The application of evidence-based nursing in blood glucose management in patients with ICU stress hyperglycemia
循证护理在ICU应激性高血糖患者血糖管理中的应用探讨方向

摘要

目的 研究ICU应激性高血糖患者接受循证护理对血糖管理产生的价值。方法 对2021年之间接受护理干预的130例ICU应激性高血糖患者视作分析对象，均匀以两个小组的形式执行血糖管理，有基本管理组与循证管理组，统计患者血糖指标的变化。结果 干预之后，循证管理组的空腹血糖指标均数为（6.59±0.73）mmol/L、优于基本管理组（9.46±1.82）mmol/L。循证管理组血糖调整到正常范围的时间均数、使用胰岛素等指数均优于基本管理组，即循证管理组患者的指标调节效果更好，p<0.05；循证管理组患者的生存状况好于基本管理组，p<0.05。结论 ICU应激性高血糖患者的护理中，可通过循证护理思路全方位管理好患者的血糖指标，促进患者的血糖指标改善，增强患者血糖管理综合质量。

Abstract

Objective: To study the value of evidence-based care for blood glucose management in patients with ICU stress hyperglycemia.
Methods: The 130 patients with ICU stress hyperglycemia who received nursing intervention between 2021 were regarded as the analysis objects, and the blood glucose management was evenly carried out in the form of two groups, with the basic management group and the evidence-based management group to count the changes of patients' blood glucose index.
Results: After the intervention, the mean fasting glucose index in the evidence-based management group was mmol/L (6.59 ± 0.73) and was better than that in the basic management group (9.46 ± 1.82). The time average of blood glucose adjustment to normal range and insulin use index were better than the basic management group, that is, the patients in the evidence-based management group were better, p <0.05; the survival condition of the patients in the evidence-based management group was better than that in the basic management group, p <0.05.
Conclusion  : In the nursing of patients with ICU stress hyperglycemia, patients 'blood glucose index can be comprehensively managed through evidence-based nursing thinking to promote the improvement of their blood glucose index and enhance the comprehensive quality of patients' blood glucose management.