糖尿病专科护士主导的胰岛素泵管理在老年糖尿病患者中的应用  

Effects of insulin pump management led by diabetes specialist nurses in elderly diabetic patients

作　　者：林莉[1] 郑燕蓉[1] 崔玮[1] Lin Li;Zheng Yanrong;Cui Wei(Department of Medical Insurance/Department of Geriatrics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院医保内科/老年医学科,北京100050

出　　处：《中华现代护理杂志》2022年第11期1504-1508,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨糖尿病专科护士主导的胰岛素泵管理在老年糖尿病患者中的应用效果。方法采用便利抽样法选择2019年1月—2020年12月在首都医科大学附属北京友谊医院老年科住院期间使用胰岛素泵的149例2型糖尿病患者,其中2019年1—12月患者为对照组(71例),2020年1—12月患者为观察组(78例)。住院胰岛素泵使用期间,两组分别采取常规胰岛素泵管理和以糖尿病专科护士为主导的胰岛素泵管理。比较两组的血糖波动系数、血糖达标时间、胰岛素泵相关负性事件及患者胰岛素泵相关知识及技能水平。结果观察组的血糖波动系数小于对照组,血糖达标时间短于对照组,差异均有统计学意义(P<0.01);对照组和观察组的胰岛素泵相关负性事件发生率分别为57.75%(41/71)和20.51%(16/78),差异有统计学意义(χ^(2)=21.815,P<0.001);干预后观察组患者的胰岛素泵相关知识及技能水平优于对照组,差异有统计学意义(P<0.01)。结论糖尿病专科护士主导的胰岛素泵管理模式更有利于患者血糖控制,能够降低胰岛素泵相关负性事件发生率,并提高患者胰岛素泵相关知识及技能水平。Objective To explore the effect of insulin pump management led by diabetes specialist nurses in elderly diabetic patients.Methods From January 2019 to December 2020,convenience sampling was used to select 149 patients with type 2 diabetes mellitus who used insulin pumps during hospitalization in the Department of Geriatrics,Beijing Friendship Hospital,Capital Medical University.Among them,the patients from January to December 2019 were in the control group(71 cases),and the patients from January to December 2020 were in the observation group(78 cases).During the use of insulin pump,the two groups were treated with conventional insulin pump management and insulin pump management led by diabetes specialist nurses.The blood glucose fluctuation coefficient,the time to reaching blood glucose target,insulin pump-related negative events,and insulin pump-related knowledge and skills were compared between the two groups.Results The blood glucose fluctuation coefficient of the observation group was lower than that of the control group,and the time to reaching blood glucose target was shorter than that of the control group,and the differences were statistically significant(P<0.01).The incidences of insulin pump-related negative events in the control group and the observation group were 57.75%(41/71)and 20.51%(16/78),respectively,and the difference was statistically significant(χ^(2)=21.815,P<0.01).After intervention,the insulin pump-related knowledge and skills in the observation group were better than those in the control group,and the difference was statistically significant(P<0.01).Conclusions The insulin pump management led by diabetes specialist nurses is beneficial to patients'blood glucose control,can reduce the incidence of insulin pump-related negative events,and improve patients'insulin pump-related knowledge and skills.

关 键 词：糖尿病 2型 糖尿病专科护士 胰岛素泵 管理 

分 类 号：R473.5[医药卫生—护理学]