Perioperative nursing of laparoscopic sleeve gastrectomy for obesity patients with type 2 diabetes mellitus

2012 
Objective:To investigate the effective perioperative nursing measures of laparoscopic sleeve gastrectomy(LSG) for type 2 diabetes mellitus.Methods:19 patients with obesity combined with type 2 diabetes mellitus were included.Before LSG procedure,all the patients underwent the psychotherapy,got a better understanding of the dangers of obesity and type 2 diabetes mellitus and informed of the procedure and cost-effectiveness.After the procedure,catheter care was performed and complications were closed observed.Patients were guided to undertake some exercise and watch their diet.All patients were aware of the importance of sticking to rigid diet and regularly follow-up.On that basis,the procedures of perioperative nursing for obesity combined with type 2 diabetes mellitus were concluded.Results:All cases were successfully operated by laparoscope.There was no conversion.All the patients recovered uneventful and were discharged.No procedure or nursing-related complication was seen during the perioperative period.Conclusion:The effective perioperative nursing was a most important factor for a successful operation.Due to the characteristics of the obesity complicated with type 2 diabetes mellitus and patients′ mental status,some targeted nursing measures should be adopted to help rehabilitation and improved the patients′ quality of lives.
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