International Journal of Nursing Research

Objective To explore the nursing effect of continuous intravenous insulin infusion via pump in emergency patients with Hyperosmolar Hyperglycemic State (HHS), and to clarify the impact of this intervention on patients' blood glucose control efficiency, complication rate and length of hospital stay. Methods A total of 100 HHS patients admitted to the emergency department of our hospital from January 2024 to December 2024 were selected as the research objects. They were divided into the experimental group (50 cases) and the control group (50 cases) by random number table method. The control group received conventional intravenous insulin infusion combined with routine nursing, while the experimental group received continuous intravenous insulin infusion via pump combined with targeted nursing (including pump maintenance, dynamic blood glucose monitoring, complication prevention, etc.). The time to reach target blood glucose, incidence of hypoglycemia within 72 hours of treatment, length of hospital stay and incidence of Multiple Organ Dysfunction Syndrome (MODS) were compared between the two groups. Results The time to reach target blood glucose in the experimental group was (12.3±2.5) hours, which was significantly shorter than that in the control group [(20.1±3.8) hours] (P＜0.05); the incidence of hypoglycemia within 72 hours of treatment in the experimental group was 4.0% (2/50), which was lower than that in the control group [18.0% (9/50)] (P＜0.05); the incidence of MODS in the experimental group was 2.0% (1/50), which was lower than that in the control group [12.0% (6/50)] (P＜0.05). Conclusion The application of continuous intravenous insulin infusion via pump combined with targeted nursing in emergency HHS patients can accelerate the speed of reaching target blood glucose, reduce the incidence of hypoglycemia and MODS, and shorten the length of hospital stay, which has significant clinical application value.

Continuous intravenous insulin infusion via pump; Emergency department; Hyperosmolar hyperglycemic state; Blood glucose control