Contemporary Nursing
Contemporary Nursing. 2025; 6: (6) ; 10.12208/j.cn.20250271 .
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华中科技大学同济医学院附属同济医院 湖北武汉
*通讯作者： 陈莹,单位：华中科技大学同济医学院附属同济医院 湖北武汉；
目的 探讨老年骨科手术合并2型糖尿病（Type 2 diabetes，T2DM）患者采取基于临床护理路径（Clinical nursing pathway，CNP）的优质护理在控制血糖及恢复情况中的影响。方法 选取2023年9月至2024年8月老年骨科手术且合并T2DM患者66例，随机分为观察组（基于CNP的优质护理）和对照组（常规护理）各33例，对比效果。结果 观察组血糖水平、术后恢复指标、并发症发生率均低于对照组（P<0.05）；生活质量评分高于对照组（P<0.05）。结论 老年骨科手术合并T2DM患者给予基于CNP的优质护理既可以有效控制血糖，也可以加快患者术后恢复，效果良好。
Objective To explore the effect of high-quality nursing based on clinical nursing path (CNP) on blood glucose control and recovery in elderly orthopaedic surgery patients with type 2 diabetes (T2DM). Methods Sixty six elderly orthopedic surgery patients with T2DM from September 2023 to August 2024 were selected and randomly divided into an observation group (based on CNP high-quality nursing) and a control group (conventional nursing), with 33 cases in each group, to compare the effects. Results The blood glucose levels, postoperative recovery indicators, and incidence of complications in the observation group were all lower than those in the control group (P<0.05); The quality of life score was higher than that of the control group (P<0.05). Conclusion Providing high-quality nursing based on CNP to elderly orthopedic surgery patients with T2DM can effectively control blood sugar and accelerate postoperative recovery, with good results.
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