胰岛素泵治疗糖尿病护理干预效果分析.docVIP

胰岛素泵治疗糖尿病护理干预效果分析 　　【摘要】 目的 对胰岛素泵治疗糖尿病的护理干预效果进行探讨研究。方法 120例糖尿病患者， 按照随机分组法将患者分为实验组和对照组， 各60例。所有患者均采用胰岛素泵进行治疗， 实验组患者给予护理干预， 对照组患者给予常规护理。观察并记录两组患者的空腹血糖、餐后2 h血糖水平、血糖达标时间和胰岛素用量， 并对两组患者的焦虑状况进行比较。结果 护理后， 两组患者空腹血糖水平比较差异无统计学意义（P0.05）。护理后， 实验组患者餐后2 h血糖水平为（7.4±2.2）mmol/L， 低于对照组的（9.5±2.6）mmol/L；血糖达标时间为（6.4±1.1）d， 短于对照组的（9.8±2.3）d；胰岛素用量为（32.2±9.6）U/d， 　　少于对照组的（44.3±11.7）U/d， 差异均具有统计学意义（P0.05）。护理后， 实验组状态焦虑量表（S-AI）评分和特质焦虑量表（T-AI）评分均明显低于对照组， 差异具有统计学意义（P0.05）。结论 在使用胰岛素泵治疗糖尿病的过程中对患者给予护理干预所取得的临床效果显著， 能明显改善患者的焦虑状态， 并能一定程度的帮助患者控制血糖， 值得在今后的临床工作中广泛运用。 　　【?P键词】 胰岛素泵；糖尿病；护理干预 　　DOI：10.14163/j.cnki.11-5547/r.2017.32.081 　　Effect analysis of nursing intervention on diabetes treated by insulin pump HOU Jian. Affiliated Zhongshan Hospital of Dalian University， Dalian 116001， China 　　【Abstract】 Objective To discuss and study the effect of nursing intervention on diabetes mellitus treated by insulin pump. Methods A total of 120 diabetic patients were randomly divided into experimental group and control group， with 60 cases in each group. All patients were treated with insulin pump， and the experimental group received intervention nursing， and the control group received conventional nursing. Observation and record were made on fasting blood glucose， postprandial 2 h blood glucose level， glycemic standard time and insulin dosage between two groups， and comparison were made on anxiety status of two groups. Results After nursing， both groups had no statistically significant difference in fasting blood glucose level （P0.05）. After nursing， the experimental group had lower postprandial 2 h blood glucose level as （7.4±2.2） mmol/L than （9.5±2.6） mmol/L 　　in the control group， shorter glycemic standard time as （6.4±1.1） d than （9.8±2.3） d in the control group， and less insulin dosage as （32.2±9.6） U/d than （44.3±11.7） U/d in the control group. Their difference was statistically significant （P0.05）. After nursing， the experimental group had obviously lower srait anxiety inventory （S-AI） score and t