Construction and study of standardized nursing management model for hypoglycemia in diabetic inpatients
10.3760/cma.j.issn.1674-2907.2020.06.010
- VernacularTitle:住院糖尿病患者低血糖标准化护理管理模式的构建与研究
- Author:
Jingsui YANG
1
;
Yong TIAN
;
Fang JIANG
;
Shu JI
;
Xin GUAN
;
Su YAN
;
Peng WANG
Author Information
1. 郑州人民医院内分泌代谢科 450000
- Keywords:
Diabetes;
Inpatient;
Hypoglycemia;
Nursing management
- From:
Chinese Journal of Modern Nursing
2020;26(6):754-759
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a standardized nursing management model for hypoglycemia in diabetic inpatients and observe its application effects.Methods:Totally 9 251 diabetic patients hospitalized in People's Hospital of Zhengzhou between January and December 2017 were selected into the control group, while another 9 636 diabetic patients hospitalized in People's Hospital of Zhengzhou between January and December 2018 were selected into the observation group by cluster sampling. Patients in the control group received routine care and glycemic management. In 2018, in conjunction with the glycemic monitoring system, we established a diabetes education management team and developed a standardized nursing management process for hypoglycemia, which was promoted throughout the hospital to improve the level of hypoglycemic control among nurses throughout the hospital. Patients in the observation group received care and glycemic control using the standardized nursing management model for hypoglycemia and glycemic control. The incidence of hypoglycemia, glycemic fluctuations, and nurses' knowledge of hypoglycemia before and after implementation were compared between the two groups.Results:The incidence of hypoglycemia in the observation group was lower than that in the control group [7.51% (724/9 636) vs. 18.30% (1 693/9 251) ], and the difference was statistically significant (χ 2=492.7, P<0.001) . The observation group's average blood glucose value (GluAve) , daily mean amplitude of glycemic excursions (MAGE) , glycemic instability index (GLI) , and glycemic coefficient of variation (GluCV) were all lower than the control group, and the differences were statistically significant ( t=-18.121, -53.788, -34.362, -61.794; P<0.01) . After the implementation of the standardized management model for hypoglycemia in 2018, the total score dimensional scores of the nurses' knowledge about hypoglycemia were higher than those before the implementation of the standardized nursing process for hypoglycemia in 2017, and the differences were all statistically ( t=15.439, 66.542, 73.320, 14.565, 36.101, 34.664; P<0.01) . Conclusions:The standardized nursing management model for hypoglycemia can reduce the incidence of hypoglycemia as well as fluctuations of the patients, improve the level of nurses' knowledge of hypoglycemia, and make the patients' glycemic control safer.
