Evaluation of Perioperative Nursing for Patients with Hepatobiliary Pancreatic Diseases Combined with Diabetes Mellitus Based on Multilayer Perceptron Neural Network

Abstract

Objective. To analyze the perioperative nursing methods for patients with hepatobiliary pancreatic diseases combined with diabetes mellitus and to evaluate the differences in nursing methods based on a multilayer perceptron (MLP) neural network. Methods. 80 patients with hepatobiliary and pancreatic diseases complicated with diabetes admitted to our hospital from January 2021 to January 2022 were selected as subjects. According to different nursing methods, two groups of hepatobiliary and pancreatic diseases with diabetes were randomly divided into the control group and the experimental group, 40 patients in each group, two groups were given routine nursing care, and the experimental group was given perioperative nursing intervention on the basis of routine nursing. The fasting blood glucose (FBG), postprandial two-hour blood glucose (2hPG), and glycosylated hemoglobin (HbA1c) index of two groups of patients with hepatobiliary pancreatic diseases and diabetes mellitus were observed and compared. The incidence of postoperative complications, the average hospitalization time of patients, and the clinical nursing satisfaction rate of patients were observed and compared. Results. The blood glucose level including FBG, 2hPG, and HbA1c in the experimental group were better than those in the control group, and the data comparison difference was statistically significant ( $P<0.01$ ). The incidence of postoperative complications in the experimental group was lower than that in the control group, and the data comparison difference was statistically significant ( $P<0.05$ ). The discharge time of patients in the experimental group was significantly shorter than that in the control group, and the satisfaction rate was significantly higher than that in the control group ( $P<0.05$ ). The comprehensive analysis based on MLP neural network model confirmed that perioperative surgical nursing can improve the treatment effect of patients. Conclusion. In the perioperative period of patients with hepatobiliary and pancreatic diseases combined with diabetes, the implementation of comprehensive and comprehensive nursing intervention will help to improve the effect of surgical treatment and postoperative recovery.