胰岛素注射自主实践反馈对老年糖尿病血糖控制及自我应对影响  

Effect of self-practice feedback of insulin injection on blood glucose control and self-response in elderly patients with diabetes

作　　者：李翠珍 胡海晴 Li Cuizhen;Hu Haiqing(Department of Nursing, Jiawang District People's Hospital, Xuzhou, Jiangsu 221011;Department of Endocrinology, Jiawang District People's Hospital, Xuzhou, Jiangsu 221011)

机构地区：[1]江苏省徐州市贾汪区人民医院护理部,江苏徐州221011 [2]江苏省徐州市贾汪区人民医院内分泌科,江苏徐州221011

出　　处：《中外女性健康研究》2020年第4期1-2,79,共3页Women＇s Health Research

摘　　要：目的:探讨老年糖尿病起始胰岛素治疗患者接受自主实践及反馈式胰岛素注射训练对其远期血糖控制水平及自我医学应对能力的影响。方法:选取2017年1月至2019年5月本院内分泌科收治的50例60岁以上糖尿病起始胰岛素治疗患者为研究对象,随机分为对照组(n=24)和观察组(n=26)。对照组在院期间实施床边胰岛素注射操作流程式示范教育,观察组在对照组基础上给予集中示范后自主实践实战演练及反馈。对比两组出院后3个月的血糖控制水平和自我医学应对能力。结果:出院当天,两组空腹血糖(FPG)、餐后2h血糖(P2h-PG)和糖化血红蛋白(HbAlc)水平比较无明显差异(P>0.05);出院3个月跟踪监测显示,观察组患者FPG、P2h-PG和HbAlc控制水平均明显优于对照组;观察组自我医学应对条目中面对、乐观、支持、依靠自我4个项目得分均明显高于对照组,宿命、逃避、情感宣泄、姑息4个项目明显低于对照组,差异均有统计学意义(P<0.05)。结论:老年糖尿病起始胰岛素治疗患者住院期间接受自主实践胰岛素注射技巧操作训练并进行反馈,可明显提高患者自我胰岛素注射技巧,促进患者远期血糖控制和自我医学应对达到理想水平。Objective:To investigate the effects of autonomous practice and feedback insulin injection training on long-term glycemic control and self-medical coping ability in elderly patients with diabetes mellitus.Methods:A total of 50 patients with insulin-initiated insulin therapy in our hospital from January 2017 to May 2019 were randomly divided into control group(n=24)and observation group(n=26).In the control group,a demonstration experiment of bedside insulin injection operation was carried out during the hospital.The observation group gave a self-practice practice drill and feedback after the demonstration on the basis of the control group.The blood glucose control level and self-medical coping ability of the two groups after 3 months of discharge were compared.Results:On the day of discharge,there were no significant differences in fasting blood glucose(FPG),postprandial 2h blood glucose(P2h-PG)and glycosylated hemoglobin(HbAlc)levels between the two groups(P>0.05).Three months of follow-up monitoring showed that the observation group patients had FPG.The P2h-PG and HbAlc control levels were significantly better than the control group;the observation,optimism,support,and self-reliance of the self-medical response items in the observation group were significantly higher than those of the control group,fate,escape,emotional catharsis,palliative The project items were significantly lower than the control group,and the differences were statistically significant(P<0.05).Conclusion:Patients with senile diabetes-initiated insulin therapy undergoing self-administered insulin injection technique training and feedback during hospitalization can significantly improve their self-insulin injection skills and promote long-term glycemic control and self-medication response to achieve ideal levels.

关 键 词：老年糖尿病 注射技巧 自主实践 反馈 血糖控制 医学应对 

分 类 号：R58[医药卫生—内分泌]