2型糖尿病患者应用Orem自理模式护理的效果观察  

Observation on the effect of using insulin pump in 109 patients with type 2 diabetes mellitus using Orem self-care theory

作　　者：黄秀娟[1] Huang Xiujuan(Dongguan People’s Hospital,Dongguan,Guangdong 523059,China)

机构地区：[1]东莞市人民医院内分泌科,广东东莞523059

出　　处：《医药前沿》2020年第10期173-174,共2页Journal of Frontiers of Medicine

摘　　要：目的:增强初次使用胰岛素泵强化治疗的2型糖尿病患者的自理能力,探讨Orem自理模式在胰岛素泵使用中的效果。方法:选取218例初次使用胰岛素泵强化治疗的2型糖尿病患者,随机分为对照组(109例,使用常规胰岛素泵护理方式)与实验组(109例,应用Orem自理模式护理),比较两组患者出院时血糖控制及不良反应情况,并以糖尿病控制状况评价量表评估患者的综合控制状态。结果:实验组的血糖控制情况及糖尿病控制状况评价量表得分均较对照组好,而实验组的不良反应发生率较对照组低,差异均具有统计学意义(P<0.05)。结论:Orem自理模式显著优于常规胰岛素泵护理模式。可提升患者自理能力,减少不良反应,并可使患者拥有较好的生活质量及疾病知识。Objective Enhance the self-care ability of type 2 diabetes mellitus patients who received intensive insulin pump treatment for the first time,and exploring the effect of Orem self-care theory in the use of insulin pump.Methods 218 patients with type 2 diabetes who were first treated with intensive insulin pump were randomly divided into control group(109 cases,routine insulin pump nursing)and experimental group(109 cases,Orem self-care nursing).Blood glucose control and adverse reactions were compared between the two groups at discharge,and the comprehensive control state was assessed by the CSSD70.Results The scores of glycemic control and CSSD70 in the experimental group were better than those in the control group,while the incidence of adverse reactions in the experimental group was lower than that in the control group.The difference has statistical significance(P<0.05).Conclusion Orem self-care theory can improve patients'self-care ability,reduce adverse reactions,and enable patients to have better quality of life and disease knowledge.

关 键 词：OREM自理模式 2型糖尿病 胰岛素泵 

分 类 号：R473[医药卫生—护理学]