Effect of Predictive Nursing Intervention on Prevention of Nocturnal Hypoglycemia in Patient with Liver Cirrhosis

Jieyun Luo, Guiyan Wen
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引用次数: 1

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.
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预测性护理干预对预防肝硬化患者夜间低血糖的影响
背景:肝硬化常伴有夜间低血糖,因为肝脏保存碳水化合物的能力受损。夜间低血糖不仅是一个不良因素,也是肝硬化患者营养不良评估的一个指标。目的:评价预见性护理干预对预防肝硬化患者夜间低血糖的效果。方法:2018年4月至2020年12月,收集80例患者的有效资料。将参与者分为对照组和干预组:对照组接受普通护理干预。干预组接受预测性护理干预。在收集方面,通过参与者的医疗记录和医生的诊断来收集参与者的基本信息。在研究期间,我们收集护理干预前后的低血糖发生率和肝功能数据。结果:在患者特征研究中,干预组与对照组在性别、年龄、Child-Pugh评分、病程等因素上差异无统计学意义。其中,女性49例,干预组26例(65.0%),对照组23例(57.5%);男性31例,干预组14例(35.0%),对照组17例(42.5%)。干预组受试者血糖指数高于对照组,两组结果有显著性差异。在肝功能指数的研究中,预测性护理干预提高了肝功能指数,甚至其效果优于普通护理干预。结论:干预组改善肝硬化患者低血糖的效果优于对照组。
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