胰岛素泵强化治疗结合循证护理干预对2型糖尿病患者并发症的影响  

Influence of Intensive Insulin Pump Therapy Combined with Evidence-based Nursing Intervention on Complications of Patients with Type 2 Diabetes

作　　者：陈广敏 董来芹 张孝红[3] CHEN Guangmin;DONG Laiqin;ZHANG Xiaohong(Department of Nursing,Qingzhou Hospital of Traditional Chinese Medicine,Weifang,Shandong Province,262500 China;Department of Rehabilitation Medicine,Qingzhou Hospital of Traditional Chinese Medicine,Weifang,Shandong Province,262500 China;Department of Ophthalmology,Yidu Central Hospital,Weifang,Shandong Province,262500 China)

机构地区：[1]山东省青州市中医院护理部,山东潍坊262500 [2]山东省青州市中医院康复医学科,山东潍坊262500 [3]山东省潍坊市益都中心医院眼科,山东潍坊262500

出　　处：《糖尿病新世界》2021年第13期118-121,共4页Diabetes New World Magazine

摘　　要：目的探究胰岛素泵强化治疗结合循证护理干预对2型糖尿病患者并发症的影响。方法2017年6月—2020年6月选取100例2型糖尿病患者为研究对象,随机分为两组,每组50例,两组患者均接受胰岛素泵强化治疗,对照组进行普通护理,研究组进行循证护理,对两组患者的并发症发生率和血糖控制情况进行对比。结果对照组并发症发生率(20.0%)高于研究组(4.0%),差异有统计学意义(χ^(2)=6.061,P<0.05);研究组胰岛素使用情况(31.12±9.71)U/d优于对照组(46.38±10.79)U/d;研究组空腹血糖(5.12±0.71)mmol/L优于对照组(6.38±1.79)mmol/L;研究组餐后2 h血糖(7.19±1.17)mmol/L优于对照组(9.31±1.41)mmol/L;研究组血糖恢复耗时(6.47±1.33)d优于对照组(9.38±1.37)d,差异有统计学意义(P<0.001)。结论胰岛素泵强化治疗结合循证护理干预有助于2型糖尿病患者的血糖控制,能够有效的降低并发症发生率,效果显著值得推广。Objective To explore the effect of intensive insulin pump therapy combined with evidence-based nursing intervention on the complications of type 2 diabetes patients.Methods From June 2017 to June 2020,100 patients with type 2 diabetes were selected as the research objects,and they were randomly divided into two groups with 50 cases in each group.Both groups received intensive insulin pump therapy.The control group received general care,and the study group performed Evidence-based nursing compares the complication rate and blood sugar control of the two groups of patients.Results The complication rate of the control group(20.0%)was higher than that of the study group(4.0%),and the difference was statistically significant(χ^(2)=6.061,P<0.05);the insulin usage of the study group(31.12±9.71)U/d was better than the control group(46.38±10.79)U/d;the fasting blood glucose(5.12±0.71)mmol/L of the study group was better than the control group(6.38±1.79)mmol/L;the blood glucose of the study group 2 h after a meal(7.19±1.17)mmol/L was better than the control group(9.31±1.41)mmol/L;the study group's blood glucose recovery time was(6.47±1.33)d better than the control group(9.38±1.37)d,the difference was statistically significant(P<0.001).Conclusion Intensive insulin pump therapy combined with evidence-based nursing intervention can help patients with type 2 diabetes control blood glucose,and can effectively reduce the incidence of complications.The effect is significant and worthy of promotion.

关 键 词：循证护理 2型糖尿病患者 胰岛素泵 并发症 

分 类 号：R587[医药卫生—内分泌]