院外人性化关怀对1型糖尿病患者综合管理的影响  

Effect of the humanized nursing care on type 1 diabetes management outside the hospital

作　　者：李洁凌[1] 钟舒琴 古东海[1] 阙飞燕 周雪满 LI Jieling;ZHONG Shuqin;GU Donghai;QUE Feiyan;ZHOU Xueman.(Endocrinology and Metabolism Department of the Maoming People＇s Hospital, Maoming 525000, Chin)

机构地区：[1]茂名市人民医院内分泌科,广东茂名525000

出　　处：《实用医学杂志》2018年第8期1380-1382,共3页The Journal of Practical Medicine

摘　　要：目的评价院外人性化关怀对1型糖尿病(T1DM)患者的血糖、血脂控制达标率及糖尿病酮症酸中毒发生率的影响。方法纳入符合标准的T1DM患者50例,进行院外人性化关怀,干预前后分别收集患者1年内的HbA1c、LDL-C、HDL-C、TG及糖尿病酮症酸中毒发生次数等数据,进行整理及统计学分析。结果以HbA1c<6.5%、LDL-C<2.6 mmol/L为控制目标。进行院外人性化关怀后,T1DM患者的血糖、血脂控制达标率分别由32.0%、22.0%提高至60.0%、80.0%,DKA的发生率由40.0%降至16.0%,差异均具有统计学意义(P<0.05)。结论实施院外人性化关怀有利于提高T1DM患者血糖、血脂综合控制达标率,降低糖尿病酮症酸中毒的发生率。Objective To investigate the effect of the humanized care on the blood glucose, blood lipidand diabetic ketoacidosis control of type 1 diabetes patients outside the hospital. Methods Fifty type 1 diabetespatients were enrolled in this study, aged from 18 to 30 years old, outside the hospital. The duration of this studywas from Mar 2009 to Jan 2016. The clinical and laboratory data of patients, including HbA1c, LDL-C, HDL-C, TGand diabetic ketoacidosis were collected and analyzed. Results About 60.0% and 80.0% of type 1 diabetes pa-tients achieved the goals of contorlling glycemia（HbA1c 6.5%） and dyslipidemia（LDL-C 2.6 mmol/L） respec-tively, after receiving the humanized care outside the hospital, while only 32.0% and 22.0% of type 1 diabetes pa-tients achieved these goals before. Moreover, after receiving the humanized care outside the hospital, only 16.0% oftype 1 diabetes patients suffered from diabetic ketoacidosis which was 40.0% before. Conclusions The humanizedcare outside the hospital can help patients to acheive the goals of contorlling glycemia and dyslipidemia among thetype 1 diabetes. Besides, it contributes to reduce the incidence rate of the diabetic ketoacidosis.

关 键 词：1型糖尿病 人性化关怀 血糖 血脂 糖尿病酮症酸中毒 

分 类 号：R473.5[医药卫生—护理学]