胰岛素泵治疗糖尿病患者舒适护理效果观察.docVIP

胰岛素泵治疗糖尿病患者舒适护理效果观察 　　【摘要】 目的 探讨舒适护理在糖尿病患者使用胰岛素泵治疗期间的效果。方法 124例2型糖尿病患者为研究对象， 以随机抽样法分为常规组与干预组， 各62例。两组患者均接受胰岛素泵治疗， 常规组给予常规护理模式， 干预组在此基础上给予舒适护理模式。对两组患者护理效果进行观察。结果 干预组低血糖发生率3.2%明显低于常规组12.9%， 差异具有统计学意义（P0.05）。干预组依从率95.2%明显高于常规组80.6%， 差异具有统计学意义（P0.05）。干预组空腹血糖（FPG）、餐后2小时血糖（2 h PG）、胰岛素用量均明显低于常规组， 糖尿病生活质量量表（DMQLS）评分高于常规组， 差异均具有统计学意义（P0.05）。结论 在糖尿病患者使用胰岛素泵治疗期间给予舒适护理可有效控制患者血糖水平， 减少低血糖发生率， 提高生活质量， 临床意义显著。 　　【关键词】 胰岛素泵；糖尿病；舒适护理；效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.06.069 　　【Abstract】 Objective To explore the effect of comfort nursing in diabetes patients treated with insulin pump. Methods A total of 124 type 2 diabetes mellitus patients as study subjects were divided by random sampling into conventional group and intervention group， with 62 cases in each group. Both groups were treated with insulin pump， and conventional group received conventional nursing mode. The intervention group received comfort nursing mode. Nursing effect was observed in two groups. Results The intervention group had obviously lower incidence of hypoglycemia as 3.2% than 12.9% in the conventional group， and the difference had statistical significance （P0.05）. The intervention group had higher compliance rate as 95.2% than 80.6% in the conventional group， and the difference had statistical significance （P0.05）. The intervention group had obviously lower fasting plasma glucose （FPG）， 2 h postprandial blood glucose （2 h PG）， insulin dosage than the conventional group， and higher quality of life scale for diabetes mellitus （DMQLS） score than the conventional group， and their difference had statistical significance （P0.05）. Conclusion For diabetes patients treated with insulin pump， comfort nursing can effectively control blood sugar levels， reduce incidence of hypoglycemia， and improve the quality of life with obvious clinical significance. 　　【Key words】 Insulin pump； Diabetes； Comfort nursing； Effect 　　皮下?B续输注式胰岛素泵（CSII）为目前糖尿病药物治疗的常用装置， 可模拟人体胰腺的细胞生理性胰岛素分泌模式， 全天候持续输注基础胰岛素量， 提高外周组织葡萄糖的利用率， 从而让患者血糖趋