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Significance of Blood Glucose Control in Severe Nursing Care of ICU

Received: 21 September 2019    Accepted: 28 October 2019    Published: 9 November 2019
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Abstract

To investigate the effect of intensive blood glucose control in Intensive Care Unit (ICU) nursing and analyze its clinical significance. From August 2018 to August 2019, 94 severe patients treated with ICU in our hospital were divided into two groups according to the random digital table method. 47 cases in the control group received routine nursing, and 47 cases in the observation group were treated with blood glucose control and routine nursing management. The sequential organ failure score (SOFA), acute physiological and chronic health status score (APACHE II), hospitalization time in ICU and total hospitalization time were compared between the two groups. After nursing, the APACHE Ⅱ score and SOFA score of the patients in the observation group were significantly lower than those in the control group (P < 0.05); The total hospitalization time of ICU in the observation group was significantly shorter than that in the control group (P < 0.05). Enhanced glycemic control in ICU intensive nursing can improve the clinical therapeutic effect and shorten the rehabilitation time. In addition, tight glycemic control can also optimize the prognosis and shorten hospital stay time. The intensive blood glucose control is worthy to be popularized in ICU.

Published in Journal of Surgery (Volume 7, Issue 6)
DOI 10.11648/j.js.20190706.15
Page(s) 180-183
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Blood Glucose Control, ICU, Intensive Care

References
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[2] Chen Qi. Association of stress hyperglycemia and its control level with the prognosis of critically ill patients [J]. Journal of Bengbu Medical College, 2014, 39 (5): 587-589.
[3] Li Xin, Pan Huibin, Fu Kai, et al. Effect of standardized process management on blood glucose control and prognosis in patients with severe pneumonia mechanical ventilation [J]. Clinical and Education of General Medicine, 2019, 17 (01): 33.
[4] Feng Zhanlian. Causes and nursing points of difficult control of blood glucose in elderly intensive care unit diabetic patients [J]. New World of Diabetes, 2019, 22 (02): 112-113.
[5] Yan-Bo L I, Yu-Hong L, Yue-Hai F. The necessary of heating device for enteral nutrition in ICU geriatric patients [J]. Clinical Journal of Medical Officers, 2016, 44 (3): 320-322.
[6] Li Li. Nursing Intervention on Stress Hyperglycemia in Critically Ill Patients with ICU. Guide of China Medicine, 2017, 15 (21): 260-261.
[7] Lesperance R N, Guillamondegui O D. Glycemic Control and Insulin Resistance [M]// Principles of Adult Surgical Critical Care. 2016.
[8] Chen Qunlin. Effects of different blood glucose control levels on prevention of infection and antibiotic efficacy in patients with intensive care [J]. Chinese Prescription Medicine, 2019, 17 (01): 115-116.
[9] Pan Yan. Blood glucose control and nursing care of ICU patients during enteral nutrition [J]. Electronic Journal of practical Clinical Nursing, 2018, 3 (13): 28 / 29.
[10] Mao Jiehua, Deng Daoxi, Zheng Xuyin. Nursing care of severe ICU patients with hyperglycemia controlled by continuous micropump intravenous insulin injection [J]. Jilin Medicine, 2017, 38 (05): 967 -969.
[11] Yatabe T, Inoue S, Sakaguchi M, et al. The optimal target for acute glycemic control in critically ill patients: a network meta-analysis [J]. Intensive Care Med 2017; 43: 16-28.
[12] Yamada T, Shojima N, Noma H, et al. Glycemic control, mortality, and hypoglycemia in critically ill patients: a systematic review and network meta-analysis of randomized controlled trials [J]. Intensive Care Medicine, 2017, 43 (1): 1-15.
[13] Preiser J C, Lheureux O, Thooft A, et al. Near-Continuous Glucose Monitoring Makes Glycemic Control Safer in ICU Patients [J]. Critical Care Medicine, 2018, 46 (8): 1.
[14] Umpierrez G E, Pasquel F J. Management of Inpatient Hyperglycemia and Diabetes in Older Adults [J]. Diabetes Care, 2017, 40 (4): 509-517.
[15] Krinsley, Stephen J. The Long and Winding Road Toward Personalized Glycemic Control in the Critically Ill [J]. Journal of Diabetes Science and Technology, 2017, 12 (1): 26-32.
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  • APA Style

    Huang Huifang, Lu Wanxian, Shan Miaohang. (2019). Significance of Blood Glucose Control in Severe Nursing Care of ICU. Journal of Surgery, 7(6), 180-183. https://doi.org/10.11648/j.js.20190706.15

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    ACS Style

    Huang Huifang; Lu Wanxian; Shan Miaohang. Significance of Blood Glucose Control in Severe Nursing Care of ICU. J. Surg. 2019, 7(6), 180-183. doi: 10.11648/j.js.20190706.15

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    AMA Style

    Huang Huifang, Lu Wanxian, Shan Miaohang. Significance of Blood Glucose Control in Severe Nursing Care of ICU. J Surg. 2019;7(6):180-183. doi: 10.11648/j.js.20190706.15

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  • @article{10.11648/j.js.20190706.15,
      author = {Huang Huifang and Lu Wanxian and Shan Miaohang},
      title = {Significance of Blood Glucose Control in Severe Nursing Care of ICU},
      journal = {Journal of Surgery},
      volume = {7},
      number = {6},
      pages = {180-183},
      doi = {10.11648/j.js.20190706.15},
      url = {https://doi.org/10.11648/j.js.20190706.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190706.15},
      abstract = {To investigate the effect of intensive blood glucose control in Intensive Care Unit (ICU) nursing and analyze its clinical significance. From August 2018 to August 2019, 94 severe patients treated with ICU in our hospital were divided into two groups according to the random digital table method. 47 cases in the control group received routine nursing, and 47 cases in the observation group were treated with blood glucose control and routine nursing management. The sequential organ failure score (SOFA), acute physiological and chronic health status score (APACHE II), hospitalization time in ICU and total hospitalization time were compared between the two groups. After nursing, the APACHE Ⅱ score and SOFA score of the patients in the observation group were significantly lower than those in the control group (P < 0.05); The total hospitalization time of ICU in the observation group was significantly shorter than that in the control group (P < 0.05). Enhanced glycemic control in ICU intensive nursing can improve the clinical therapeutic effect and shorten the rehabilitation time. In addition, tight glycemic control can also optimize the prognosis and shorten hospital stay time. The intensive blood glucose control is worthy to be popularized in ICU.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Significance of Blood Glucose Control in Severe Nursing Care of ICU
    AU  - Huang Huifang
    AU  - Lu Wanxian
    AU  - Shan Miaohang
    Y1  - 2019/11/09
    PY  - 2019
    N1  - https://doi.org/10.11648/j.js.20190706.15
    DO  - 10.11648/j.js.20190706.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 180
    EP  - 183
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20190706.15
    AB  - To investigate the effect of intensive blood glucose control in Intensive Care Unit (ICU) nursing and analyze its clinical significance. From August 2018 to August 2019, 94 severe patients treated with ICU in our hospital were divided into two groups according to the random digital table method. 47 cases in the control group received routine nursing, and 47 cases in the observation group were treated with blood glucose control and routine nursing management. The sequential organ failure score (SOFA), acute physiological and chronic health status score (APACHE II), hospitalization time in ICU and total hospitalization time were compared between the two groups. After nursing, the APACHE Ⅱ score and SOFA score of the patients in the observation group were significantly lower than those in the control group (P < 0.05); The total hospitalization time of ICU in the observation group was significantly shorter than that in the control group (P < 0.05). Enhanced glycemic control in ICU intensive nursing can improve the clinical therapeutic effect and shorten the rehabilitation time. In addition, tight glycemic control can also optimize the prognosis and shorten hospital stay time. The intensive blood glucose control is worthy to be popularized in ICU.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

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