住院糖尿病患者胰岛素泵带泵失败的影响因素分析  

The influencing factors of failure in insulin pump therapy application among hospitalized diabetes

作　　者：龙彩霞[1] 文玉琼[1] 黄碧珠[1] 吴燕平[1] 陈晶[1] 陈红梅[1] 

机构地区：[1]广东省人民医院/广东省医学科学院内分泌科,广州市510080

出　　处：《中国护理管理》2015年第6期702-705,共4页Chinese Nursing Management

摘　　要：目的:探讨住院糖尿病患者胰岛素泵强化治疗时发生带泵失败的影响因素及预防性护理措施。方法:选取658例应用胰岛素泵强化治疗的糖尿病患者进行研究,调查带泵失败的原因,并采用Logistic回归分析探讨带泵失败的影响因素。结果:带泵成功率为90.27%,失败率为9.73%;患者自行拔管、胰岛素泄漏、输注障碍、护士设置错误是胰岛素泵带泵失败的原因;护士的工作年限,患者的年龄、受教育程度、体质量指数、疾病因素、持续佩带胰岛素泵的时间是带泵失败的影响因素。结论:胰岛素泵带泵失败与多种因素有关。护理人员了解胰岛素泵带泵失败的影响因素,掌握胰岛素泵的操作程序,对患者进行有效的带泵知识教育,给予相应的护理对策是保证治疗顺利进行的关键。Objective： To analyze the influencing factors of failure in insulin pump intensive therapy application among hospitalized patients with diabetes, and to explore the preventive nursing interventions. Methods： We selected 658 diabetes with insulin pump intensive therapy in this study, and we used the univariate and multivariate logistic regression analysis. Results： The insulin pump success rate was 90.27%, The failure rate was 9.73%. The study found that the risk factors of failure in insulin pump therapy application included proper motion tube drawing, insulin leak, setup error by nurses. The work seniority, operation, concomitant disease （especially senile dementia）, patient＇s age, education level, body mass index, duration of wearing insulin pump were the risk factors of pump failure. Conclusion： There are many risk factors of failure in insulin pump therapy application. Nursing staff need to understand the influence factors of insulin pump failure and the operational procedures of insulin pump, give patients education associated with pump, and offer corresponding nursing intervention, which is the basic assurance of insulin pump theraov smoothlv.

关 键 词：糖尿病 胰岛素泵 带泵失败 影响因素 

分 类 号：R47[医药卫生—护理学] R473.72[医药卫生—临床医学]