Effect of 4R crisis theory-based nursing intervention on hypoglycemia in patients after endoscopic colon polypectomy
10.3969/j.issn.1009-0754.2024.02.011
- VernacularTitle:基于4R危机理论的干预在降低内镜下结肠息肉术后患者低血糖发生率中的应用研究
- Author:
Lin ZHOU
1
;
Yuping WANG
;
Qiaoyun LIU
;
Lingyun LYU
;
Mengying LIU
;
Jie QIU
Author Information
1. 200438 上海,海军军医大学第一附属医院健康管理中心
- Keywords:
4R crisis theory;
Endoscopic surgery;
Postoperation;
Hypoglycemia;
Complication
- From:
Journal of Navy Medicine
2024;45(2):156-160
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of nursing intervention based on 4R crisis theory on hypoglycemia in patients after endoscopic colon polypectomy.Methods Five hundred patients undergoing endoscopic colon polypectomy in The First Affiliated Hospital of Naval Medical University from January 2021 to August 2022 were selected and randomly divided into two groups,with 250 cases in each group.The control group was given routine nursing,and the observation group was given 4R crisis theory-based intervention on the basis of routine nursing.Perioperative blood glucose and hypoglycemia,surgical complications,postoperative rehabilitation and patient's satisfaction were compared between the two groups.Results The blood glucose level in the observation group was higher than that in the control group immediately,1 h and 24 h after operation(P＜0.05).The incidence of hypoglycemia in the observation group was lower than that in the control group(0.80%vs.3.60%,P＜0.05).The incidence of surgical complications in the observation group was lower than that in the control group(1.60%vs.5.20%,P＜0.05).The score of quality of recovery-40(QoR-40)questionnaire in the observation group was higher than that in the control group on day 7 after operation(P＜0.05).The degree of satisfaction for nursing in the observation group was higher than that in the control group(98.80%vs.95.20%,P＜0.05).Conclusion Intervention based on 4R crisis theory can effectively reduce the incidence of postoperative hypoglycemia and surgical complications,further improve the quality of postoperative recovery and the degree of satisfaction for nursing in patients undergoing endoscopic colon polypectomy.
