Stress hyperglycaemia Diabetes mellitus
Conditions
Interventions
Control Group:Routine nutritional care (NRS-2002 screening within 24 hours of admission
GLIM diagnosis and nutritional education/dietary guidance for NRS>=3
appropriate diet and five-step nutritional therapy according to medical advice
regular health education and psychological support
dietary guidance and follow-up at discharge.)
Intervention Group:In addition to routine nutritional care, implementation of an evidence-based perioperative nutrition management protocol for patients with hyperglycemia (including multidisciplinary
Sponsors
Anyang District Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years; 2. Diagnosed with stress-induced hyperglycemia; 3. Scheduled to undergo surgery in our hospital; 4. Nutritional Risk Screening (NRS) score >= 3 at admission; 5. Clear consciousness, adequate verbal communication and comprehension skills; 6. Has provided informed consent and voluntarily agrees to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Pregnant patients; 2. Patients with unstable vital signs, ketoacidosis, or severe dysfunction of the heart, liver, kidneys, or other vital organs; 3. Patients currently participating in other interventional studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nutritional biochemical markers (total protein, albumin, prealbumin, hemoglobin); | — |
Secondary
| Measure | Time frame |
|---|---|
| Glucose levels (glycated hemoglobin, fasting and postprandial 2-hour blood glucose average);Quality of life in diabetic patients (DSQL scale score);Psychosocial adaptation to disease (PAIS-SR scale score);Nutritional risk (NRS-2002 score);Clinical outcomes (incidence of complications, length of hospital stay); | — |
Countries
China
Contacts
Public ContactWang Bo
Anyang District Hospital
Outcome results
None listed