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| Application Effect of Hypoglycemia Risk Stratified Management Intervention Based on the Andrew Scale in Elderly Patients with Diabetes Mellitus |
| ZHU Mingjun |
| Department of General Medicine,the First Affiliated Hospital of Henan University of Science and Technology, Luoyang Henan 471003 |
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Abstract 【Objective】To explore the application effect of hypoglycemia risk stratified management based on the Andrew Scale in elderly patients with diabetes mellitus.【Methods】A total of 112 elderly patients with diabetes mellitus diagnosed and treated at the First Affiliated Hospital of Henan University of Science and Technology from December 2021 to December 2024 were selected and divided into a control group and an observation group using a random number table method, with 56 cases in each group. The control group received routine nursing management intervention, and the observation group received hypoglycemia risk stratified management intervention based on the Andrew Scale. The incidence of hypoglycemia, mastery of hypoglycemia knowledge, glycemic indicators [fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPPG), glycosylated hemoglobin], and nursing satisfaction were compared between the two groups.【Results】The incidence of hypoglycemia in the observation group was lower than that in the control group, and nursing satisfaction was higher than that in the control group, with statistically significant differences (all P<0.05). After nursing, the scores of mastery of knowledge regarding the causes, symptoms, harms, management, and prevention of hypoglycemia in both groups were higher than those before nursing, and the scores in the observation group were higher than those in the control group, with statistically significant differences (all P<0.05). After nursing, the levels of FPG, 2hPPG, and glycosylated hemoglobin in both groups were lower than those before nursing, and the levels in the observation group were lower than those in the control group, with statistically significant differences (all P<0.05).【Conclusion】The hypoglycemia risk stratified management intervention based on the Andrew Scale applied to elderly patients with diabetes mellitus can effectively control blood glucose levels and reduce the incidence of hypoglycemia, as well as improve patients' mastery of hypoglycemia knowledge and nursing satisfaction.
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Received: 04 July 2025
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2026, Vol. 43 
