Contemporary Nursing

Objective To explore the application effect of comprehensive nursing intervention based on early identification of complications in elderly diabetic patients and evaluate its impact on the incidence of complications, blood glucose control levels, and nursing compliance. Methods Sixty-eight elderly diabetic patients admitted to a certain hospital from January 2024 to December 2025 were selected and divided into a control group and an observation group using the random number table method, with 34 cases in each group. The control group received routine diabetic care management, while the observation group received early identification of complications and systematic nursing intervention on the basis of routine care. The incidence of complications, blood glucose control levels (fasting blood glucose, 2-hour postprandial blood glucose), self-management ability scores, and nursing satisfaction of the two groups after nursing intervention were compared. Results After intervention, the incidence of complications in the observation group was 11.76% (4/34), significantly lower than that in the control group (29.41%, 10/34) (χ2 = 4.08, P = 0.043). The fasting blood glucose (6.52±0.84) mmol/L and 2-hour postprandial blood glucose (8.76±1.12) mmol/L in the observation group were lower than those in the control group (7.68±1.02) mmol/L and (10.15±1.36) mmol/L (P < 0.05). Conclusion Implementing early identification of complications and comprehensive nursing intervention for elderly diabetic patients can effectively reduce the incidence of complications, improve blood glucose control levels, and enhance patients' self-management ability, demonstrating good clinical application value.

Elderly diabetes; Complications; Early identification; Nursing intervention; Blood glucose control