动态血糖监测联合心理干预对糖尿病患者的改善分析  

Effect of dynamic glucose monitoring combined with psychological intervention on blood glucose change in diabetic patients

作　　者：张之英[1] 刁和凤[1] Zhang Zhiying;Diao Hefeng(Department of Endocrinology,Nanjing Medical University Affiliated Hospital（ Nanjing First Hospital)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)内分泌科,南京210000

出　　处：《重庆医科大学学报》2018年第6期804-807,共4页Journal of Chongqing Medical University

摘　　要：目的:探讨分析动态血糖监测系统监测糖尿病患者血糖变化的精确性以及给予心理护理干预的作用。方法:选取我院从2014年2月至2016年4月收治的190例糖尿病患者选取为此次研究对象,应用数字随机法将其分为对照组(n=95)与研究组(n=95),对照组患者应用血糖监测仪监测血糖变化并给予患者常规护理,研究组患者采用动态血糖监测系统(continuous glucose monitoring system,CGMS),在此基础上加以心理护理干预,对比2组患者血糖变化监测的准确性,分析不同护理干预模式对患者的影响作用。结果:研究组患者监测准确率高于对照组患者,即Clarke EGA指标分析结果显示A/B点位占比95.8%,高于对照组83.2%(χ2=8.047,P=0.005);研究组患者血糖水平控制效果优于对照组且SAS评分[(20.4±5.8)分]、SDS评分[(19.3±1.5)分]均明显低于对照组患者SAS评分[(51.2±10.4)分]、SDS评分[(55.7±3.6)分](t=25.210,P=0.000;t=90.970,P=0.000),组间数据比较差异均有统计学意义(P<0.05)。结论:CGMS对于糖尿病患者的血糖变化检测准确性更高,心理护理干预能够消除患者负性情绪,对于血糖控制有一定的积极作用。Objective：To investigate the accuracy of dynamic blood glucose monitoring system in monitoring blood glucose changes in diabetic patients and the role of psychological nursing intervention. Methods：Totally 190 diabetic patients enrolled in our hospital from February 2014 to April 2016 were selected as the research object and all patients were divided into the control group（n=95） and study group（n=95） according to the random number method. In the control group,the blood glucose monitor was used to monitor the changes of blood glucose and the patients were treated with routine nursing. The patients in the study group were treated with the continuous glucose monitoring system（CGMS） combined with psychological nursing intervention. The accuracy of blood glucose mon- itoring was compared between the two groups, and the influence of different nursing intervention modes on the patients was analyzed. Results：The monitoring accuracy of the study group was higher than that of the control group. The analysis of Clarke EGA index showed that A/B level accounted for 95.8%,higher than 83.2% of control group（X^2=8.047,P=0.005）. The control effect of blood glu- cose level in the study group was better than that of the coritrol group and the SAS score（20.4± 5.8） and SDS score（ 19.3 ± 1.5） were significantly lower than those of the control group of SAS score（51.2 ± 10.4） and SDS score（55.7 ± 3.6）（t=25.210,P=0.OOO;t= 90.970,P=-0.000）. There were significant differences between the two groups（P〈0.05）. Conclusion：CGMS has higher accuracy in de- tecting blood sugar changes in diabetic patients, and psychological nursing intervention can eliminate negative emotions and has posi- tive effects on blood sugar control.

关 键 词：动态血糖监测系统 糖尿病 血糖变化 护理干预 

分 类 号：R587.1[医药卫生—内分泌]