Probe into effect of clinical nursing pathway in standardized management of patients with type 2 diabetes

Yang Yuerong; Hen Linyi

doi:10.3969/j.issn.1674-4748.2015.10.003

Abstract：Objective:To probe into the effect and clinical significance of clinical nursing pathway in standardized management of patients with type 2 diabetes.Methods:A total of 200 cases of hospitalized patients with type 2 diabetes were divided into research group and control group with the random number table method from Sep-tember in 201 1 to September in 2013,100 cases in each.The patients in control group were given routine nurs-ing,and the clinical nursing pathway was carried out for the patients in research group,then to compare the hos-pitalization cost,satisfaction,self management behavior score and glucose and lipid control of patients between both groups.Results:In research group,the average length of stay,hospital costs and the proportion of drugs were significantly lower than that in control group,and the satisfaction of patients and their family members was higher and the difference was statistically significant (P <0.05).After the implementation of clinical nurs-ing pathway for a month,the diabetes self management behavior score of patients in research group was higher than that in control group and the difference was statistically significant (P < 0.05 ).Fasting blood glucose (FBG),postprandial blood glucose (PBG),glycosylated hemoglobin (HbA1c),cholesterol (TC),three glycerol (TG),low density lipoprotein (LDL)levels were lower than those in control group,and the difference was sta-tistically significant (P <0.05).There was no statistically significant difference in Body mass index (BMI)be-tween both groups (P>0.05).Conclusion:The standardized management of patients with type 2 diabetes by clini-cal nursing pathway can significantly enhance the quality of nursing,improve the relationship between nurses and patients,enhance the level of self management in patients with diabetes mellitus,better control and pre-vent the blood glucose and complications.It also help to reduce medical costs and save the medical resources.