家庭护理对接受普通手术的 2 型糖尿病患者的代谢轮廓和血压的影响

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of Preventive Medicine Pub Date : 2023-10-30 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_224_22
Maryam Heidapour, Arefeh Kabirzadeh, Lila Faridani, Mojtaba Akbari, Parvaneh Abazari
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引用次数: 0

摘要

背景:手术本身的压力会导致代谢紊乱。很少有研究提到如何管理糖尿病患者出院后的代谢状况。本研究旨在确定家庭护理对接受普通手术的 2 型糖尿病患者代谢状况和血压的影响:方法:将 70 名接受手术的 2 型糖尿病患者按顺序分为干预组和对照组。干预组接受为期 3 个月的跨专业团队家庭护理。干预前和干预后三个月测量两组患者的空腹血糖、糖化血红蛋白(HbA1c)、总胆固醇、甘油三酯、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇、收缩压和舒张压水平。对照组在手术后仅进行常规护理。数据输入 SPSS 软件 23 版并进行分析。结果:干预组和对照组的背景特征无明显差异。干预组的收缩压(P < .001)、舒张压(P = 0.005)、血脂(P = 0.001)[甘油三酯水平除外]、空腹血糖(P = .001)和 HbA1c(P = .003)显著下降。通过协方差分析控制基线数据后,发现高密度脂蛋白胆固醇(HDL-c)明显增加(P = .032)。此外,干预组和对照组之间 HbA1c 水平的平均变化百分比差异显著:我们的研究表明,通过家庭护理计划,接受普通手术的糖尿病患者的 HbA1c 和 HDL-c 水平有所改善。有必要进行更多的研究和更长时间的随访,以了解家庭护理对这些患者其他代谢指标的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients who Underwent General Surgeries.

Background: The stress of surgery itself results in metabolic disturbance. Few studies have mentioned how to manage the metabolic profile of diabetic patients after discharge from the hospital. The present study aimed to determine the effect of home care on metabolic profile and blood pressure in type 2 diabetic patients who underwent general surgeries.

Methods: Seventy type 2 diabetic patients who were undergoing surgery were assigned to the intervention and control groups via blocking order. The intervention group received a 3-month home care with an interprofessional team approach. The levels of fasting blood glucose, glycosylated hemoglobin (HbA1c), total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterols, systolic blood pressure, and diastolic blood pressure were measured before and three months after the intervention in both groups. In the control group, only routine care was performed in the postsurgery period. Data were entered in SPSS software version 23 and were analyzed. Results: There were no significant differences between the intervention and control groups for background characteristics. Systolic blood pressure (P < .001), diastolic blood pressure (P = 0.005), lipid profile (P = 0.001) [except for triglycerides level], fasting blood glucose (P = .001), and HbA1c (P = .003) decreased significantly in the intervention group. After controlling baseline data by applying analysis of covariance, a significant increase in HDL-c (P = .032) was seen. Also, the difference between the mean percentage of variations in HbA1c levels between intervention and control groups was significant.

Conclusions: Our study showed improvement in HbA1c and HDL-c levels with home care programs in patients with diabetes who underwent general surgeries. More studies with longer follow-ups are necessarily addressing the effects of home care on other metabolic parameters in these patients.

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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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