护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
16期
37-40
,共4页
龙飞艳%严谨%胡平安%李霞%余波%张永
龍飛豔%嚴謹%鬍平安%李霞%餘波%張永
룡비염%엄근%호평안%리하%여파%장영
1型糖尿病%猪胰岛细胞移植%护理
1型糖尿病%豬胰島細胞移植%護理
1형당뇨병%저이도세포이식%호리
type I diabetes%porcine islet transplantation%nursing
总结猪胰岛移植治疗1型糖尿病患者的手术治疗护理。护理重点包括:术前,做好各项专科检查,评估及筛选合适的患者,密切监测血糖,将血糖控制在理想范围,针对患者出现的心理问题(如对手术的恐惧及术后疗效期望过高)进行护理;术后,预防感染,进行保护性隔离;严密监测血糖,警惕高血糖、低血糖的出现;做好个体化饮食指导及护理,准确执行各种用药,观察药物反应;针对患者恐惧、紧张等给予心理疏导及支持;观察与预防并发症,做好出院健康宣教及出院随访。本组患者进行猪胰岛细胞移植手术治疗后,未出现明显移植排斥反应,生命体征平稳,移植治疗6个月随访血糖控制较前明显改善。
總結豬胰島移植治療1型糖尿病患者的手術治療護理。護理重點包括:術前,做好各項專科檢查,評估及篩選閤適的患者,密切鑑測血糖,將血糖控製在理想範圍,針對患者齣現的心理問題(如對手術的恐懼及術後療效期望過高)進行護理;術後,預防感染,進行保護性隔離;嚴密鑑測血糖,警惕高血糖、低血糖的齣現;做好箇體化飲食指導及護理,準確執行各種用藥,觀察藥物反應;針對患者恐懼、緊張等給予心理疏導及支持;觀察與預防併髮癥,做好齣院健康宣教及齣院隨訪。本組患者進行豬胰島細胞移植手術治療後,未齣現明顯移植排斥反應,生命體徵平穩,移植治療6箇月隨訪血糖控製較前明顯改善。
총결저이도이식치료1형당뇨병환자적수술치료호리。호리중점포괄:술전,주호각항전과검사,평고급사선합괄적환자,밀절감측혈당,장혈당공제재이상범위,침대환자출현적심리문제(여대수술적공구급술후료효기망과고)진행호리;술후,예방감염,진행보호성격리;엄밀감측혈당,경척고혈당、저혈당적출현;주호개체화음식지도급호리,준학집행각충용약,관찰약물반응;침대환자공구、긴장등급여심리소도급지지;관찰여예방병발증,주호출원건강선교급출원수방。본조환자진행저이도세포이식수술치료후,미출현명현이식배척반응,생명체정평은,이식치료6개월수방혈당공제교전명현개선。
This paper summarized the nursing of type I diabetic patients with porcine islet transplantation. Routine preoperative examination was indispensible for the selecting of suitable patients whose blood glucose needed to be monitored strictly before the operation and it was significant to conduct preoperative psychological nursing. After the operation, protective isolation was carried out for the prevention of infection. Blood glucose monitoring, drug reaction and the prevention of complications were important. Personalized diet guidance and psychological nursing for the fear and nervousness of the operation benefited the recovery. Meanwhile, health education and follow-up after discharge played a critical role. After the transplantation, no significant transplantation rejection was found and patients’ blood glucose was improved greatly in the six-month follow-up.