电话随访在初始使用甘精胰岛素患者延续护理中的应用  

Application of telephone follow-up on the initial use of insulin glargine in patients with extended care

作　　者：高俊香[1] 康烁[1] 王丽娟[1] 张力辉[1] 郭立梅[1] 张兴[1] 王艺璇[1] 

机构地区：[1]河北医科大学第二医院内分泌科, 石家庄050000

出　　处：《中华现代护理杂志》2015年第36期4385-4387,共3页Chinese Journal of Modern Nursing

基　　金：河北省医学科学研究重点课题（20130501）

摘　　要：目的：探讨电话随访对初始使用甘精胰岛素患者的血糖控制及治疗依从性的影响。方法将100例住院初始使用甘精胰岛素的患者按照随机数字表法分为对照组与观察组各50例。对照组给予常规出院指导，观察组在此基础上采用医护合作的为期3个月的5次电话随访干预，两组均随访3个月，分别在干预前、干预后3个月评估患者的空腹血糖、糖化血红蛋白水平及治疗依从性。结果干预前两组患者空腹血糖、糖化血红蛋白差异无统计学意义（P〈0.05），观察组干预后3个月患者的空腹血糖低于对照组，干预后观察组的糖化血红蛋白低于对照组，差异均有统计学意义（P〈0.05）；干预3个月后观察组的饮食、胰岛素注射、血糖监测依从性好的例数高于对照组，差异有统计学意义（P〈0.05）；运动行为的依从性比较，差异无统计学意义（P〉0.05）。结论电话随访能提高患者的治疗依从性，有利于出院后初始使用甘精胰岛素患者的血糖控制。Objective To evaluate the effects of the telephone follow-up on blood glucose and treatment compliance among patients with the initial use of insulin glargine. Methods A total of 100 inpatients with the initial use of insulin glargine were randomly assigned to a control group and an observation group according to the random number table method, with 50 cases each. The patients of control group received routine discharge guidance, while the patients of observation group received 5 times telephone follow-up leading by doctors and nurses in three months. Patients in both groups were followed up 3 months, and their fasting blood glucose, glycated hemoglobin （ HbA1c）, and treatment compliance were measured before and 3 months after the intervention. Results There was no statistically significant difference in fasting blood glucose and values of HbA1c between two groups before the intervention （P 〉0. 05）. The fasting blood glucose in the observation group was lower than that of the control group after 3 months intervention, and the Values of HbA1c in the observation group was lower than that of the control group after intervention （P〈0. 05）; the behavior of diet, blood glucose monitoring, insulin treatment compliance in the observation group better than those in the control group （P〈0. 05）. The Compliance of exercise behavior in the observation group had no significant difference with that of the control group （ P〉0. 05 ）. Conclusions Telephone follow-up can improve patient′s compliance, which is favorable for glycemic control after discharge in patients with the initial use insulin glargine.

关 键 词：糖尿病 血糖自我监测 电话随访 胰岛素 延续护理 

分 类 号：R473.5[医药卫生—护理学]