ICU胰岛素泵治疗的DKA患者行人文关怀对血糖控制效果的分析  

Analysis of the Effect of Humanistic Care on Blood Glucose Control for DKA Patients Treated with ICU Insulin Pump

作　　者：魏秋兰 WEI Qiulan(Department of Critical Care Medicine,Nanping First Hospital,Nanping,Fujian Province,353000 China)

机构地区：[1]南平市第一医院重症医学科,福建南平353000

出　　处：《糖尿病新世界》2021年第19期14-17,21,共5页Diabetes New World Magazine

摘　　要：目的分析研究重症加强监护病房(ICU)胰岛素泵治疗的糖尿病酮症酸中毒(DKA)患者行人文关怀对血糖达标时间的影响。方法选取2018年2月—2020年6月该院ICU收治的80例DKA患者,均实施ICU胰岛素泵治疗,按随机数表法分为观察组(人文关怀护理)与对照组(常规护理)各40例,对比患者血糖波动情况、血糖达标时间、胰岛素用量、护理满意度及生活质量。结果分析血糖波动情况,护理前,两组数据对比差异无统计学意义(P>0.05);护理后,观察组空腹血糖(7.16±1.77)mmol/L低于对照组(8.95±1.58)mmol/L,差异有统计学意义(t=4.771,P<0.05);观察组餐后2 h血糖(11.04±2.08)mmol/L低于对照组(13.04±3.21)mmol/L,差异有统计学意义(t=3.306,P<0.05);分析血糖达标时间及胰岛素用量,和对照组相比,观察组血糖达标时间(3.15±1.21)d及胰岛素用量(44.98±12.01)mL各项指标更低,差异有统计学意义(P<0.05)。分析护理满意度,和对照组80.00%相比,观察97.50%更高,差异有统计学意义(P<0.05)。分析生活质量,观察组社会关系(71.24±0.56)分、精神状态(70.42±0.77)分、躯体功能(67.25±1.21)分、生理功能(69.18±1.06)分均优于对照组,差异有统计学意义(P<0.05)。结论针对糖尿病酮症酸中毒患者开展ICU胰岛素泵治疗及人文关怀护理模式,具有稳定患者餐后2 h血糖及空腹血糖的效果,缩短患者血糖达标时间,胰岛素用量明显减少,很大程度上提高了患者对护理服务的满意度,在临床中值得应用和推广。Objective Analyze and study the impact of humanistic care on the time to blood glucose standard for DKA patients treated with ICU insulin pump.Methods Selected 80 patients with DKA admitted to the ICU of the hospital from February 2018 to June 2020 were selected,and they were all treated with ICU insulin pumps.According to the random number table method,they were divided into observation group(humanistic care) and control group(routine nursing),each with 40 cases.The patients’ blood glucose fluctuations,blood glucose reaching standard time,insulin dosage,nursing satisfaction and quality of life were compared.Results Blood glucose fluctuation was analyzed.Before nursing,there was no statistical difference between the two groups(P>0.05).After nursing,fasting blood glucose in the observation group(7.16±1.77)mmol/L was lower than that in the control group(8.95±1.58)mmol/L,the difference was statistically significant(t=4.771,P<0.05);the 2 h postprandial blood glucose of the observation group(11.04±2.08)mmol/L was lower than that of the control group(13.04±3.21)mmol/L,the difference was statistically significant(t=3.306,P<0.05);compared with the control group,the blood glucose standard time(3.15±1.21)d and the amount of insulin(44.98±12.01)mL in the observation group were lower,and the difference was statistically significant(P<0.05).Analysis of nursing satisfaction,compared with the control group 80.00%,observation97.50% were higher,the difference was statistically significant(P<0.05).Analysis of quality of life showed that the observation group had better social relationship(71.24±0.56)points,mental state(70.42±0.77)points,physical function(67.25±1.21)points and physiological function(69.18±1.06)points than the control group,the difference was statistically significant(P<0.05).Conclusion The ICU insulin pump treatment and humanistic care nursing model for patients with diabetic ketoacidosis have the effect of stabilizing the blood glucose and fasting blood glucose of the patient 2 h after a meal,shortenin

关 键 词：ICU 胰岛素泵治疗 糖尿病酮症酸中毒 人文关怀 血糖达标时间 

分 类 号：R47[医药卫生—护理学]