Analysis and nursing enlightenment of influencing factors of post-transplant diabetes mellitus in lung transplant recipients
10.3761/j.issn.0254-1769.2024.16.010
- VernacularTitle:肺移植患者移植后糖尿病的影响因素分析及护理启示
- Author:
Lingyun CAI
1
;
Fei ZENG
;
Luyao GUO
;
Meijuan LAN
;
Jiangshuyuan LIANG
;
Peipei GU
;
Yan ZHU
;
Ge GUO
Author Information
1. 310000 杭州市 浙江大学医学院附属第二医院护理部
- Keywords:
Lung Transplantation;
Post-Transplant Diabetes Mellitus;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(16):1987-1992
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and risk factors of post-transplant diabetes mellitus(PTDM)in adult lung transplant recipients.Methods Conducting a convenience sampling method,we retrospectively analyzed the clinical data of lung transplant recipients from January 2020 to December 2022 at a tertiary A hospital in Hangzhou,Zhejiang Province.According to the PTDM diagnostic criteria,lung transplant recipients are divided into a PTDM group and a non-PTDM group.The incidence rate of PTDM is calculated,and the influencing factors for PTDM occurrence are analyzed using both univariate and multivariate logistic regression methods.Results A total of 140 patients were included in this study,and 54 lung transplant recipients developed PTDM within 6 months,with an incidence of 38.57％.Univariate analysis showed that there were significant differences in age,gender,BMI,smoking history,pre-operative glycated albumin,pre-operative fasting blood glucose,early post-operative blood glucose and pre-operative creatinine between the 2 groups(P＜0.05).Multivariate Logistic analysis showed that gender(OR=5.283),BMI(OR=6.122),pre-operative glycated albumin(OR=1.330),and early post-operative blood glucose(0R=1.444)were the influencing factors.Conclusion Lung transplant recipients who were male,BMI ≥24.0,with high levels of glycated albumin before surgery,and high blood sugar early after surgery had a higher risk of developing PTDM.Clinical nurses can formulate relevant nursing measures according to the influencing factors to prevent the occurrence of PTDM.
