NP-Supported Multidisciplinary Diabetes Management During Perioperative Period in Patient With Diabetes Mellitus
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes
- Sponsor
- Peking University Third Hospital
- Enrollment
- 170
- Primary Endpoint
- EFFICACY: TIR（Time in Range）
- Last Updated
- 4 years ago
Overview
Brief Summary
The primary objective of this study is to determine the benefits of interventions from a Multidisciplinary Diabetes Care team involved of diabetes nurse practitioners(DNP) on glucose control, perioperative outcomes and psychosocial outcomes for patients with Diabetes Mellitus
Detailed Description
About 50% of diabetic patients will undergo at least one surgical operation, and nearly 20% of surgical patients have diabetes.Compared with non-diabetic patients, diabetic patients face greater risks during the perioperative period. Stress factors such as preoperative preparation, anesthesia, surgical trauma, pain, drugs and negative emotions can induce blood glucose fluctuations, which could lead to complications such as hyperglycemia, diabetic ketosis, and hypoglycemia.Therefore, perioperative management has become an important part of diabetes management. A multidisciplinary collaborative team led by NP can reduce the mortality of patients after inpatient surgery, help patients change their lifestyle, maintain self-management behavior, improve patient experience, and reduce hospitalization costs. This study intends to explore the application effect of NP-led multidisciplinary collaborative team in the perioperative comprehensive management of diabetic patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosis meets World Health Organization (WHO) (1999) Diabetes Diagnostic Standards
- •Orthopedic assessment requires elective surgery and no surgical contraindications
- •HbA1c≥8.5% or intravenous fasting blood glucose (FBG)\>10mmol/l
- •Informed consent.
Exclusion Criteria
- •Cognitive and communication disorders;
- •Pregnancy;
- •Participate in other intervention studies.
Outcomes
Primary Outcomes
EFFICACY: TIR（Time in Range）
Time Frame: From into the group to the first hospital day; First day in hospital to the day of discharge
Time in range
Secondary Outcomes
- EFFICACY: Glycated Serum Protein(baseline and 1 month after discharged)
- QUALITY OF LIFE:living quality(Measurements were taken at baseline, day of hospitalization, and 1 month after discharge)
- EFFICACY: Incidence of perioperative hypoglycemia(From into the grop to 1 month after surgery. And confirmed based on the patient's main complaint and monitoring records.)
- EFFICACY: Incidence of perioperative adverse events(1 month after discharge)
- EFFICACY: Blood pressure(baseline, day of hospitalization, during hospitalization and 1 month after discharge)
- EFFICACY: Anxiety and depression(Measurements were taken at baseline, day of hospitalization, and 1 month after discharge)
- EFFICACY: Time required for blood glucose standard before surgery(the first hospital day)
- EFFICACY: Diabetes self-management behavior(Measurements were taken at baseline, day of hospitalization, and 1 month after discharge)
- EFFICACY: Body weight(baseline, day of hospitalization, during hospitalization and 1 month after discharge)