摘要
目的:观察以糖尿病专科护士为主导的胰岛素泵院外使用随访管理在2型糖尿病患者中的应用效果。方法:采用便利抽样法,选择2018年4月—2020年3月在新乡医学院第一附属医院就诊的使用胰岛素泵的2型糖尿病患者为研究对象,将2018年4月—2019年3月入组的104例患者设为对照组,2019年4月—2020年3月入组的152例患者设为观察组,分别采取常规院外胰岛素泵使用随访管理和以糖尿病专科护士为主导的院外胰岛素泵使用随访管理,观察3个月。比较两组患者空腹血糖、糖化血红蛋白、糖尿病自我管理行为量表(SDSCA)得分、自我护理能力测量量表(ESCA)得分及胰岛素泵相关负性事件的差异。结果:干预前,两组患者空腹血糖、糖化血红蛋白、SDSCA得分、ESCA得分差异均无统计学意义(P>0.05)。干预后,观察组的空腹血糖和糖化血红蛋白低于对照组,SDSCA和ESCA得分高于对照组,差异均有统计学意义(P<0.05)。观察组干预后的空腹血糖和糖化血红蛋白水平低于干预前,SDSCA和ESCA得分高于干预前,差异有统计学意义(P<0.05)。对照组的管道阻塞、低血糖、注射部位感染或硬结分别有17、23、14例,观察组的管道阻塞、低血糖、注射部位感染或硬结分别为8、7、5例,对照组和观察组的胰岛素泵相关负性事件发生率分别为51.92%和13.16%,差异有统计学意义(P<0.05)。结论:以糖尿病专科护士为主导的院外胰岛素泵使用随访管理可以提高2型糖尿病患者自我胰岛素调整效能,有效控制血糖和糖化血红蛋白,并提高自我行为管理和护理能力,减少胰岛素泵相关负性事件的发生。
Objective To explore the effect of follow-up management of the use of insulin pumps outside hospital led by diabetes specialist nurses in type 2 diabetic patients.Methods From April 2018 to March 2020,convenience sampling was used to select patients with type 2 diabetes who used insulin pumps in the First Affiliated Hospital of Xinxiang Medical University as the object.The patients(n=104)enrolled from April 2018 to March 2019 were set as control group receiving conventional out-of-hospital follow-up management of insulin pump use,and patients(n=152)enrolled from April 2019 to March 2020 were set as observation group adopted out-of-hospital follow-up management of insulin pump use led by diabetes specialist nurses,and the observation lasted for three months.The differences in fasting blood glucose,glycosylated hemoglobin,Scale of the Diabetes Self-Care Activities(SDSCA)score and the Exercise of Self-Care Agency Scale(ESCA)score,and insulin pump-related negative events were compared between the two groups of patients.Results Before intervention,there was no significant difference in fasting blood glucose,glycosylated hemoglobin,SDSCA score,and ESCA score between the two groups(P>0.05).After intervention,the fasting blood glucose and glycosylated hemoglobin of observation group were lower than those of control group,and the scores of SDSCA and ESCA were higher than those of control group,and the differences were statistically significant(P<0.05).The fasting blood glucose and glycosylated hemoglobin of observation group after intervention were lower than those before intervention,and the scores of SDSCA and ESCA were higher than those before intervention,and the differences were statistically significant(P<0.05).In control group,there were 17,23,and 14 cases of pipeline obstruction,hypoglycemia,injection site infection or induration respectively,and observation group had 8,7,and 5 cases of pipeline obstruction,hypoglycemia,injection site infection or induration respectively;incidences of insulin pump-related negative events of control group and observation group were 51.92%and 13.16%respectively,and the difference was statistically significant(P<0.05).Conclusions Follow-up management of out-of-hospital insulin pump use led by diabetes specialist nurses can increase the insulin adjustment self-efficacy of type 2 diabetic patients,effectively control blood glucose and glycosylated hemoglobin,improve self-behavior management and nursing ability,and reduce the occurrence of insulin pump-related negative events.
作者
付慧清
王新颜
吴洁清
王涛
海洁
孔令楠
Fu Huiqing;Wang Xinyan;Wu Jieqing;Wang Tao;Hai Jie;Kong Lingnan(Department of Endocrinology,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)
出处
《中华现代护理杂志》
2021年第13期1749-1754,共6页
Chinese Journal of Modern Nursing
基金
二零一九年度新乡医学院第一附属医院护理科研培育基金项目(2019-HLPY-B003)
2018年度河南省社科联、河南省经团联调研课题项目(SKL-2018-2070)。
关键词
糖尿病
2型
糖尿病专科护士
胰岛素泵
随访管理
Diabetes mellitus,type 2
Diabetes specialist nurses
Insulin pump
Follow-up management
