家属协同护理在老年2型糖尿病患者使用胰岛素治疗中的应用  

Application of Family Cooperative Nursing in Insulin Therapy for Elderly Patients with Type 2 Diabetes Mellitus

作　　者：田芳[1] TIAN Fang(Taishan Medical Center,Tai'an City Central Hospital,Tai'an 271000,Shandong,China)

机构地区：[1]泰安市中心医院泰山医养中心,山东泰安271000

出　　处：《糖尿病新世界》2025年第2期118-121,共4页Diabetes New World

摘　　要：目的探讨家属协同护理在老年2型糖尿病使用胰岛素治疗患者中的临床应用价值。方法选择2022年2月—2023年9月泰安市中心医院泰山医养中心收治的80例使用胰岛素治疗的2型糖尿病者患者为研究对象,按照不同护理方法分为观察组与对照组,各40例,对照组实施常规护理干预,观察组结合家属协同护理模式进行护理干预,比较两组空腹血糖及餐后血糖达标率、改良Barthel指数、自我效能感评分、健康行为情况。结果观察组空腹血糖、餐后血糖达标率均高于对照组,差异均有统计学意义(P均<0.05)。干预后,观察组改良Barthel指数、自我效能感评分均高于对照组,差异均有统计学意义(P均<0.05)。观察组健康饮食、血糖监测、运动知识及胰岛素应用等健康行为比例均高于对照组,差异均有统计学意义(P均<0.05)。结论家属协同护理可确保老年2型糖尿病血糖达标,提高患者生活质量与自我效能,促进健康行为建立。Objective To explore the clinical application value of family collaborative nursing in elderly patients with type 2 diabetes mellitus treated with insulin.Methods From February 2022 to September 2023,a total of 80 patients with type 2 diabetes mellitus treated with insulin in Taishan Medical Center of Tai'an City Central Hospital were se-lected as the research objects.According to different nursing methods,they were divided into observation group and control group,with 40 cases in each group.The control group was given routine nursing intervention,while the obser-vation group was given nursing intervention combined with family collaborative nursing mode.The fasting blood glu-cose and postprandial blood glucose compliance rates,modified Barthel Index,self-efficacy score and health behavior were compared between the two groups.Results The compliance rates of fasting blood glucose and postprandial blood glucose in the observation group were higher than those in the control group,and the differences were statistically sig-nificant(both P<0.05).After intervention,the modified Barthel Index and self-efficacy score of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).The propor-tions of health behaviors such as healthy diet,blood glucose monitoring,exercise knowledge and insulin application in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Family collaborative nursing can ensure that the blood glucose of elderly patients with type 2 diabetes mellitus reaches the standard,improve the quality of life and self-efficacy of patients,and promote the estab-lishment of healthy behaviors.

关 键 词：家属协同护理 2型糖尿病 胰岛素治疗 老年患者 

分 类 号：R473.5[医药卫生—护理学]