Abstract

Background: liver cirrhosis is often accompanied by disease in nocturnal hypoglycemia as the capacity of the liver to preserve carbohydrates is impaired. nocturnal hypoglycemia not only is a poor factor, but also is an indicator of malnutrition assessment in patient with liver cirrhosis. Objective: To evaluate effect of predictive nursing intervention on prevention of nocturnal hypoglycemia in patient with Liver cirrhosis. Methods: From April 2018 to December 2020, we collect valid data from 80 patients. the participants were divided into control group and intervention group: control group received common nursing intervention. intervention group participants received predictive nursing intervention. As for collecting, basic information of participant was collected by participants’ medical records and doctor's diagnosis. During study period, we collected frequency of hypoglycemia and liver function data before and after nursing intervention. Rsult: In patient characteristics research, the factors such as gender, age, Child-Pugh assessment and course of the disease were no significant difference between intervention group and control group. There had 49 females 26 (65.0%) in intervention group and 23 (57.5%) in control group] and 31 males 14 (35.0%) in intervention group and 17 (42.5%) in control group]. Additionally, intervention group participants had higher blood glucose index compare with control group participants as the results were significant difference between the two groups. In the research of liver function index, predictive nursing intervention improve the liver function index, even its effect was better than common nursing intervention. Conclusion: the effect of improving hypoglycemia in patient with Liver cirrhosis was better among intervention group compare to control group.

Highlights

  • The liver cirrhosis is basic on the end stage of various liver cirrhosis diseases, it is usually characterized by chronic, progressive and diffuse liver injury [1]

  • Liver cirrhosis is often accompanied by disease in nocturnal hypoglycemia as the capacity of the liver to preserve carbohydrates is impaired [3, 4]. nocturnal hypoglycemia is a poor factor, and is an indicator of malnutrition assessment in patient with liver cirrhosis [5, 6]

  • This study shows that predictive nursing intervention can improve nocturnal hypoglycemia in patient with Liver cirrhosis

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Summary

Introduction

The liver cirrhosis is basic on the end stage of various liver cirrhosis diseases, it is usually characterized by chronic, progressive and diffuse liver injury [1]. Nocturnal hypoglycemia is a poor factor, and is an indicator of malnutrition assessment in patient with liver cirrhosis [5, 6]. Exploring the method of improving nocturnal hypoglycemia in patient with chronic liver will be beneficial for treatment effect of liver cirrhosis, reducing mortality, and improving quality of life. The outcome of improved hypoglycemia in patients with cirrhosis is different. These studies attempt to use different nursing interventions to improve the hypoglycemia of patients with cirrhosis [7,8,9]. The aim of this study was to assess effect of predictive nursing intervention on prevention of nocturnal hypoglycemia in patient with Liver cirrhosis

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