Application of nursing multidisciplinary team combined with informational blood glucose management in perioperative hyperglycemic patients in virtual ward
10.3760/cma.j.cn115682-20200309-01540
- VernacularTitle:护理多学科协作模式联合信息化血糖管理在虚拟病区围术期高血糖患者中的应用
- Author:
Meng LI
1
;
Qian LIANG
;
Hui GUO
;
Xia XIN
;
Jie MA
;
Na WANG
;
Ting LI
;
Qianqian YAO
;
Meng ZHAO
;
Bingyin SHI
Author Information
1. 西安交通大学第一附属医院内分泌代谢科，西安 710061
- Keywords:
Diabetes mellitus;
Perioperative period;
Hyperglycemia;
Nursing multidisciplinary team;
Informational blood glucose management;
Virtual ward
- From:
Chinese Journal of Modern Nursing
2020;26(23):3210-3217
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nursing multidisciplinary team (MDT) combined with informational blood glucose management in blood glucose management of perioperative patients in virtual ward.Methods:We selected 132 responsible nurses in 9 wards of the First Affiliated Hospital of Xi'an Jiaotong University for professional training by convenience sampling, and established a nursing MDT of blood glucose management. Remote treatment for perioperative hyperglycemic patients was carried out to achieve standardized management of perioperative glucose by using the blood glucose information networking platform and the hospital information management system to build a virtual ward. A total of 416 perioperative hyperglycemic patients hospitalized in our hospital from January to August 2018 were selected and divided into control group and experimental group according to the admission time. A total of 209 patients of control group were treated with traditional blood glucose management, and 207 patients of experimental group were treated with nursing MDT combined with informational blood glucose management. We compared the theoretical performance of the responsible nurses in the target department before and after training, the blood glucose one day after admission, one day before surgery, one day before discharge, fasting blood glucose, 2-hour blood glucose after three meals of patients between two groups. We also observed number of hyperglycemia reports, the number of timely treatments for hyperglycemia, the time from admission of perioperative hyperglycemic patients to issuing medical orders for endocrine consultation and the time for the endocrine consultation implementation in patients between two groups.Results:After training, the theoretical performance of the responsible nurses in the target department was improved compared with that before training, and the difference was statistically significant ( P<0.01) . There was no statistical difference in the blood glucose one day after admission between two groups ( P>0.05) . The blood glucose of patients in experimental group was lower than that in control group one day before surgery, one day before discharge, fasting blood glucose, and blood glucose of 2-hour blood glucose after breakfast, lunch and dinner with statistical differences ( P<0.01) . The number of hyperglycemia reports, the number of timely treatments for hyperglycemia of patients in experimental group was more than that in control group; the time from admission of perioperative hyperglycemic patients to issuing medical orders for endocrine consultation and the time for the endocrine consultation implementation of experimental group was shorter than that of control group also with statistical differences ( P<0.01) . Conclusions:This study builds the informational blood glucose management networking platform and develops virtual ward management through establishing nursing MDT of blood glucose management. It enhances the target department nurses' perioperative blood glucose management knowledge level, and raises the target department's medical and nursing staff's blood glucose management awareness, and improves the blood glucose effects of perioperative hyperglycemic patients, which has certain clinical promotion value.
