| Objectives:Of this study was to use the TCM clinical nursing path adjustment of preoperative postoperative blood glucose in patients with diabetes, and improve the postoperative patients with preoperative blood sugar level, improve the compliance of perioperative blood glucose control, reduce complications and improve the comfort and satisfaction. improve the quality of care, improve patient satisfaction, and tried to popularize the nursing clinical pathway of traditional Chinese medicine of traditional Chinese medicine nursing standardized path.Methods:By reviewing the research of this study,70 underwent cataract ultrasonic emulsification and iol implantation patients with diabetes, disorder of TCM syndrome types. Design according to the principle of randomized, controlled, using convenient sampling method,70 cataract ultrasonic emulsification extraction with iol implantation in diabetic patients as the research object, randomly divided into control group and experimental group two groups, control group using conventional diabetes perioperative nursing methods, including blood sugar monitoring, diet nursing, health education, etc.; Experimental group added with TCM nursing clinical pathway, including meat, and of modern nursing, traditional Chinese medicine syndrome differentiation skills (ear beans, acupuncture point massage), observe the use of Chinese medicine treatment the curative effect of clinical pathway. In the form of clinical symptoms and signs observation table record before and after treatment symptoms and comprehensive evaluation, observation curative effect between two groups, validation of TCM nursing clinical pathway in patients with diabetic cataract perioperative role. Postoperative blood glucose is observed in patients with preoperative and postoperative complications, perioperative comfort and satisfaction during hospitalization. In Chinese SPSS 17.0 statistical software for data analysis, measurement data using mean+/-standard deviation. Two groups of comparative analysis, qualitative data by chi-square test, orderly data using Ridit analysis. Quantitative data conforms to normal distribution with the t test, with P<0.05, as was statistically significant, P < 0.01 as highly statistical significance.ResultsTwo groups of cases before blood sugar, duration of surgery, the condition of visual acuity intraocular pressure situation, differences compare no statistical significance (P> 0.05), comparable. Through on the basis of conventional nursing group of routine nursing mode adopts the method of nursing clinical pathway of traditional Chinese medicine, surgery day 5.22 ±1.38 tendency for 1, fasting glucose, significantly lower than the routine nursing group 7.23± 1.24 tendency/1, after breakfast two hours blood sugar of TCM nursing group was 8.26±.77 tendency for 1 is also lower than conventional nursing group was 9.17±.62 tendency for 1, has the remarkable statistical significance; After a day of fasting glucose 5.62±.71 tendency,1, significantly lower than the routine nursing group 7.48±.55 tendency/1, after breakfast two hours blood sugar of TCM nursing group was 7.38±.96 tendency for 1 is also lower than conventional nursing group was 10.41±2.84 tendency, also have a statistically significant difference between the. Two groups of postoperative complications, according to the results of routine nursing group was 28%, the doctor of traditional Chinese medicine nursing clinical pathway group was 11%, statistically difference; And two groups of patients on the comfort rating, TCM nursing group was 9.43±9.43, and the conventional treatment group was 8.37 ±1.73, p< 0.05; On patient satisfaction, TCM nursing group was 100%, and routine nursing group was 80%, significantly statistical differences.Of traditional Chinese medicine (TCM).Conclusion:The nursing methods of clinical nursing path through a cheap and easy system, improve patient compliance, increased patient disease-related knowledge, improve patients perioperative blood sugar, reduce patient hospitalization days and reduce the patients incidence of postoperative complications, improve the comfort degree of satisfaction. |
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