家庭护理对接受普通外科手术的2型糖尿病患者代谢指标和血压的影响。
The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients who Underwent General Surgeries.
作者信息
Heidapour Maryam, Kabirzadeh Arefeh, Faridani Lila, Akbari Mojtaba, Abazari Parvaneh
机构信息
Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Medical Students Researches Committee, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Int J Prev Med. 2023 Oct 30;14:120. doi: 10.4103/ijpvm.ijpvm_224_22. eCollection 2023.
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 ( < .001), diastolic blood pressure ( = 0.005), lipid profile ( = 0.001) [except for triglycerides level], fasting blood glucose ( = .001), and HbA1c ( = .003) decreased significantly in the intervention group. After controlling baseline data by applying analysis of covariance, a significant increase in HDL-c ( = .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.
背景
手术本身的应激会导致代谢紊乱。很少有研究提及如何在糖尿病患者出院后管理其代谢状况。本研究旨在确定居家护理对接受普通外科手术的2型糖尿病患者代谢状况和血压的影响。
方法
70例接受手术的2型糖尿病患者通过区组随机化法被分配至干预组和对照组。干预组接受为期3个月的跨专业团队居家护理。两组均在干预前及干预3个月后测量空腹血糖、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。对照组在术后仅进行常规护理。数据录入SPSS 23软件并进行分析。结果：干预组和对照组的基线特征无显著差异。干预组的收缩压（<.001）、舒张压（=0.005）、血脂谱（=0.001）[甘油三酯水平除外]、空腹血糖（=.001）和HbA1c（=.003）显著降低。应用协方差分析控制基线数据后，HDL-c显著升高（=.032）。此外，干预组和对照组之间HbA1c水平变化平均百分比的差异具有统计学意义。
结论
我们的研究表明，居家护理方案可改善接受普通外科手术的糖尿病患者的HbA1c和HDL-c水平。需要更多随访时间更长的研究来探讨居家护理对这些患者其他代谢参数的影响。
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