胰岛素泵与胰岛素多次皮下注射对强化治疗的2型糖尿病患者知信行的影响  

Effects of Insulin Pump and Multiple Subcutaneous Injections of Insulin on Knowledge and Behavior of Intensively Treated Type 2 Diabetes Patients

作　　者：李小芬 LI Xiao-fen(Jiangyan Traditional Chinese Medicine Hospital,Taizhou,Jiangsu Province,225512 China)

机构地区：[1]江苏省泰州市姜堰中医院,江苏泰州225512

出　　处：《糖尿病新世界》2020年第16期68-70,共3页Diabetes New World Magazine

摘　　要：目的探讨胰岛素泵与胰岛素多次皮下注射对强化治疗的2型糖尿病患者知信行的影响。方法选取泰州地区姜堰中医院收治就诊的80例2型糖尿病强化治疗的患者分别进行胰岛素泵持续皮下输注和胰岛素皮下多次注射干预治疗,以随机数字表法分为实验组与对照组,每组40例,并同时对两组进行糖尿病相关自我管理知识的宣教和护理干预,观察糖尿病患者知信行的变化,出院后患者自我管理行为的变化,运用统计学方法分别对胰岛素泵持续皮下输注组和胰岛素皮下多次注射组进行分析,从而评价胰岛素泵持续皮下输注对患者的影响。结果实验组患者空腹取血糖,血糖的平均水平低于对照组,实验组患者血糖控制达标水平高于对照组的血糖控制达标水平。两组患者经过护理干预后,患者增加了对抗疾病的信心,提高患者的遵医行为,实验组明显高于对照组,差异有统计学意义(P<0.05)。结论胰岛素泵持续皮下注射干预治疗结合护理干预对于2型糖尿病患者知信行有良性影响,有助于患者提高自我管理控制能力,提高自身血糖控制水平。Objective To explore the effect of insulin pump and multiple subcutaneous injections of insulin on knowledge and behavior of patients with type 2 diabetes undergoing intensive treatment.Methods Eighty patients with intensive treatment of type 2 diabetes admitted to Jiangyan Traditional Chinese Medicine Hospital in Taizhou were treated with continuous subcutaneous insulin pump infusion and multiple subcutaneous insulin injection interventions,and were divided into experimental group and control group by random number table method.40 case patients in each group,and conducted diabetes education and nursing interventions in both groups at the same time.Observed the changes of knowledge and behavior of patients with diabetes.The changes of self-management behaviors of patients after discharge from hospital.Statistical methods were used to analyze the insulin pump continuous subcutaneous infusion group and the insulin multiple subcutaneous infusion group separately in order to evaluate the impact of insulin pump continuous subcutaneous infusion on patients.Results The blood glucose of the experimental group was taken on an empty stomach.The average blood glucose level was lower than that of the control group.The blood glucose control level of the experimental group was higher than that of the control group.After nursing intervention,the two groups of patients increased their confidence in fighting diseases and improved their compliance with the doctor.The experimental group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion Insulin pump continuous subcutaneous injection intervention combined with nursing intervention has a benign effect on the knowledge and behavior of patients with type 2 diabetes,which can help patients improve their self-management and control ability and improve their own blood glucose control level.

关 键 词：知信行 2型糖尿病 胰岛素泵 血糖水平 

分 类 号：R587.1[医药卫生—内分泌]