Nursing intervention in intense insulin therapy of critical patients
10.3760/cma.j.issn.1674-2907.2011.21.013
- VernacularTitle:危重患者实施强化胰岛素治疗的护理干预
- Author:
Yu-Qun LIN
1
;
Xing-Ju ZHENG
;
Shao-Zhen WU
Author Information
1. 广东省潮州市中心医院
- Keywords:
Critical patient;
Intensive insulin therapy;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2011;17(21):2512-2514
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of improved nursing intervention in blood glucose control of critical patients. Methods By means of historical control, 258 critical patients undergone intense insulin therapy were divided into the control group (n = 126) and the test group (n = 132). The control group was given conventional intensive insulin therapy. The test group was given improved guidelines on the use of insulin and improved nursing intervention. The following indexes of the two groups were documented and compared: the time required to achieve target blood glucose level [(11.95 ± 1.97) h vs (18.85 ± 3.59) h, t =19. 237 3 ,P ＜0. 01]; frequency of blood glucose measuring in four days, the range of everyday blood glucose and the occurrence of hypoglycemia during therapy. Results The test group had shorter time required to achieve target blood glucose level, lower frequency of blood glucose measuring, less fluctuation range of blood glucose and reduced occurrence of hypoglycemia during therapy than the control group (P ＜ 0. 01). Conclusions The use of improved guidelines on the use of insulin and improved nursing intervention in intensive insulin therapy of critical patients can effectively control blood glucose, reduce frequency of hypoglycemia and improve prognosis.
