Effects of dietary intervention before selective coronary intervention in patients with type 2 diabetes mellitus
10.3760/cma.j.issn.1674-2907.2018.31.009
- VernacularTitle:术前饮食管理干预在2型糖尿病患者择期行冠状动脉介入术中的应用效果
- Author:
Fang HE
1
;
Yang GE
;
Xiangyang CHE
;
Sheng YUAN
;
Liting WANG
;
Lijuan TIAN
;
Xueqing ZHU
Author Information
1. 中国医学科学院 北京协和医院心脏导管室
- Keywords:
Diabetes mellitus,type 2;
Clinical governance;
Coronary vessels;
Intervention;
Fasting for solids and liquids
- From:
Chinese Journal of Modern Nursing
2018;24(31):3760-3764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of dietary intervention before selective coronary intervention on patients with type 2 diabetes mellitus and to provide reference and basis for building a feasible and practical preoperative dietary management system. Methods Totally 300 patients with type 2 diabetes mellitus who received coronary intervention in the Cardiac Catheterization Room of Peking Union Medical College Hospital from December 2016 to December 2017 were selected by convenient sampling and divided into the control group (n=150) and the observation group (n=150) according to the random number table. Patients in the control group were fasted for solids and liquids for 4 hours before coronary intervention, while patients in the observation group received foods and drinks for diabetic patients rather than being fasted for solids and liquids as well as individualized dietary guidance from dieticians, specialized diabetes nurses and intervention nurses jointly. The incidence rate of perioperative hypoglycemia. hunger, thirst, anxiety score before and after the intervention, comfort of dietary management were evaluated between the two groups. Results The control group scored higher in hunger, thirst and anxiety than the observation group (P＜0.05);the comfort of dietary management was higher in the observation group than in the control group (P＜ 0.05);the incidence rate of perioperative asymptomatic hypoglycemia in the observation group was 2.0%, while that in the control group was 20.6%;the incidence rate of perioperative symptomatic hypoglycemia in the observation group was 0, while that in the control group was 1.3%. Conclusions Patients with type 2 diabetes mellitus should not be fasted for solids and liquids as conventionally did before selective coronary intervention. Rather, a scientific preoperative dietary management model can prevent the incidence of perioperative hypoglycemia in patients with type 2 diabetes mellitus, enhancing the comfort and safety of operation during the perioperative period.
