Practice and effects of perioperative blood glucose management in orthopedic diabetic patients

Abstract

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. Key words: Orthopedics; Perioperative nursing care; Blood glucose management; Patient participation; Self-efficacy; Length of hospital stay; Patient's satisfaction