Practice and effects of perioperative blood glucose management in orthopedic diabetic patients
10.3760/cma.j.issn.1674-2907.2019.14.009
- VernacularTitle:骨科糖尿病患者参与围手术期血糖管理的实践与效果评价
- Author:
Jiajia LI
1
;
Junjuan ZHANG
;
Jing LIU
;
Jia LIU
;
Xiaoping YANG
;
Sen CHAI
;
Yingli YUE
Author Information
1. 河南大学护理与健康学院
- Keywords:
Orthopedics;
Perioperative nursing care;
Blood glucose management;
Patient participation;
Self-efficacy;
Length of hospital stay;
Patient's satisfaction
- From:
Chinese Journal of Modern Nursing
2019;25(14):1756-1759
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of perioperative blood glucose management in orthopedic diabetic patients. Methods? Totally 75 diabetic patients receiving surgery and requiring blood glucose monitoring 7 times a day in the Department of Orthopedics, He'nan Provincial People's Hospital from October 2017 to February 2018 were included in the control group, who received blood glucose management using conventional methods. Another 79 patients of the same type hospitalized between March and June 2018 were selected into the observation group for whom a blood glucose team was built and an intervention protocol of perioperative blood glucose management was developed. Self-efficacy, blood glucose detection missing rate, patient's satisfaction and average length of hospital stay of the two groups were analyzed before and after intervention. Results? The self-efficacy score of the observation group was higher than that of the control group after intervention;the blood-glucose detection missing rate was lower in the observation group than in the control group; the average length of hospital stay was shorter in the observation group than in the control group; and patient's satisfaction was higher in the observation group than in the control group (P＜ 0.05). Conclusions? Blood glucose management in orthopedic diabetic patients helps to optimize the blood glucose management process, improve patients' self-management capability, reduce diabetic patients' operative risk, guarantee patients' safety, and improve the quality of medical service.
