Analysis of blood glucose change tendency of elderly patients with diabetes after undergoing gastrointestinal surgery and nursing interventions for them

Abstract

Objective To study the blood glucose change regularity within 48 hours of elderly patients with diabetes after gastrointestinal surgery and summarize effective blood glucose monitoring and nursing intervention. Methods Using blood glucose meters, blood glucose changes and insulin dosage of a total of 48 elderly patients with diabetes after gastrointestinal surgery have been measured and recorded right after operation and 1h, 2h, 4 h,8 h, 12 h,24 h and 48 h time points after operation. All data of patients were statistically analyzed. Results The blood sugar level of elderly patients with diabetes after gastrointestinal surgery within 24 hours after operation was significantly higher than that of before operation ( P > 0. 05). Especially blood sugar level of patients was higher in right after returning to SICU and 2 h after operation, and insulin dosage was the biggest at 4 h after operation. Conclusions Monitoring blood glucose, using of insulin and postoperative nursing during peri-operative period can keep blood glucose stable, prevent postoperative complications and help patients recover earlier. Key words: Elderly;  Gastrointestinal surgery;  Diabetes;  Blood glucose;  Nursing