胰岛素注射远程服务在2型糖尿病患者居家管理中的应用  

Application of remote insulin injection service in home management of patients with type 2 diabetes mellitus

作　　者：仇金玮 屈小伶 李媛媛 Qiu Jinwei;Qu Xiaoling;Li Yuanyuan(Health Care Center,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疗保健中心,北京100050

出　　处：《中华现代护理杂志》2024年第1期101-105,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨胰岛素注射远程服务在2型糖尿病患者居家管理中的应用效果。方法采用便利抽样法, 选取2022年3—12月在首都医科大学附属北京友谊医院内分泌科住院的134例2型糖尿病患者为研究对象, 采用随机数字表法将患者分为对照组和观察组, 各67例。出院后对照组采用常规院外居家随访管理, 观察组在对照组基础上实施胰岛素注射远程服务管理, 管理期为3个月。比较两组血糖指标、自我管理行为量表(SDSCA)得分、胰岛素注射依从性和胰岛素注射相关负性事件发生率的差异。结果本研究共发放问卷134份, 回收有效问卷134份, 问卷有效回收率为100.00%。管理后观察组空腹血糖和糖化血红蛋白均低于对照组, SDSCA得分高于对照组, 差异有统计学意义(P<0.01);且观察组管理后空腹血糖和糖化血红蛋白较管理前降低, SDSCA得分较管理前升高, 差异均有统计学意义(P<0.05)。观察组胰岛素注射依从性优于对照组, 差异有统计学意义(Z=2.485, P=0.013);观察组负性事件总发生率低于对照组, 差异有统计学意义(P<0.01)。结论胰岛素注射远程服务可以有效改善2型糖尿病患者居家期间血糖控制水平, 提高自我管理能力和胰岛素注射依从性, 减少胰岛素注射相关负性事件发生率, 值得临床推广应用。Objective To explore the application effect of remote insulin injection service in home management of type 2 diabetes mellitus.Methods A total of 134 patients with type 2 diabetes who were hospitalized in Department of Endocrinology in Beijing Friendship Hospital Affiliated to Capital Medical University from March to December 2022 were selected as research objects by the convenient sampling method.According to the random number table method,the patients were divided into the control group and the observation group,with 67 cases in each group.After discharge,the control group received routine out-of-hospital home follow-up management,and the observation group received remote insulin injection service management on the basis of the control group.The management period was three months.Differences in glycemic indicators,Scale of the Diabetes Self-Care Activities(SDSCA)score,insulin injection compliance and incidence of insulin injection-related negative events were compared between the two groups.Results A total of 134 questionnaires were sent out in this study,and 134 were effectively collected,with an effective recovery rate of 100.00%.After management,fasting blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,and SDSCA score was higher than that in the control group,and the differences were statistically significant(P<0.01).Moreover,fasting blood glucose and glycosylated hemoglobin in observation group after management were lower than before management,and SDSCA score was higher than before management,and the differences were statistically significant(P<0.05).The insulin injection compliance of the observation group was better than that of the control group,and the difference was statistically significant(Z=2.485,P=0.013).The total incidence of negative events in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01).Conclusions Remote insulin injection service can effectively improve the

关 键 词：糖尿病 2型 胰岛素治疗 远程 居家管理 

分 类 号：R473.5[医药卫生—护理学]