scholarly journals Effect Observation of Process Diabetes Group Nursing on Patients with Diabetes Mellitus

2021 ◽  
Vol 5 (5) ◽  
pp. 104-107
Author(s):  
Menghu Zhang

Objective: Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients. Methods: A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to June 2021 were selected, and the 58 patients were divided into two groups by random number table. In one group, 29 patients were treated with process diabetes group nursing, which was recorded as the observation group; in the other group, 29 patients were treated with conventional care, which was recorded as the control group. Nursing satisfaction, compliance behavior of patients, and adverse incidence were analyzed. Results: After nursing, the data of the two groups were summarized. The score of compliance behavior in the observation group was 91.23 ± 4.56, which was significantly better than that in the control group (75.13 ± 5.23). The t values of the score of compliance behavior were 12.4952, P < 0.05. The qualified rate of fasting blood glucose in the observation group was 100 %, which was significantly higher than that in the control group (62.07 %), P < 0.05. According to the questionnaire analysis, there were 18 patients in the observation group who were very satisfied, 8 patients who were satisfied and 3 patients who were not satisfied, with a total satisfaction rate of 89.66%, and in the control group, there were 4 patients who were very satisfied, 15 patients who were satisfied and 10 patients who were not satisfied, with a total satisfaction rate of 65.52%. The control group was significantly inferior to the observation group, and P< 0.05 was regarded as statistically significant. Conclusion: Adopting the process of diabetes group nursing can effectively enhance the compliance behavior of patients, and effectively control the blood sugar index of patients, and improve the satisfaction degree of patients.

2020 ◽  
Vol 10 (12) ◽  
pp. 2814-2819
Author(s):  
Qionghua Chen ◽  
Deyuan You ◽  
Qingquan Lai ◽  
Yuqi Liu ◽  
Xuri Sun ◽  
...  

Objective: To explore the application effect and nursing strategy of comprehensive safety management process in CT examination of ICU patients with tracheal incubation and general tuberculosis. Methods: A total of 52 patients with tracheal incubation and general pulmonary tuberculosis who underwent CT examination in our hospital were selected as the research objects, and they were divided into control group and observation group according to the random number table method, with 26 cases in each group. The control group adopted the traditional nursing mode, and the observation group applied the integrated safety management process based on the control group. The general conditions, nursing satisfaction, comfort, compliance behavior, and anxiety scores of the two groups during the CT examination were compared. Results: The change rate of CT vital signs in the observation group (19.23%) was significantly lower than that in the control group (46.15%), and the scan completion rate (100.00%) was significantly higher than that in the control group (84.62%). The satisfaction score and comfort score of the observation group after inspection were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in the anxiety scores between the two groups of patients before the examination (P > 0.05); the anxiety scores of the two groups after the examination were significantly lower than those before the examination; the anxiety score of the observation group after the examination was significantly lower than that of the control group. There was statistical significance (P < 0.05). The Grade 1 coordination rate in the observation group (69.23%) was significantly higher than that in the control group (57.65%), and the difference was statistically significant (P < 0.05). Conclusions: The combined application of comprehensive safety management procedures in CT examination of ICU tracheal intubation patients can effectively improve the patient's nursing satisfaction, comfort, safety and compliance behavior, and improve patient anxiety, which is worthy of clinical promotion and application.


2021 ◽  
Vol 7 (4) ◽  
pp. 300-307
Author(s):  
Chenxia Wu ◽  
Li He

To explore the clinical value of octreotide therapy and nursing intervention in patients with acute pancreatitis. 120 patients with acute pancreatitis admitted to the Department of Digestive Medicine from June 2018 to August 2019 were selected. Two groups of patients were treated with octreotide. They were randomly divided into observation group (intensive nursing intervention) and control group (routine nursing) with 60 patients in each group. Compared with the control group (81.67%), the total effective rate (93.33%) was higher in the observation group (P<0.05%); After treatment, C reactive protein, lactate dehydrogenase, WBC and hemodiastase of patients in the observation group were better than those in the control group (P<0.05); compared with the control group (18.33%), the occurrence rate of hypoglycemia in the observation group (6.67%) was lower (P<0.05%); At the same time, the Nursing Satisfaction Scale of the observation group (95.00%) was higher than that of the control group (78.33%), (P<0.05%). Patients with acute pancreatitis treated with octreotide and strengthened nursing intervention can obtain more obvious therapeutic effect, so that the clinical symptoms and related laboratory indicators of patients have been significantly improved. At the same time, the clinical value was significant with a lower occurrence rate of hypoglycemia and higher nursing satisfaction scale.


2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Jing Li ◽  
Jinzhi Ji ◽  
Fuyan Liu ◽  
Lingling Wang

Objective: To investigate the clinical efficacy of insulin glargine combined with acarbose in the treatment of elderly patients with diabetes. Methods: One hundred and forty-four elderly patients with diabetes who received treatment between December 2016 and December 2017 in Binzhou People’s Hospital, China, were selected and divided into a control group and an observation group, 72 each, using random number table. The control group was treated with insulin glargine, while the observation group was treated with insulin glargine combined with acarbose. The therapeutic effect, improvement of quality of life and adverse reactions were compared between the two groups. Results: After treatment, fasting blood glucose (FBG), 2h postprandial blood glucose (PBG) and glycosylated hemoglobin (Hb Alc) of the two groups were lower than those before treatment, and the decrease degree of the observation group was significantly larger than that of the control group (P<0.05). The time needed for blood glucose reaching the standard level and daily insulin dosage of the observation group were significantly lower than that of the control group, and the differences were statistically significant (P<0.05). SF-36 scale score of the observation group was significantly better than the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The combination of insulin Glargine and Acarbose can significantly control the blood glucose level of elderly patients with diabetes, improve the biochemical indicators, and enhance the quality of life. It is worth promotion in clinical practice. doi: https://doi.org/10.12669/pjms.35.3.86 How to cite this:Li J, Ji J, Liu F, Wang L. Insulin Glargine and Acarbose in the treatment of elderly patients with diabetes. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.86 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2021 ◽  
pp. jim-2021-001785
Author(s):  
Rasha A Elkholy ◽  
Reham L Younis ◽  
Alzahraa A Allam ◽  
Rasha Youssef Hagag ◽  
Muhammad Tarek Abdel Ghafar

This study aimed to assess the diagnostic value of serum and urinary netrin-1 in patients with type 2 diabetes mellitus (T2DM) at different stages of diabetic nephropathy (DN) and to compare its efficacy of estimation in serum with that in the urine. This study was carried out on 135 patients with T2DM and 45 healthy subjects. The patients with diabetes were divided according to urinary albumin creatinine ratio (UACR) into: T2DM with normoalbuminuria, incipient DN with microalbuminuria, and overt DN with macroalbuminuria groups. Serum and urinary levels of netrin-1 were measured by ELISA. The mean levels of serum and urinary netrin-1 were significantly higher in the microalbuminuric and macroalbuminuric patients with DN than those in the normoalbuminuric patients with T2DM, with the highest values detected in macroalbuminuric patients with DN. Urinary netrin-1 level was significantly higher in the normoalbuminuric T2DM group than control group, whereas no significant difference existed regarding serum netrin-1 level. In T2DM groups, the urinary and serum netrin-1 correlated with each other and were independently related to fasting blood glucose, UACR, and estimated glomerular filtration rate. Receiver operating characteristic curve analysis showed that the area under the curve of urinary netrin-1 was 0.916 which is significantly higher than that of serum netrin-1 (0.812) for the detection of incipient DN and reached 0.938 on coestimation of both urinary and serum netrin-1. In conclusion, netrin-1 is a potential diagnostic marker for early detection of DN with its estimation in urine has higher accuracy than that of serum.


2019 ◽  
Vol 9 (8) ◽  
pp. 1547-1552
Author(s):  
Fuqin Bao ◽  
Dapeng Wang ◽  
Hongyan Zhao ◽  
Bo Xu

Objective: To investigate the application of predictive nursing guidelines in orthopedic care based on medical imaging and health statistics. Methods: 140 patients were divided into two groups: observation and control. The patients in the control group received routine nursing. The patients in the observation group received the guidance of predictive nursing on the basis of routine nursing. The nursing effects of the two groups were observed. Results: After the implementation of nursing interventions, the complication rate was 4.3% in the observation group and 20.0% in the control group. The difference between the groups was statistically significant (P < 0.05). The satisfaction rate was 97.1%, and the nursing satisfaction of the control group was 90.0%. The difference between the groups was statistically significant (P < 0.05). Discussion: Through observation of patient satisfaction and treatment, especially in orthopedics, patients are differentiated according to different diseases, and predictive care can effectively prevent complications. Conclusion: Predictive care provides preventive measures by comprehensively understanding and comprehensively assessing the patient's condition and developing care measures in a timely and effective manner.


2019 ◽  
Vol 6 (7) ◽  
pp. 3307-3314
Author(s):  
K. M. Hafizur Rahman ◽  
Md. Sanower Hossain ◽  
Nazmul Haque ◽  
Tariq Bin Abdul Razak ◽  
Hussain Ahmad

Aim: In the last decade Apolipoprotein E (APOE) gene polymorphism has been identified as one of the risk factors of type 2 diabetes mellitus (T2DM). Though more than 11% population of Malaysia are suffering from T2DM, there is inadequate data on the correlation between the APOE gene polymorphism and pathogenesis of diabetes among Malaysians. Hence, in this study we aimed to find out the association between the frequencies of APOE allele and fasting blood glucose (FBG) concentration among subjects with T2DM. Methods: A total of 102 subjects were recruited into two distinct groups, 51 in diabetes (cases) and 51 in non-diabetes (control) group. Their fasting blood sample was tested for FBG, while APOE genotyping was carried out using restriction fragment length polymorphism technique. Predictive Analytics Software (PASW) statistics, version 18.0, was used for statistical analyses. Results: There was no association between APOE alleles and T2DM; odd ratios for the e2, e3 and e4 alleles were 1.51 (95%CI: 0.615-3.706), 0.77 (95%CI: 0.431-1.375) and 1.12 (95%CI: 0.584-2.131) respectively. The highest mean FBG was found in subjects with e2 alleles, followed by e4 and e3 alleles in both cases and control groups. Both e2 and e4 alleles were significantly linked to higher mean FBG (p=0.03 and 0.04 for the respectively) compared to e3 allele in diabetes group. Conclusions: Although the APOE gene was not found to be associated with T2DM, it may influence glycemic status among subjects.  


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lili Hong ◽  
Liling Lin ◽  
Jingping Chen ◽  
Biyu Wu

The study was aimed at exploring the application value of the CT image based on a filtered back projection (FBP) algorithm in the diagnosis of patients with diabetes complicated with tuberculosis and at analyzing the influence of dietary nursing on patients with diabetes complicated with tuberculosis. In this study, the FBP algorithm was used to optimize CT images to effectively obtain reconstructed ROI images. Then, the deviation from measurement values of reconstructed images at different pixel levels was analyzed. 138 patients with diabetes complicated with tuberculosis were selected as research subjects to compare the number of lung segments involved and the CT imaging manifestations at different fasting glucose levels. All patients were divided into the control group (routine drug treatment) and observation group (diet intervention on the basis of drug treatment) by random number table method, and the effect of different nursing methods on the improvement of patients’ clinical symptoms was discussed. The results showed that the distance measurement value decreased with the increase in pixel level, there was no significant difference in the number of lung segments involved in patients with different fasting glucose levels ( P > 0.05 ), and there were statistically significant differences in the incidence of segmental lobar shadow, bronchial air sign, wall-less cavity, thick-walled cavity, pulmonary multiple cavity, and bronchial tuberculosis in patients with different fasting glucose levels ( P < 0.05 ). Compared with the control group, 2 h postprandial blood glucose level in the observation group was significantly improved ( P < 0.05 ), there was a statistical significance in the number with reduced pleural effusion and the number with reduced tuberculosis foci in the two groups ( P < 0.05 ), and the level of hemoglobin in the observation group was 7.1 ± 1.26 , significantly lower than that in the control group ( 8.91 ± 2.03 , P < 0.05 ). It suggested that the changes of CT images based on the FBP reconstruction algorithm were correlated with fasting blood glucose level. Personalized diet nursing intervention can improve the clinical symptoms of patients, which provides a reference for the clinical diagnosis and treatment of patients with diabetes complicated with tuberculosis.


2021 ◽  
Vol 9 ◽  
Author(s):  
Aihong Liu ◽  
Yuhua Kuang ◽  
Ruiping Huang ◽  
Qunying Ge

Objective: This study is to assess the application value of information-based health education and continuity of care in patients with PU (peptic ulcer).Methods: Patients (116) with PU who have been treated in the hospital between January 2019 and October 2020 were taken as research objects and equally assigned to a control group and an observation group in a random manner. In contrast to the routine care applied to the control group, the observation group received information-based health education and continuity of care intervention. The clinical efficacy, the mastery of health knowledge, self-care ability, medication compliance, quality of life, mental state, and nursing satisfaction of the two groups were compared.Results: After the intervention, the total effective rate, health knowledge adequate rate, Exercise of Self-Care Agency (ESCA) scores of all dimensions, the MOS 36-item short-form health survey (SF-36) scores of all dimensions, medication compliance rate, and total nursing satisfaction of the observation group all notably exceeded those of the control group, with a p &lt; 0.05. Patients of the group with continuity of care intervention showed lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores, as compared to the group with conventional care (p &lt; 0.05).Conclusion: Information-based health education and continuity of care elevates the medication adherence and nursing satisfaction of patients with PU, enhances disease-related knowledge of patients and their self-care ability, and eventually ameliorates the quality of life and psychological state. It is worthy of clinical application.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yuan Zheng ◽  
Xiaoyan Xu ◽  
Birong Zheng

Objective. To explore the influence of systematic nursing intervention on the life ability and quality of senile dementia patients. Methods. Total of 82 senile dementia patients who were admitted to our hospital from January 2018 to January 2020 were divided into two groups according to the random number table, and the nursing intervention was analyzed. 41 patients in the control group were given routine nursing care, and 41 patients in the observation group were given systematic nursing intervention. Patients were assessed cognitively using the Montreal Cognitive Assessment Scale (MoCA). The Barthel index and SF-36 were used to evaluate the patients’ daily activity function and quality of life. A Symptom Checklist-90-Revised (SCL-90-R) was used to assess mental distress. The Social-Adaptive Function Rating Scale (SAFE) and Social Skills Inventory (SSC) were used to evaluate the patients’ social interaction ability before and after nursing intervention. Nursing satisfaction was distributed to patients in the form of a self-prepared nursing satisfaction questionnaire for scoring. Results. After the nursing intervention, the MoCA scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After the nursing intervention, the Barthel index scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After the nursing intervention, the SF-36 scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After nursing intervention, the SCL-90-R scores of patients in the two groups were lower than those before nursing intervention, and the scores in the observation group were lower than those in the control group P < 0.05 . After the nursing intervention, the SAFE scores of patients in the two groups were lower than those before the nursing intervention, and the safe scores of the observation group were lower than those of the control group P < 0.05 . After the nursing intervention, the SSC scores of patients in the two groups were lower than those before the nursing intervention, and the scores in the observation group were lower than those in the control group P < 0.05 . After nursing intervention, the total satisfaction degree of the control group (80.49%) was lower than that of the observation group (97.56%) P < 0.05 . Conclusion. The implementation of systematic nursing intervention is conducive to improve the cognitive function, activity of life, and quality of life of senile dementia patients who have a positive effect, and nursing satisfaction is higher.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Yeping Huang ◽  
Huili Chen

ENT patients have different types of diseases and clinical symptoms, and generally, patients have a low level of understanding of their professional knowledge about their ENT diseases. In this paper, quality nursing interventions in otorhinolaryngology require nursing staff to implement relevant nursing interventions in the process of implementing relevant nursing care, which should be based on patients’ needs, and guide patients to perform rehabilitation exercises according to their individual conditions, in addition to establishing continuous nursing interventions with patients at the time of discharge with the help of modern technology. By comparing the nursing satisfaction of patients in the observation group and the control group, it was found that the nursing satisfaction of patients in the observation group who received humanistic nursing was higher, and the difference was statistically significant compared with that of the control group ( P < 0.05 ). The SCL-90 scale scores of patients in both groups were not significantly different on the day of admission as verified by t values, and the SCL-90 scale scores of patients in both groups changed to a certain extent after hospitalization. The difference between the two groups was verified by t value.


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