健康教育管理在糖尿病胰岛素泵治疗患者中的应用  

Application of health education management in diabetics with insulin pump therapy

作　　者：王静[1] Wang Jing(Department of Endocrinology,Beijing Jishuitan Hospital,Beijing 100096,China)

机构地区：[1]北京积水潭医院内分泌科,100096

出　　处：《中华现代护理杂志》2020年第26期3567-3571,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨健康教育管理在糖尿病胰岛素泵治疗患者中的应用效果。方法采用便利抽样法,选取2018年1月-2019年6月在某三级医院内分泌科住院且采用胰岛素泵治疗的129例糖尿病患者为研究对象,随机分为对照组(64例)和试验组(65例)。对照组采用常规护理模式进行护理,试验组患者在常规护理基础上采用健康教育管理进行护理干预。出院6个月时,比较两组患者的血糖指标、胰岛素泵相关知识及技能掌握情况、不良事件发生情况及自我管理水平。结果出院6个月时,试验组患者的空腹血糖为(6.13±1.64)mmol/L,糖化血红蛋白为(6.89±0.93)%,低于对照组的(6.86±1.72)mmol/L、(7.42±1.14)%,差异有统计学意义(t值分别为2.467、2.895;P<0.05);试验组的胰岛素泵相关知识及技能掌握水平优于对照组,差异有统计学意义(Z=2.763,P<0.01);试验组患者的低血糖、高血糖及泵不良事件的发生率低于对照组,差异有统计学意义(P<0.05);试验组的自我管理评分高于对照组,差异有统计学意义(t=2.845,P<0.01)。结论健康教育管理能帮助患者建立良好的生活习惯,提高糖尿病患者的自我管理水平,值得临床推广应用。Objective To explore the effects of health education management in diabetics with insulin pump therapy.Methods From January 2018 to June 2019,we selected 129 diabetic patients with insulin pump hospitalized in the Department of Endocrinology of a ClassⅢGrade A hospital as research objects.All patients were randomly divided into control group(n=64)and experimental group(n=65).Control group carried out routine nursing,and experimental group implemented health education management for nursing intervention on the basis of routine nursing.We compared blood glucose,insulin pump-related knowledge and skills,occurrence of adverse events and levels of self-management of patients between two groups 6 months after discharge.Results At 6 months after discharge,the fasting blood glucose and glycosylated hemoglobin of patients in experimental group were(6.13±1.64)mmol/L and(6.89±0.93)%respectively lower than those[(6.86±1.72)mmol/L and(7.42±1.14)%]in control group with statistically significant differences(t=2.467,2.895;P<0.05).The insulin pump-related knowledge and skills of experimental group was better than that of control group with a statistical difference(Z=2.763,P<0.01).The incidence of hypoglycemia,hyperglycemia and pump adverse events in experimental group was lower than that in control group also with a statistical difference(P<0.05).The score of self-management of experimental group was higher than that of control group with a statistical difference(t=2.845,P<0.01).Conclusions Health education management can help patients establish good living habits and improve the level of self-management of diabetics,which is worthy of clinical application.

关 键 词：糖尿病 健康教育 胰岛素泵 自我管理 

分 类 号：R473.5[医药卫生—护理学]