摘要
目的探讨专科敏感指标监测联合风险评估对防范低血糖的应用效果。方法选取桂东人民医院内分泌科2020年1—12月的2型糖尿病患者192例,按照实施专科敏感指标监测时间分为对照组(2020年1—6月)96例和观察组(2020年7—12月)96例,对照组进行常规护理,观察组基于专科敏感指标监测联合风险评估进行护理干预,比较两组患者低血糖、夜间低血糖发生率、血糖控制水平、健康教育知晓率、患者满意度。结果观察组低血糖、夜间低血糖发生率显著低于对照组,差异有统计学意义(P<0.05);观察组空腹血糖(FBS)、餐后2 h血糖(2 h PBS)、糖化血红蛋白(HbA1c)下降明显,差异有统计学意义(P<0.05);观察组健康教育知晓率、患者满意度高于对照组,差异有统计学意义(P<0.05)。结论专科敏感指标监测联合低血糖风险评估,可有效预防低血糖发生,更好控制血糖,提高患者健康教育知晓率和满意度,值得应用推广。
Objective To explore the application effect of specialist sensitive indicator monitoring combined with risk assessment on the prevention of hypoglycemia.Methods A total of 192 patients with type 2 diabetes mellitus in the Department of Endocrinology in Guidong People’s Hospital from January to December 2020 were selected and divided into 96 patients in the control group(from January to June 2020)and 96 patients in the observation group(from July to December 2020)according to the time of implementing specialist sensitive indicator monitoring.The control group received conventional nursing,while the observation group received nursing intervention based on specialist sensitive indicator monitoring combined with risk assessment.The incidences of hypoglycemia and nocturnal hypoglycemia,blood glucose control level,health education awareness rate,and patient satisfaction were compared between the two groups.Results The incidences of hypoglycemia and nocturnal hypoglycemia in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The levels of fasting blood sugar(FBS),2-hour postprandial blood sugar(2 h PBS)and glycated hemoglobin A1c(HbA1c)in the observation group were decreased significantly,with statistically significant differences(P<0.05).The health education awareness rate and patient satisfaction in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Specialist sensitive indicator monitoring combined with assessment of hypoglycemia risk can effectively prevent hypoglycemia,better control blood glucose,and improve patients'health education awareness rate and satisfaction,whi ch is worthy of application and promotion.
作者
林梅珍
邓凤平
欧倩
姚婷
LIN Meizhen;DENG Fengping;OU Qian;YAO Ting(Department of Endocrinology,Guidong People’s Hospital of Guangxi Zhuang Autonomous Region,Guangxi,Wuzhou 543001,China)
出处
《中国医药科学》
2022年第11期131-134,共4页
China Medicine And Pharmacy
基金
广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z20210562)。
关键词
敏感指标
低血糖
风险评估
血糖控制水平
Sensitive indicators
Hypoglycemia
Risk assessment
Blood gluc ose control level
