用于胃癌合并糖尿病患者的护理，能有效控制血糖、减少术后并发症、缩短住院时间、促进患者早日康复、提高出院后患者生活质量。
목적：탐토Orem자리이론재위암합병당뇨병환자림상호리중적응용개치。방법근거불동환자적자리능력，대48례위암합병당뇨병환자실행상응적호리지지；재환자출원시대기종합자리능력진행평고；출원삼월후회방측량청신공복혈당병통계저혈당발생솔。결과48례환자술후유2례출현폐부감염，3례절구감염，기여환자회복량호；술후평균주원시간13.4±3.8천，주원기간혈당공제재5.5-11.8 mmol/L；출원종합자리능력평고평균87.6분；술후제삼월회방，청신공복혈당5.8±1.6 mmol/L，매월평균발생저혈당0.5차。결론 Orem자리이론응용우위암합병당뇨병환자적호리，능유효공제혈당、감소술후병발증、축단주원시간、촉진환자조일강복、제고출원후환자생활질량。
Objective To discuss the application value of Orem’s self-care theory in gastric cancer patients with diabetes mel itus. Methods According to the different self-care ability of patient,we gave corresponding nursing support; We evaluated their comprehensive self-care ability before they leave hospital;In the third month after they leaving hospital, we payed a return visit about their fasting plasma glucose and the incidence of hypoglycemia. Result In the 48 patients after operation ,except 2 patients with lung infection and 3 cases with incision infection,the other patients recover wel . The average hospitalization time after operation was 13.4±3.8 days and during be in hospital the paitents’ average blood glucose was controled in 5.5-11.8 mmol/L .Their score of comprehensive self-care ability was 87.6. In the third month after they leaving hospital, their fasting plasma glucose was 5.8±1.6 mmol/L and suffered 0.5 times hypoglycemia one month averagely. Conclusion The application of Orem’s self-care theory in gastric cancer patients with diabetes mel itus could effectively control patients’ blood sugar, reduce the postoperative complications, shorten the length of hospital stay, promote the patient recovery, improve their living quality after discharge from hospital.