护理干预胰岛素泵治疗对老年糖尿病患者的血糖及不良心理的影响  

Improvement effect of nursing intervention insulin pump treatment on the blood glucose and bad psychology of the aged diabetics

作　　者：文晓玲[1] Wen Xiaoling;General Department;Yichang(First People＇s Hospital of People＇s Hospital of Three Gorges University, Yichang 443000, Chin)

机构地区：[1]三峡大学人民医院宜昌市第一人民医院综合科,湖北宜昌443000

出　　处：《国际护理学杂志》2018年第8期1016-1020,共5页international journal of nursing

摘　　要：目的探讨护理干预胰岛素泵治疗老年糖尿病患者的血糖及不良心理改善的效果。方法选取2016年1-12月于该院接受治疗的老年糖尿病患者80例为研究对象，按照自愿原则，将其均分为观察组和对照组，各40例。对照组采取常规护理胰岛素泵治疗，观察组在对照组基础上采取护理干预进行治疗。比较两组患者血糖水平、不良心理情况及治疗后血糖控制情况。结果观察组空腹血糖（13．65±1．63）mmol/L降至（5．21±1．05）mmol/L，对照组（14．02±1．92）mmol/L降至（6．72±1．90）mmol/L；观察组餐后2h血糖水平从（15．02±3．22）mmol／，L降至（7．11±1．88）mmol/L，对照组（16．00±4．29）mmol／，L降至（9．27±2．37）mmol／L，观察组的血糖水平明显优于对照组，差异均有统计学意义（均P〈0．05）。观察组使用胰岛素剂量为（46．88±1．69）U／d，血糖达标时间为（3．52±0．85）d；对照组胰岛素用量为（61．04±2．05）U／d，血糖达标时间为（5．26±1．16）d，可见，观察组胰岛素用量明显少于对照组，血糖达标时间明显短于对照组，差异均有统计学意义（均P〈0．05）。治疗前两组患者的不良心理比较，差异无统计学意义（P〉0．05），治疗后，观察组S—AI评分降低至（29．21±1．05）分，对照组降低至（47．72±1．90）分；观察组的D—AI评分降低至（29．11±5．88）分，对照组降低至（46．27±9．37）分，观察组不良心理情况变化明显优于对照组，差异均有统计学意义（均P〈0．95）。结论护理干预胰岛素泵能有效控制血糖，快速降低患者空腹血糖及餐后2h血糖水平，减少胰岛素使用量，缩短血糖达标时间，有效降低了患者不良心理障碍，改善了患者不良心理，安全性高、疗效显著。Objective To explore the improvement effect of nursing intervention insulin pump treatment on the blood glucose and bad psychology of the aged diabetics. Methods A total of 80 aged diabetics that received treatment in this hospital from January to December 2016 were selected as study objects. According to the principle of voluntari- ness, they were divided into observation group and control group （40 cases each）. Conventional nursing intervention insulin pump treatment was applied to control group, and nursing intervention was conducted to observation group based on control group for treatment to compare the blood glucose level, bad psychology condition and posttreatment blood glu- cose control condition of patients in both groups. Results Fasting blood-glucose of observation group fell from （13.65±1.63） mmol/L to （5.21±1.05） mmol/L. The blood glucose level of observation group fell from （15.02± 3.22） mmol/L to （7.11±1.88） mmol/L 2 hours after the meal. The insulin dose of observation group was （46.88± 1.69） U/d, and the time of glucose reaching the standard was （3.52±0. 85） days. The insulin dose of control group was （61.04±2. 05） U/d, and the time of blood glucose reaching the standard was （5.26---1.16） days. Obviously, the insulin dose of observation group was less than control group. The time of blood glucose reaching the standard was significantly shorter than control group. Compared with the bad psychology of patients in both groups before treatment, the difference had no statistical significance （P 〉 0. 05 ）. After treatment, S-AI score of observation group fell to （29.21±1.05）, and control group fell to （47.72±1.90）. The bad psychology changes of observation group were su- perior to control group, and the differences were statistically significant （P〈0. 05）. Conclusions The insulin pump of nursing intervention can effectively control blood glucose, quickly reduce the fasting blood-glucose and blood glucose level 2 hours after meal for the pa

关 键 词：护理干预胰岛素泵 糖尿病 血糖 不良心理 

分 类 号：R473.5[医药卫生—护理学]