互联网+医院—社区护理在糖尿病患者居家胰岛素规范化注射中的应用  

Application of Internet plus hospital-community nursing in standardized insulin injection for diabetic patients at home

作　　者：蒋琳[1] 刘冬梅[1] 闻星星 JIANG Lin;LIU Dongmei;WEN Xingxing(Jiangsu Province Official Hospital,Nanjing,Jiangsu,210000,China)

机构地区：[1]江苏省省级机关医院,江苏南京210000

出　　处：《中西医结合护理(中英文)》2025年第1期9-12,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探析互联网+医院—社区护理在老年2型糖尿病患者居家胰岛素规范化注射中的实践与效果。方法选取2022年1~5月江苏省省级机关医院收治的80例老年2型糖尿病患者,按随机抽签法分为对照组(40例)和研究组(40例)。对照组在住院治疗期间采取常规护理措施指导注射胰岛素,出院时常规给予胰岛素注射健康教育;研究组在对照组方法的基础上采用互联网+医院—社区护理。比较2组的血糖指标、自护能力、生活质量和胰岛素注射不良事件发生率。结果干预3个月后,研究组的空腹血糖、餐后2 h血糖和糖化血红蛋白水平均低于对照组,自护能力评估量表评分高于对照组,糖尿病生活质量特异性量表各维度评分均低于对照组(P均<0.05);2组的上述指标均较同组干预前明显更优(P均<0.05)。与对照组进行比较,研究组在干预期间的胰岛素注射相关不良事件总发生率明显较低(P<0.05)。结论在老年2型糖尿病患者居家胰岛素规范化注射中采用互联网+医院—社区护理的效果突出,能够在改善糖代谢指标的同时提高患者的自护能力和生活质量,并减少胰岛素注射相关不良事件的发生。Objective To explore the practice and effect of Internet plus hospital-community nursing in standardized insulin injection at home for elderly patients with type 2 diabetes.Methods From January to May 2022,80 elderly patients with type 2 diabetes admitted to Jiangsu Province Official Hospital were selected and randomly divided into the control group(40 cases)and the study group(40 cases).The control group received routine nursing measures to guide insulin injection during hospitalization,and received regular insulin injection health education upon discharge.The study group adopted Internet plus hospital-community nursing based on the method of the control group.The blood glucose indicators,self-care ability,quality of life,and incidence of adverse events related to insulin injection were compared between the two groups.Results After three months of intervention,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels in the study group were lower than those in the control group,the Exercise of Self-Care Agency Scale score of the study group was higher than that of the control group,and the scores of each dimension of the Diabetes Specificity Quality of Life Scale score in the study group were lower than those in the control group(all P<0.05).The above indicators of both groups were significantly better than before the intervention in the same group(all P<0.05).Compared with the control group,the study group had a significantly lower overall incidence of adverse events related to insulin injection during the intervention period(P<0.05).Conclusion Internet plus hospital-community nursing has a prominent effect in the standardized insulin injection at home for elderly patients with type 2 diabetes.It can improve the self-care ability and quality of life of patients while improving the glucose metabolism indicators, and reduce the incidence of adverse events related to insulin injection.

关 键 词：老年2型糖尿病 互联网+医院—社区护理 糖代谢指标 自护能力 生活质量 

分 类 号：R473.5[医药卫生—护理学]