粗盐热疗法对老年2型糖尿病患者胰岛素注射致皮下硬结的疗效观察  

The effects of the crude salt thermotherapy on lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes

作　　者：熊桂芝 王爱民[2] XIONG Gui-zhi;WANG Ai-min(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou,350122)

机构地区：[1]福建中医药大学护理学院,福州市350122 [2]南京军区福州总医院内分泌科

出　　处：《中华护理教育》2019年第2期90-93,共4页Chinese Journal of Nursing Education

摘　　要：目的观察粗盐热疗法对老年2型糖尿病患者胰岛素注射致皮下硬结的效果。方法前期动态观察自制粗盐包经微波炉不同火力加热2 min后温度的变化情况,选用适宜温度。对纳入研究的34例老年2型糖尿病胰岛素注射致皮下硬结患者,在常规教育指导的基础上,采用粗盐包热敷于皮下硬结处,干预2周,比较干预前后患者硬结的直径大小,评价有效率,评价患者粗盐热疗的舒适度。结果干预后,患者皮下硬结直径(5.36±4.17) mm,小于干预前的(12.78±4.21) mm,差异有统计学意义(t=1.682,P=0.006);有效率为88.2%(30/34);患者粗盐热疗过程中感觉舒适者32例(94.1%),轻度不舒适者2例(5.9%)。结论采用粗盐热敷包进行局部热疗,取材方便,操作简单,患者舒适,能较好地促进老年2型糖尿病患者胰岛素注射所致的皮下硬结消散。Objective To observe the effects of crude salt thermotherapy on lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.Methods The change of temperature of self-made crude salt package heated by microwave oven for 2 minutes was observed dynamically at first and the appropriate temperature was selected based on the initial observation.The lipohypertrophy caused by insulin injection in 34 elderly patients with type 2 diabetes was identified in the study.On the basis of routine diabetes health education,crude salt thermotherapy was used to alleviate the severity of lipohypertrophy.The duration of the intervention lasted for 2 weeks.The diameter of patient's lipohypertrophy was measured and analyzed before and after the intervention.Besides,patients'comfor-table level was also assessed.Results After the thermotherapy,the diameter of lipohypertrophy was(12.78±4.21)mm,which was significantly smaller than that of(5.36±4.17)mm before the intervention(P<0.01).The total effective rates was 88.2%(30/34).During the procedure,94.1%of the subjects reported the process of thermotherapy was comfortable while discomfort experience was also received from 5.9%participants.Conclusion The crude salt thermotherapy is convenient and easy.It can improve patients',comfortable experience and alleviate the size of lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.

关 键 词：老年人 糖尿病 2型 胰岛素 注射 皮下 热敷 粗盐 

分 类 号：R473.5[医药卫生—护理学]