Diabetic patients are at a relatively high risk of wound infection after surgery due to the impact of blood sugar levels. Therefore, anti-infective nursing is particularly important in the rehabilitation process of diabetic patients after surgery. The following will discuss in detail the anti-infective nursing measures for diabetic patients after surgery, aiming to provide comprehensive nursing guidance for patients.
1. Blood glucose management
Blood glucose management is the basis of anti-infective care for diabetic patients after surgery. High blood sugar not only affects the speed of wound healing, but also increases the risk of infection. Therefore, the patient needs to:
1. Closely monitor blood sugar: After the operation, the patient should regularly monitor the blood sugar level to ensure that the blood sugar is controlled within the ideal range. Usually, doctors will recommend fingertip blood sugar monitoring and adjust the dosage of insulin or other hypoglycemic drugs according to blood sugar changes.
2. Reasonable diet: Postoperative diet should be low-sugar, low-fat, high-protein, avoid excessive intake of sugar and fat, so as not to increase the burden of blood sugar. At the same time, we should ensure balanced nutrition and promote wound healing.
3. Medication on time: Patients should use hypoglycemic drugs or insulin in strict accordance with the doctor’s prescription, and should not increase or decrease the dosage or stop taking drugs at will.
II. Wound Care
Wound care is the key to prevent infection and promote healing. After surgery, diabetic patients need to pay special attention to the cleanliness and dryness of the wound:
1. Keep the wound clean: change the dressing regularly, use normal saline or mild disinfectant to clean wound, and avoid using irritating disinfectant. At the same time, we should observe whether the wound has abnormal conditions such as swelling, pain and exudation.
2. Keep the wound dry: Keep the wound and its surrounding area dry to avoid fungal infection caused by humid environment. Dressing with good air permeability can be used to avoid dampness caused by long-term dressing.
3. Regular follow-up: Patients should follow the doctor’s advice for regular follow-up, so that the doctor can timely understand the wound recovery and give guidance.
3. Rational use of antibiotics
The rational use of antibiotics is the key to the treatment of
infected wounds. If antibiotics are required for diabetic patients after surgery, they should:
1. Medication in accordance with medical supervision: Use antibiotics in strict accordance with the doctor’s prescription, and do not change drugs or stop taking drugs at will. At the same time, we should pay attention to observe the reaction after medication, if there is allergic reaction or discomfort, we should seek medical treatment in time.
2. According to the course of treatment: Even if the symptoms are relieved, the whole course of antibiotic treatment should be completed to avoid the recurrence of infection.
IV. Environmental Management
Providing a quiet and comfortable rest environment
for patients can help reduce the risk of infection and promote wound healing. Specific measures include:
1. Keep the ward clean: clean ward regularly to reduce the growth of bacteria.
2. Control the number of visitors: reduce unnecessary visitors and reduce the risk of cross infection.
3. Maintain air circulation: open windows regularly for ventilation to keep indoor air fresh.
V. Psychological Support and Emotional Management
The rehabilitation process after
surgery may bring some psychological pressure and emotional distress to patients. Therefore, psychological support is as important as emotional management. The patient needs:
1. Receive psychological counseling: If necessary, you can seek the help of professional psychological counselors and learn to self-regulate your emotions.
2. Maintain a positive and optimistic attitude: maintain a positive and optimistic attitude, believe in their rehabilitation ability, and actively cooperate with the treatment.
3. Communicate with family and friends: Keep good communication with family and friends, share your feelings and confusion, and get their understanding and support.
To sum up, the anti-infective nursing of diabetic patients after surgery involves many aspects, such as blood sugar management, wound care, rational use of antibiotics, environmental management, psychological support and emotional management. Patients need to strictly follow the doctor’s instructions for nursing and rehabilitation exercises to promote wound healing and physical rehabilitation. At the same time, maintaining good living habits and mentality is also an important factor in the rehabilitation process.
Diabetes
