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| Application effect of Neuman intervention model in patients with hyperglycemia after liver transplantation |
| ZHOU Liping CUI Heng▲ SHENG Jun HU Jie XIA Xuefeng |
| Department of General Surgery, Nanjing Drum Tower Hospital, Nanjing University Medical College, Jiangsu Province, Nanjing 210008, China |
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Abstract Objective To investigate the effect of Neuman intervention model in patients with hyperglycemia after liver transplantation. Methods From January 2018 to January 2019, 86 patients with liver transplantation admitted to Nanjing Drum Tower Hospital of Nanjing University Medical College were selected and divided into control group and observation group by random number table method, 43 in each group. The control group was given routine intervention mode, while the observation group was given Neuman intervention mode. The blood sugar control, the change of treatment-related indicators and the incidence of postoperatre complications and familys′ satisfaction were compared between the two groups. Results After intervention, fasting blood glucose and 2 h postprandial blood glucose levels in both groups were lower than those before intervention, and the observation group was lower than the control group, with high statistically significant differences (P ＜ 0.01); the incision healing time, blood glucose compliance time, and hospital stay time of observation group were all shorter than the control group, and the insulin consumption was lower than that of the control group when the blood glucose reached the standard, the differences were statistically significant (all P ＜ 0.01); the incidence of postoperative complications in the observation group was less than in the control group, the difference was statistically significant (P ＜ 0.05). The satisfaction of the family in observation group was higher than the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Neuman intervention model can effectively control the blood sugar of patients after liver transplantation, improve the changes of treatment-related indicators, and reduce the incidence of postoperative complications, it is worth promoting.
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