NP-Supported Multidisciplinary Diabetes Management During Perioperative Period (NPMDM-PP)

Peking University

Status: Unknown

Conditions: Diabetes

Treatments: Other: NP-Supported Multidisciplinary Diabetes Management

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT05293015

M2021609

Details and patient eligibility

About

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

Full 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.

Enrollment: 170 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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170 participants in 2 patient groups

NP-Supported Multidisciplinary Diabetes Management

Experimental group

Description:

NP establishes files to evaluate and manage patients before hospital and visits patients after hospitalization. Then set blood glucose control goals with endocrinology and orthopedic doctors together, initiates consultation with endocrinologists for patients with postoperative hyperglycemia, and is responsible for post-hospital follow-up.

Treatment:

Other: NP-Supported Multidisciplinary Diabetes Management

Regular diabetes management

No Intervention group

Description:

The patient would go to the endocrinology outpatient clinic before hospitalization to regulate blood glucose, and be managed by by orthopedic medical staff through hospitalization. If necessary, the endocrinologist is consulted. And after the hospital, patients would be followed up by orthopedic medical staff.