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骨科糖尿病患者参与围手术期血糖管理的实践与效果评价

Practice and effects of perioperative blood glucose management in orthopedic diabetic patients
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摘要 目的探讨骨科糖尿病患者参与围手术期血糖管理的应用效果。方法选取2017年10月—2018年2月收入河南省人民医院骨科进行手术且需全天7次监测血糖的糖尿病患者75例为对照组,采用常规血糖管理方法。选择2018年3—6月的同类型患者79例为观察组,组建血糖管理小组,制订骨科糖尿病患者参与围手术期血糖管理的干预方案。分析实施干预措施后两组患者的自我效能水平、血糖漏测率、患者满意度、平均住院时间的差异。结果实施方案后,观察组患者的自我效能得分高于对照组,血糖漏测率低于对照组、平均住院时间短于对照组,患者满意度高于对照组,两组比较差异均有统计学意义(P<0.05)。结论骨科糖尿病患者参与围手术期血糖管理能够优化血糖管理流程,提升患者的自我管理能力,降低糖尿病患者手术风险,保障患者安全,提升医疗服务质量。 Objective To explore the effects of perioperative blood glucose management in orthopedic diabetic patients.Methods Totally 75 diabetic patients receiving surgery and requiring blood glucose monitoring 7 times a day in the Department of Orthopedics,He'nan Provincial People's Hospital from October 2017 to February 2018 were included in the control group,who received blood glucose management using conventional methods.Another 79 patients of the same type hospitalized between March and June 2018 were selected into the observation group for whom a blood glucose team was built and an intervention protocol of perioperative blood glucose management was developed.Self-efficacy,blood glucose detection missing rate,patient's satisfaction and average length of hospital stay of the two groups were analyzed before and after intervention.Results The self-efficacy score of the observation group was higher than that of the control group after intervention;the blood-glucose detection missing rate was lower in the observation group than in the control group;the average length of hospital stay was shorter in the observation group than in the control group;and patient's satisfaction was higher in the observation group than in the control group(P<0.05).Conclusions Blood glucose management in orthopedic diabetic patients helps to optimize the blood glucose management process,improve patients'self-management capability,reduce diabetic patients'operative risk,guarantee patients'safety,and improve the quality of medical service.
作者 李佳佳 张俊娟 刘静 刘佳 杨晓平 柴森 岳迎莉 Li Jiajia;Zhang Junjuan;Liu Jing;Liu Jia;Yang Xiaoping;Chai Sen;Yue Yingli(School of Nursing and Health,He'nan University,Kaifeng 475004,China;No 3. Department of Orthopedics,He'nan Provincial People's Hospital,Zhengzhou 450003,China)
出处 《中华现代护理杂志》 2019年第14期1756-1759,共4页 Modern Nursing
基金 河南省医学学术技术带头人出国培训计划项目(2014095).
关键词 骨科 围手术期护理 血糖管理 患者参与 自我效能 住院时间 患者满意 Orthopedics Perioperative nursing care Blood glucose management Patient participation Self-efficacy Length of hospital stay Patient's satisfaction
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