优质干预在老年2型糖尿病患者胰岛素注射治疗中的应用价值分析  

Analysis of the Application Value of High-quality Intervention in Insulin Injection Therapy in Elderly Patients with Type 2 Diabetes Mellitus

作　　者：杨纯 罗四凤 叶庭芳 YANG Chun;LUO Sifeng;YE Tingfang(Department of Endocrinology,Guizhou Qiannan People's Hospital,Qiannan Buyi and Miao Autonomous Prefecture 558000,Guizhou,China)

机构地区：[1]贵州省黔南州人民医院内分泌科,贵州黔南布依族苗族自治州558000

出　　处：《糖尿病新世界》2024年第15期159-162,共4页Diabetes New World

摘　　要：目的探讨优质干预在胰岛素注射治疗老年2型糖尿病(type 2 diabetes mellitus,T2DM)中的应用价值。方法回顾性选取2023年5月—2024年4月贵州省黔南州人民医院收治的90例老年T2DM患者的临床资料,根据不同的护理方法分为两组,各45例。对照组进行常规护理干预,观察组在对照组的基础上进行优质干预,比较两组血糖指标、知信行表现。结果观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,差异有统计学意义(P均<0.05)。观察组知识、信念、行为评分及总分均高于对照组,差异有统计学意义(P均<0.05)。结论老年2型糖尿病胰岛素注射治疗期间,优质干预有利于降低患者的血糖水平,且对患者知信行表现改善具有积极影响。Objective To explore the application value of high-quality intervention in insulin injection of the treat⁃ment of type 2 diabetes mellitus(T2DM)in the elderly.Methods The clinical data of 90 elderly patients with T2DM admitted to Guizhou Qiannan People's Hospital from May 2023 to April 2024 was retrospectively selected and divided into two groups according to different nursing methods,with 45 cases in each group.The control group was given rou⁃tine nursing intervention,and the observation group was given high-quality intervention on the basis of the control group.The blood glucose indexes and knowledge-attitude-practice performance of the two groups were compared.Results The fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c in the observa⁃tion group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The scores of knowledge,belief,behavior and total score in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion During the treatment of insulin injec⁃tion in elderly patients with type 2 diabetes mellitus,high-quality intervention is conducive to reducing blood glucose levels,and has a positive impact on the improvement of patients'knowledge,belief and behavior.

关 键 词：优质干预 胰岛素治疗 老年2型糖尿病 血糖 

分 类 号：R587.1[医药卫生—内分泌]