短期持续皮下胰岛素输注后初发2型糖尿病患者自我管理行为的调查  

作　　者：陈霭玲[1] 梁碧宁[1] 冯怿霞[1] 成守珍[1] 

机构地区：[1]中山大学附属第一医院内分泌科,广东广州510080

出　　处：《现代临床护理》2011年第9期1-4,共4页Modern Clinical Nursing

摘　　要：目的探讨短期持续皮下胰岛素输注(continuous subcutaneous insulin infusion,CSII)后初发2型糖尿病患者自我管理行为的情况。方法对经CSII治疗后的118例初发2型糖尿病患者进行自我管理教育,分别在出院时,出院后3、6、12个月观察和了解其血糖水平控制情况,并根据血糖水平控制情况分为缓解组和治疗失效组。比较两组患者自我管理行为和生化指标变化情况。结果 65例(缓解组)患者可较好地控制血糖水平,53例(治疗失效组)患者不能较好地控制血糖水平。CSII治疗后缓解组患者的空腹血糖(FPG)和餐后2h血糖(2hBG)低于治疗失效组(均P<0.05);两组在出院时和出院后各时间段饮食执行情况比较,差异具有统计学意义(均P<0.05);运动锻炼和自我血糖监测执行情况,两组在出院时和出院后3个月比较,差异无统计学意义(均P>0.05),而两组在出院后6、12个月比较,差异具有统计学意义(均P<0.05)。结论 CSII治疗后获得临床症状缓解的初发2型糖尿病患者,其血糖控制水平与自我管理行为存在着一定的关系,良好的自我管理水平可较好地控制血糖,进而使其获得更长的临床缓解期。Objective To follow and explore the change of self-management in subjects with newly diagnosed type 2 diabetes after short-term continuous subcutaneous insulin infusion（CSII） and discontinuing medication.Methods A total of 118 newly diagnosed type 2 diabetic subjects after short-term CSII who have gained self-management education during the hospitalization,were followed up after being discharged and evaluated glycemic control at baseline,the 3rd,6th,and 12th month.The subjects were divided into remission group and nonremission group according the glycemic level,along with measurement of the differences between 2 groups about the baseline condition and the self-management behavior.Results Sixty-five subjects（defined as remission group） maintained good glycemic control for more than 1 year,and the others were shorter（defined as nonremission group） .The differences of HbA1c were significant between 2 groups throughout the follow-up（all P 0.05） .Significantly greater proportions of subjects in remission group maintained consistent diet plan at the baseline and the whole visits than those in nonremission group（all P 0.05） .For the proportion of subjects who could maintain physical exercise and self-monitoring of blood glucose,the differences were significant between two groups only at the 6th and 12th month（all P 0.05） ,but there were no significant differences between 2 groups at the baseline and the 3rd month（all P 0.05） .Conclusions The follow-up data showed that in newly diagnosed type 2 diabetic subjects after short-term CSII,glycemic control was collected with self-management behavior.Better self-management might be beneficial for longer remission.

关 键 词：2型糖尿病 短期持续皮下胰岛素输注 自我管理 

分 类 号：R587.1[医药卫生—内分泌]