Risk factors and nursing intervention measures of stress hyperglycemia in ICU patients
10.7619/jcmp.201720011
- VernacularTitle:ICU患者应激性高血糖的危险因素分析及护理干预对策
- Author:
Zhongmei LIAO
1
;
Zhihong TANG
Author Information
1. 四川大学华西医院 重症医学科
- Keywords:
ICU;
stress hyperglycemia;
risk factors;
nursing intervention strategies
- From:
Journal of Clinical Medicine in Practice
2017;21(20):35-37,43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of stress hyperglycemia in patients with ICU,and to put forward the countermeasures of nursing intervention.Methods The clinical data of 530 ICU patients in our hospital were retrospectively analyzed,factors that may lead to stress-induced hyperglycemia were given Logistic single factor and multi factor regression analysis.Results There were significant differences in age,etiology,BMI,APACHE Ⅱ score (P ＜ 0.05).Multivariate Logistic regression analysis showed that age ≥60 years old,cerebral infarction,severe acute pancreatitis and traumatic brain injury,APACHE score ＞ 15 points,BMI ≥24 kg/m2 were independent risk factors for the occurrence of stress hyperglycemia.Conclusion Mortality of ICU stress hyperglycemia patients is high,so the monitoring and targeted nursing measures should be strengthened.
