胰岛素强化治疗结合综合护理干预在老年糖尿病患者中的应用效果

Application effect of intensive Insulin therapy combined with comprehen-sive nursing intervention in elderly patients with diabetes

目的探讨胰岛素强化治疗结合综合护理干预应用于老年糖尿病患者中的临床效果。方法选取2016年7月~2018年8月本院收治200例老年糖尿病患者作为研究对象,采用随机数字表法将其分为对照组(100例)和观察组(100例)。对照组患者采用胰岛素强化治疗加常规护理干预,观察组患者采用胰岛素强化治疗结合综合护理干预。比较两组患者的血糖情况、胰岛素用量、生存质量、不良反应发生情况。结果干预后,观察组患者的空腹血糖为(5.12±1.06)mmol/L,低于对照组的(6.94±1.34)mmol/L,差异有统计学意义(P<0.05)。观察组患者的餐后血糖为(7.05±1.11)mmol/L,低于对照组的(9.68±1.21)mmol/L,差异有统计学意义(P<0.05)。观察组患者的血糖达标时间为(6.58±1.24)d,短于对照组的(9.68±2.14)d,差异有统计学意义(P<0.05)。观察组患者的胰岛素用量为(28.41±10.34)U/d,低于对照组的(41.69±12.34)U/d,差异有统计学意义(P<0.05)。观察组患者的生存质量评分为(67.82±8.31)分,高于对照组的(49.21±7.29)分,差异有统计学意义(P<0.05)。观察组患者的不良反应总发生率为6.00%,低于对照组的27.00%,差异有统计学意义(P<0.05)。结论胰岛素强化治疗结合综合护理干预应用于老年糖尿病患者中,可有效控制患者的血糖,提高患者的生存质量,降低不良反应发生率。

Objective To investigate the clinical effect of intensive Insulin therapy combined with comprehensive nursing intervention in elderly patients with diabetes.Methods A total of 200 elderly patients with diabetes mellitus from July 2016 to August 2018 were enrolled the study objicts.They were randomly divided into a control group(100 cases)and observation group(100 cases).Patients in the control group were treated with intensive Insulin therapy plus routine nursing intervention.Patients in the observation group were treated with intensive Insulin therapy combined with comprehensive nursing intervention.The blood glucose status,Insulin dosage,quality of life,and adverse reactions were compared between the two groups.Results After treatment,the fasting blood glucose of the observation group was(5.12±1.06)mmol/L,which was lower than that of the control group([6.94±1.34]mmol/L),and the difference was statistically significant(P<0.05).The postprandial blood glucose of the observation group was(7.05±1.11)mmol/L,which was lower than that of the control group([9.68±1.21]mmol/L),and the difference was statistically significant(P<0.05).The blood glucose compliance time of the observation group was(6.58±1.24)d,which was shorter than that of the control group([9.68±2.14]d),and the difference was statistically significant(P<0.05).The Insulin dosage of the observation group was(28.41±10.34)U/d,which was lower than that of the control group([41.69±12.34]U/d),and the difference was statistically significant(P<0.05).The quality of life score of the observation group was(67.82±8.31)points,which was higher than that of the control group([49.21±7.29]points),and the difference was statistically significant(P<0.05).The overall incidence of adverse reactions was 6.00%in the observation group,which was lower than that in the control group(27.00%),and the difference was statistically significant(P<0.05).Conclusion Intensive Insulin therapy combined with comprehensive nursing intervention in diabetic patients can effectively control the patient′s blood sugar,improve the patient′s quality of life,and reduce the incidence of adverse reactions.