结构化糖尿病教育项目在初始胰岛素治疗2型糖尿病患者中的应用  

Application of structured diabetes education program in patients with initial insulin treatment of type 2 diabetes

作　　者：衷美兰[1] 汪春霞[2] ZHONG Mei-lan;WANG Chun-xia(Department of Outpatient,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330000,China;Department of General Surgery,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330000,China)

机构地区：[1]南昌大学第四附属医院门诊部,江西南昌330000 [2]南昌大学第四附属医院普外科,江西南昌330000

出　　处：《中国当代医药》2020年第34期225-228,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20191077)。

摘　　要：目的探讨结构化糖尿病教育项目(PEP)在初始胰岛素治疗2型糖尿病患者中的应用。方法选取2018年1月~2019年1月南昌大学第四附属医院收治的100例2型糖尿病患者作为研究对象,按照随机数字表法分为PEP组(50例)与非PEP组(50例)。PEP组采用指定规律性护理和传统护理方式,非PEP组采用传统护理方式,分析比较两组的自我护理评定量表(ECCA)及生活质量量表(MLHFQ)评分。结果护理后PEP组的自护能力及生活质量评分高于非PEP组,差异有统计学意义(P<0.05)。护理后3个月,PEP组的ECCA水平高于非PEP组,差异有统计学意义(P<0.05)。PEP组护理后3个月MLHFQ评分高于非PEP组,差异有统计学意义(P<0.05)。将两组PEP组、非PEP组进行满意度比较,PEP组的总满意率为90%,非PEP组满意率为40%,PEP组护理后的满意度高于非PEP组,差异有统计学意义(P<0.05)。结论予以初始胰岛素治疗的糖尿病患者PEP方式护理效果显著,能提高其自护能力,改善其生活质量,提高护理技术水平。本研究结果支持将护理人员纳入PEP项目的护理模式。Objective To explore the application of structured diabetes education program(PEP)in the initial treatment of type 2 diabetes with insulin.Methods From January 2018 to January 2019,100 cases of patients with type 2 diabetes in the Fourth Affiliated Hospital of Nanchang University were selected as the research objects,according to the random number table method,they were divided into PEP group(50 cases)and the non PEP group(50 cases).PEP group specified by regular guidance patients nursing regularity and traditional nursing mode,the non PEP group adopted the traditional nursing method,the survey data were compared in two groups in self-care rating scale(ECCA)and quality of life scale(MLHFQ)scores.Results The scores of ECCA and MLHFQ in the PEP group were higher than those in the non-PEP group,and the differences were statistically significant(P<0.05).Three months after nursing,the ECCA level of PEP group was higher than that of non-PEP group,and the difference was statistically significant(P<0.05).The MLHFQ score of PEP group was higher than that of non PEP group 3 months after nursing,and the difference was statistically significant(P<0.05).The total satisfaction of PEP t group was 90%,and that of non PEP group was 40%.The total satisfaction of patients in PEP group was higher than that of non PEP group,the difference was statistically significant(P<0.05).Conclusion The nursing effect of PEP program in diabetic patients with initial insulin treatment is significant,which can improve their self-care ability,improve their quality of life,and reduce the number of rehospitalizations.

关 键 词：结构化糖尿病教育项目 糖尿病 胰岛素 自我护理 

分 类 号：R473.5[医药卫生—护理学]