The Effects of Detection and Prevention of Hypoglycemia Program on Blood Sugar with Diabetes Type 2 Patients at Female Surgery Ward of Chaiyaphum Hospital

Authors

  • Mali Sawang Chaiyaphum hospital
  • Yuwadee Boonnao Faculty of Nursing, Chaiyaphum Rajabhat University
  • Parichat Yatniyom Faculty of Nursing, Chaiyaphum Rajabhat University

Keywords:

Detection and prevention of hypoglycemia program, Blood sugar level, Diabetes type 2 patients, Female surgical ward of Chaiyaphum hospital

Abstract

The purpose of this quasi-experimental research were to the effects of detection and prevention of hypoglycemia program on hypoglycemia ratio with diabetes type 2 patients at surgical department. The 46 diabetes type 2 patients at female surgery ward of Chaiyaphum hospital were purposive sample to one group. The instrument consisted of 1) detection and prevention of hypoglycemia program for diabetes type 2 patients at surgical ward include 1.1) hypoglycemia for diabetes type 2 patients risk assessment tool 1.2) detection and prevention of hypoglycemia program for diabetes type 2 patients manual 1.3) education in diabetes type 2 manual 1.4) level of blood sugar record form 1.5) glucose meter 1.6) care of diabetes patients manual at Chaiyaphum hospital. Frequency, mean, ratio, standard deviation, compare mean score of fasting blood sugar level were used to analyze data. The results were presented that three group of type 2 diabetes patients were ; 1) three patients of minimal risk group (score of risk 0- 4) were six point fifty two percent hadn’t hypoglycemia sign 2) thirty six patients of moderate risk group (score of risk 5-12) were seventy eight point twenty six had once of hypoglycemia sign 3) seven patients of high risk group (score of risk ≥ 13) were fifteen point twenty two had fourteenth time of hypoglycemia sign. The mean score of blood sugar level of high risk group was significantly different (p<0.1) but minimal and moderate risk group weren’t significantly different. Moreover It is suggested that all of surgery patient should detection and prevention of diabetes.

References

American Diabetes Association. Hypoglycemia. USA; 2019.

National Diabetes Information Clearinghouse NDIC. Hypoglycemia. USA; 2009.

Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Ma Ha Chakri Sirindhom, The Endocrine Society of Thailand, Department of Medical Service Ministry of Public Health & National Health Security Office(NHSO). Clinical Practice Guideline for Diabetes 2017. Pathum Thani Province; Romyan media, 2017. (in Thai)

American Diabetes Association. Hypoglycemia and employment/Licensure. Diabetes Care. 2008; 31(1): 94.

Hirsch IB. Acute complications of diabetes. In: American Diabetes Association, Berlinda P., Marjorie C. & Geralyn S. Complete nurse’s guide to diabetes care. USA; Transcontinental Printing, 2009.

Donna T. Detection, prevention, and treatment of hypoglycemia in the hospital. Diabetes Spectrum 2005; 18(1): 39-44.

Sukwatjanee A. Hypoglycemic Management in Diabetes: a Nurse Practitioner Role. Journal of Nursing and Health Care 2015; 13(1): 6-8. (in Thai)

Saengrat B et al. Management of hypoglycemia in older adult with diabetes. Thai Journal of Nursing and Midwifery Practice 2016; 3(1): 40-50. (in Thai)

Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER & Service J. Evaluation and Management of Adult Hypoglycemic Disorders: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab; 94(3):709-28.

Maneeroj S, Larpjutti T & Pukham K. The Development of a Hypoglycemia Management Model for Diabetes Patients at Maharaj Nakhon Si Thammarat Hospital. Nursing Journal of the Ministry of Public Health 2017; 27(2): 126-39. (in Thai)

American Diabetes Association. Standards of medical care in diabetes 2008. Diabetes Care. 2008; 31(1): 12-54

American Diabetes Association. Standards of medical care in diabetes 2009. Diabetes Care. 2009; 32(1): 13-61.

Suh SW, Gum ET, Hamby AM, Chan PH & Swanson RA. Hypoglycemic Neuronaldeath is triggered by glucose reperfusion and activation of neuronal NADPH oxidase. Journal of Clinical Investigator 2007; 117(4): 910–918.

Jainae S & Sasat S. Pedicting Factors of Hypoglycemia in Hospitalized Diabetic Older Persons, Uppersouths Region. Kuakarun Journal of Nursing 2016; 23(1): 148-62. (in Thai)

Malathum P, Promkong P & Intarasombat P. Factors Predicting the Plasma Glucose Level in Older Persons with Type 2 Diabetes Mellitus. Rama Nurs J; 16(2): 218-37. (in Thai)

Siriwattanapornkul T, Oba N & Intarakumhang Na Rachasima S. Factors Related to Blood Glucose Level among Patients with Diabetes Mellitus Type II. Journal of Nursing Science Naresuan University; 1(2): 57-87. (in Thai)

Dankul P, Suwichacherdkul P & Thongpenyai N.2553). Association between personal, self care behavioral, and supportive factors and blood glucose control of type 2 diabetes patients at primary care units (PCUs) of “CUP Maung-Ya 5” network. The Journal of Baromarajonani College of Nursing, Nakhonratchasima 2010; 17(2): 27-38. (in Thai)

Buraphun R & Muangsom M. Factors Affecting Uncontrolled Type 2 Diabetes Mellitus of Patients in Sangkhom Hospital, Udonthani Province. KKU Journal for Public Health Research. 2013;6(3). (in Thai)

Lin YY et al. risk factors for recurrent hypoglycemia in with hospitalized diabetic patients admitted for severe hypoglycemia. Yonsei Medical Journal 2010; 51(3): 367-374.

Shorr RI, Ray WA, Dougherty JR & Griffin MR. Incidence and risk factors for serious hypoglycemia in older persons using insulin or sulfonylureas. Archives of Internal Medicine 1997; 157(15): 1681-1688.

Thavornpitak Y. Population and Sample Sampling Plan and Estimation. Khonkaen; Klangnanapan; 2011. (in Thai)

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Published

25-04-2021

How to Cite

1.
Sawang M, Boonnao Y, Yatniyom P. The Effects of Detection and Prevention of Hypoglycemia Program on Blood Sugar with Diabetes Type 2 Patients at Female Surgery Ward of Chaiyaphum Hospital. J Royal Thai Army Nurses [Internet]. 2021 Apr. 25 [cited 2024 Nov. 13];22(1):272-8. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/210969

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Research Articles