同伴支持教育对农村城市化2型糖尿病患者胰岛素注射管理.doc

同伴支持教育对农村城市化2型糖尿病患者胰岛素注射管理的研究 宋爱华 韩玉琴 夏引芳 葛文贤 李春燕 顾柳娜 （上海市奉贤区中心医院，上海 201499） 摘要：目的 探讨同伴支持教育对农村城市化2型糖尿病患者胰岛素规范注射155例接受胰岛素注射治疗的2型糖尿病患者采用抛硬币法能2型糖尿病患者胰岛素注射, 可操作性强值得推广。The research of peer support education on insulin injections management for rural urbanization in patients with type 2 diabetes（Shanghai Fenxian District Central Hospital,Shanghai 201499,China） SONG Ai-hua，HAN Yu-qin，XIA Yin-fang,GE Wen-xian,LI Chun-yan,GU Liu-na Abstract: Objective To investigate the effect of the peer support education on standard insulin injection operation in patients with type 2 diabetes in the urbanized rural.Methods Patients with type 2 diabetes treated with insulin injections were randomly divided into control group (n=75) and the observation group (n=80) by tossing a coin method. Health education content was similar in two groups. Insulin injections methods were taught by Professional nurses by class education in the control group. Peer support education was performed in the Observation group and 10 volunteers with diabetes were recruited from our diabetes club for the peer support education, and trained by diabetic specialist nurses according to Chinas diabetes drug injection technology guide (2011 edition) and qualified. The volunteers regulated insulin injection operation by peer support educators, and then diabetes specialist nurses evaluated each patient and gave individualized education. Questionnaire of the awareness of standard insulin injection was performed before and after education of insulin injection technology; Indices such as insulin injection skills, the hypoglycemia incidence and HbA1c were observed. Results After 6-month observation, rate of standard insulin injection operation was higher, hypoglycemic incidence and HbA1c levels were higher in the observation group in comparison with the control group (all P 0.01). Conclusion Peer support education improved the rate of standard insulin injection, decreased hypoglycemic incidence. And peer support educ