CGMS引导下个体化护理干预在糖尿病管理中作用研究.docVIP

CGMS引导下个体化护理干预在糖尿病管理中作用研究 　　[摘要] 目的 探讨动态血糖监测系统（CGMS）引导下个体化护理干预在糖尿病患者管理中的应用及护理管理方法，为构建规范的糖尿病健康教育模式提供依据与经验。 方法 68例糖尿病患者，应用动态血糖监测系统监测血糖33例（动态组），指尖血糖监测血糖35例（对照组），比较两组患者给予相应的护理干预后，分别在第3个月、第6个月时空腹血糖、糖化血红蛋白、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇的变化。结果 动态组在第6个月的糖化血红蛋白水平明显低于入院时（P 0.05），该组的总胆固醇水平显著低于入院时（P 0.01），上述其他观察指标两组间差异无显著性。结论 采取CGMS引导的个体化护理干预，可获更良好的糖脂代谢控制；借助于CGMS直观的血糖图，可进一步增加患者对糖尿病相关知识教育的效果，能进一步增强患者的治疗信心、提高患者自我管理水平及治疗依从性，从而有助于改善糖脂代谢控制水平、延缓慢性并发症的发生。 　　[关键词] 动态血糖监测系统；糖尿病管理；代谢控制 　　[中图分类号] R473.5[文献标识码] B[文章编号] 1673-9701（2012）10-0112-03 　　Role study of individualized nursing intervention guided by CGMS in diabetes management 　　LI Shuhua CHEN Xiaoyan ZHOU Yulan HUANG Lianyi CHEN Li 　　Department of Endocrinology, the First Affiliated Hospital of Guangzhou Medical College，Guangzhou 510120，China 　　[Abstract] Objective To study individualized nursing intervention in patients with diabetes management and nursing care management by glucose monitoring system (CGMS)-guided and provided experience about diabetes health education model.Methods 68 cases of diabetes patients were studied， dynamic monitoring system was used to monitor blood glucose in 32 cases as dynamic group and 35 cases of fingertip blood glucose monitoring blood glucose. Two groups were compared after giving the appropriate care and intervention， respectively， fasting blood glucose， glycosylated hemoglobin， total cholesterol， triglycerides， high density lipoprotein cholesterol， low-density lipoprotein cholesterol changes.Results The glycosylated hemoglobin levels of dynamic group were significantly lower than admission in the first six months(P 0.05)， this groups total cholesterol level was significantly lower than admission (P 0.01).Conclusion CGMS were helpful to guide the individual to take care intervention； CGMS glucose by means of visual maps， may be further increased in patients with diabetes-related knowledge on the effect of education. 　　[Key words] CGMS; Diabetes management; Metabolic control 　　Minimed动态