糖尿病患者院外持续皮下胰岛素泵治疗体验的质性研究  

A qualitative study on treatment experience of diabetic patients towards continuous use of insulin pump outside the hospital

作　　者：杨晓飞[1] 关守萍[1] 欧杨[1] 苏恒[1] 张虹[1] Yang Xiaofei;Guan Shouping;Ou Yang;Su Heng;Zhang Hong(Department of Endocrinology,The First People′s Hospital of Yunnan Province,Kunming 650031, China)

机构地区：[1]云南省第一人民医院/昆明理工大学附属医院内分泌科,云南昆明650031

出　　处：《护理学杂志》2018年第11期94-96,共3页Journal of Nursing Science

基　　金：云南省2013年省级临床重点专科建设项目基金资助课题(云卫医政发[2014]19号文)

摘　　要：目的探讨糖尿病患者院外持续皮下胰岛素泵治疗自我照护的真实体验,为针对性护理干预提供参考。方法对13例院外持续皮下胰岛素泵治疗≥6个月的患者进行一对一深入访谈,采用现象学方法整理分析资料、提炼主题。结果提炼出对持续皮下胰岛素泵治疗缺乏正确认知,血糖监测及给药不规范,专业支持欠缺及自我应对不足,面临多重压力4个主题。结论糖尿病患者自我照护能力不足,缺乏有效信息,且心理压力大。需完善延续性护理模式,健全社会支持服务系统,从而提高患者自我照护能力。Objective To delineate subjective experience in continuous use of insulin pump outside the hospital in patients with diabetes mellitus,and to provide reference for targeted intervention.Methods Individual in-depth interviews were conducted on 13 diabetic patients who have used insulin pump outside the hospital≥6 months.Phenomenological method was used to analyze the data and identify the themes.Results Four themes were identified：lack of awareness of continuous insulin pump use,poor blood glucose monitoring and irregular insulin administration,lack of professional support and coping strategy,and facing multiple stress.Conclusion Patients lack self-care ability and professional information and experience severe stress.It is necessary to improve the continuity of nursing practice and the social support networks,thus to enhance patients′self-care ability.

关 键 词：糖尿病 胰岛素泵 居家治疗 自我照顾 血糖监测 质性研究 

分 类 号：R473.5[医药卫生—护理学] R473.2[医药卫生—临床医学]