应用动态血糖监测系统的2型糖尿病患者行针对性护理的临床效果分析  

Clinical Effect Analysis of Targeted Nursing for Type 2 Diabetes Patients with Dynamic Blood Glucose Monitoring System

作　　者：许淑芬 胡慧娴 XU Shufen;HU Huixian(Department of Endocrinology and Diabetes,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,363003 China)

机构地区：[1]厦门大学附属第一医院内分泌糖尿病科,福建厦门363003

出　　处：《糖尿病新世界》2021年第7期129-132,共4页Diabetes New World Magazine

摘　　要：目的以应用动态血糖监测系统的2型糖尿病患者为研究对象,对比和分析常规护理以及针对性护理干预的应用价值。方法将124例自2018年5月-2020年4月进行治疗的2型糖尿病患者分为研究组(n=62)、对照组(n=62),予以对照组常规护理干预,如用药指导、饮食指导等,在此基础上予以研究组针对性护理干预。结果研究组对血糖监测控制目标、血糖监测注意事项等认知度均明显高于对照组,两组血糖监测认知度差异有统计学意义(P<0.05)。护理前两组空腹血糖(FPG)及餐后2 h血糖(2 hPG)水平差异无统计学意义(P>0.05),护理后各项血糖水平均获得改善且研究组各项血糖指标水平均较对照组低,差异有统计学意义(P<0.05)。研究组低血糖、皮肤感染等护理不良事件总发生率8.06%,对照组低血糖、皮肤感染等护理不良事件总发生率19.35%,研究组护理不良事件发生率较对照组低,差异有统计学意义(P<0.05)。研究组血糖达标时间较对照组短、处理报警次数及低血糖次数均低于对照组,动态血糖监测相关指标差异有统计学意义(P<0.05)。结论应用动态血糖监测系统的2型糖尿病患者采用针对性护理干预有助于提高降糖效果及护理质量,可加快病情缓解、稳定血糖水平并能减少护理不良事件,改善患者预后。Objective To compare and analyze the application value of routine nursing and targeted nursing intervention with type 2 diabetic patients who use dynamic blood glucose monitoring system as the research object.Methods The 124 patients with type 2 diabetes who were treated from May 2018 to April 2020 were divided into a study group(n=62)and a control group(n=62),and the control group received routine nursing interventions,such as medication guidance and diet Guidance,etc.,on this basis,targeted nursing intervention by the research group.Results The study group's awareness of blood glucose monitoring control goals and blood glucose monitoring precautions were significantly higher than that of the control group.The difference in blood glucose monitoring awareness between the two groups was statistically significant(P<0.05).There was no statistically significant difference in fasting blood glucose(FPG)and 2 h post-meal blood glucose(2 hPG)levels between the two groups before nursing(P>0.05).After nursing,various blood glucose levels were improved and the blood glucose levels of the study group were lower than those of the control group,the difference was statistically significant(P<0.05).The total incidence of adverse nursing events such as hypoglycemia and skin infections in the study group was 8.06%,and the total incidence of adverse nursing events such as hypoglycemia and skin infections in the control group was 19.35%.The incidence of adverse nursing events in the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The study group's blood glucose reaching standard time was shorter than that of the control group,and the number of processing alarms and the number of hypoglycemia were lower than those of the control group.The difference in dynamic blood glucose monitoring related indicators was statistically significant(P<0.05).Conclusion The use of dynamic blood glucose monitoring system for type 2 diabetic patients and targeted nursing intervention can help

关 键 词：2型糖尿病 动态血糖监测系统 血糖水平 护理不良事件 血糖监测指标 

分 类 号：R47[医药卫生—护理学]