1.Application effect of nursing intervention on blood glucose control of ICU patients with stress hyperglycemia
Journal of Clinical Medicine in Practice 2017;21(18):23-26
Objective To investigate the effect of nursing intervention on blood glucose control of ICU patients with stress hyperglycemia.Methods A total of 120 ICU stress hyperglycemia patients were randomly divided into observation group and control group,with 60 cases per group.The control group received routine nursing and the observation group was given intensive glucose control nursing,and blood glucose control,insulin dosage,recovery and prognosis of the two groups were compared.Results The insulin dosage in the observation group was less than that in the control group,the blood glucose after intervention was lower,the blood glucose was less,the time of blood glucose reaching standard was shorter than the control group,and the hypoglycemia was less than that in the control group,the differences were statistically significant (P <0.05).The mechanical ventilation time and ICU time in the observation group were shorter,the incidence rate of MODS was lower than that in the control group,and the differences were statistically significant (P < 0.05).Conclusion Intensive hypoglycemic nursing can improve the level of blood glucose control,reduce the dosage of insulin,and improve the prognosis of patients with ICU stress hyperglycemia.
2.Risk factors and nursing intervention measures of stress hyperglycemia in ICU patients
Journal of Clinical Medicine in Practice 2017;21(20):35-37,43
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.
3.Application effect of nursing intervention on blood glucose control of ICU patients with stress hyperglycemia
Journal of Clinical Medicine in Practice 2017;21(18):23-26
Objective To investigate the effect of nursing intervention on blood glucose control of ICU patients with stress hyperglycemia.Methods A total of 120 ICU stress hyperglycemia patients were randomly divided into observation group and control group,with 60 cases per group.The control group received routine nursing and the observation group was given intensive glucose control nursing,and blood glucose control,insulin dosage,recovery and prognosis of the two groups were compared.Results The insulin dosage in the observation group was less than that in the control group,the blood glucose after intervention was lower,the blood glucose was less,the time of blood glucose reaching standard was shorter than the control group,and the hypoglycemia was less than that in the control group,the differences were statistically significant (P <0.05).The mechanical ventilation time and ICU time in the observation group were shorter,the incidence rate of MODS was lower than that in the control group,and the differences were statistically significant (P < 0.05).Conclusion Intensive hypoglycemic nursing can improve the level of blood glucose control,reduce the dosage of insulin,and improve the prognosis of patients with ICU stress hyperglycemia.
4.Risk factors and nursing intervention measures of stress hyperglycemia in ICU patients
Journal of Clinical Medicine in Practice 2017;21(20):35-37,43
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.

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