奥马哈系统干预模式对接受实时动态血糖监测联合持续皮下注射胰岛素疗法的2型糖尿病患者的影响  

The effect of Omaha system intervention mode on type 2 diabetic patients receiving real-time dynamic blood glucose monitoring and continuous subcutaneous insulin therapy

作　　者：郭风先[1] 马晓鑫 胡广倩 宋润珞[1] Guo Fengxian;Ma Xiaoxin;Hu Guangqian;Song Runluo(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471003)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471003

出　　处：《护士进修杂志》2020年第22期2039-2043,共5页Journal of Nurses Training

基　　金：河南省高等学校重点科研计划资助项目(编号:18A320028)。

摘　　要：目的探讨奥马哈系统干预模式对接受实时动态血糖监测(CGMS)联合持续皮下注射胰岛素(CSII)治疗2型糖尿病(T2DM)患者的影响。方法选择2016年2月-2017年2月我院收治的98例T2DM患者为研究对象。采用随机数字表法将所有患者分为常规护理组和奥马哈护理组,每组各49例,前者接受常规护理,后者则在前者的基础上实施奥马哈系统干预模式。观察两组患者干预前及干预后3个月的血糖控制情况,记录空腹血糖(FBG)、餐后2 h血糖(2hPG)以及胰岛素用量,比较并评估两组患者对疾病的认知水平评分(AKDnowl)、生活质量评分(DSQL)、应对方式评分(MCMQ)。结果干预3个月后,奥马哈护理组患者FBG及2hPG指标显著低于常规护理组(P<0.05),胰岛素用量也明显小于常规护理组(P<0.05);AKDnowl评分、DSQL评分以及MCMQ评分均显著高于常规护理组,差异有统计学意义(P<0.05)。结论针对T2DM患者,采取奥马哈系统干预模式,能明显控制患者血糖水平,拓宽患者知识面,提高患者的生活质量及对疾病的应对能力。Objective To study the effect of Omaha system intervention mode on the treatment of type 2 diabetes mellitus(T2DM)patients with continuous subcutaneous injection of insulin(CSII)combined with real-time continuous glucose monitoring(CGMS).Methods 98 patients with T2DM admitted to our hospital from February 2016 to February 2017 were selected as the study objects.All patients were divided into routine nursing group and Omaha nursing group by random number table.Each group had 49 cases.The former received routine nursing,while the latter carried out Omaha system intervention mode on the basis of the former.Blood glucose control before and 3 months after intervention was observed in the two groups.Fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPG)and insulin dosage were recorded.The cognitive level score(AKDnowl),quality of life score(DSQL)and coping style score(MCMQ)of the two groups were compared and evaluated.Results After 3 months of intervention,the FBG and 2hPG indexes in Omaha group were significantly lower than those in the conventional group(P<0.05),the insulin dosage was also significantly lower than that in the conventional group(P<0.05),the ADKnowl score,DSQL score and MCMQ score were significantly higher than those in the conventional group(P<0.05).Conclusion For T2DM patients,the effect of Omaha system intervention is significant,which can significantly control the blood glucose level,broaden the knowledge of patients,improve the quality of life of patients and the ability to deal with diseases.

关 键 词：奥马哈系统干预模式 2型糖尿病 动态血糖监测 胰岛素疗法 皮下注射 

分 类 号：R473.58[医药卫生—护理学]