护士主导式动态血糖监管模式在ICU危重症患者中的应用

Application of nurse-led dynamic glucose supervision model in ICU critically ill patients

目的观察护士主导式动态血糖监管模式在ICU危重症患者中的应用效果。方法80例ICU的危重症者,按是否接受护士主导式动态血糖监管模式干预分为两组,即2019年5-10月接受常规血糖管理的40例危重症病例设为对照组,2019年11月-2020年4月接受护士主导式动态血糖监管模式干预的40例危重症病例设为试验组。比较两组患者住院期间血糖最高值与最低值、血糖稳定性、低/高血糖的发生率、应激性高血糖相关不良事件发生率等指标。结果试验组患者住院期间的血糖最高值显著低于对照组,最低值显著高于对照组(P<0.01),血糖控制稳定性测评指标均优于对照组(P<0.01),住院期间低血糖、高血糖事件发生率及应激性高血糖相关不良事件发生率均低于对照组(P<0.05)。结论将护士主导式动态血糖监管模式应用于ICU危重症患者中,可较好地维持ICU危重症者的血糖稳定性,降低低、高血糖事件发生率及应激性高血糖相关不良事件发生率。

Objective To observe the application effect of nurse-led dynamic glucose supervision mode in ICU critically ill patients.Methods A total of 80 ICU critically ill patients were divided into two groups according to whether they have received intervention with nurse-led dynamic glucose monitoring mode.40 critically ill cases who received conventional glucose management from May to October 2019 were selected as the Control Group,and 40 critically ill cases who received intervention with nurse-led dynamic glucose monitoring mode from November 2019 to April 2020 were selected as the Experimental Group.The two groups were compared in terms of the highest and lowest blood glucose levels,blood glucose stability,incidence of hypoglycemia and hyperglycemia,and incidence of adverse events related to stress hyperglycemia during hospitalization.Results The highest blood glucose level of the Experimental Group was significantly lower than that in the Control Group,and the lowest blood glucose level of the Experimental Group was significantly higher than that in the Control Group(P<0.01).The evaluation indexes of blood glucose control stability in the Experimental Group were superior to those in the Control Group(P<0.01).The incidences of hypoglycemia and hyperglycemia events as well as stress-hyperglycemia-related adverse events during hospitalization in the Experimental Group were significantly lower than those in the Control Group(P<0.05).Conclusion The application of nurse-led dynamic blood glucose supervision mode in ICU critically ill patients can better maintain the stability of blood glucose of the patients,and reduce the incidences of hypoglycemia/hyperglycemia events and stress-hyperglycemia-related adverse events.