系统护理干预对应用实时动态血糖监测危重糖尿病患者的效果探讨

The Effect of Systematic Nursing Intervention on the Application of Real-time Dynamic Blood Glucose Monitoring in Critically Ill Diabetic

目的以接受实时动态血糖监测的危重糖尿病患者为研究对象,探讨和分析患者应用系统护理干预的效果。方法随机抽取的106例2018年3月-2019年10月接受治疗的危重糖尿病患者经系统随机化法分为对照组(n=53)和观察组(n=53),所有患者均佩戴实时动态血糖监控系统,予以对照组常规护理,予以观察组患者系统护理干预。比较两组的护理效果。结果两组护理前HAMA及HAMD评分对比,差异无统计学意义(P>0.05),护理后观察组HAMA评分及HAMD评分均低于对照组,差异有统计学意义(P<0.05)。观察组低血糖次数及故障发生次数、断图次数均少于对照组,血糖达标时间短于对照组,两组各项实时动态血糖监测相关指标对比,差异有统计学意义(P<0.05)。观察组电信号传输不畅等护理不良事件总发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度明显较对照组高,两组护理满意度对比,差异有统计学意义(P<0.05)。结论接受实时动态血糖监测的危重糖尿病患者应用系统护理干预有助于推动监测过程顺利进行,可使治疗辅助作用获得充分发挥。

Objective To investigate and analyze the effect of systemic nursing intervention on patients with critically ill diabetes who receive real-time dynamic blood glucose monitoring.Methods 106 cases of critically ill diabetic patients who were treated from March 2018 to October 2019 were randomly selected and divided into a control group(n=53)and an observation group(n=53)by a systematic randomization method,and all patients were wearing real-time dynamic blood glucose monitoring system,providing routine nursing care for the control group and systematic nursing intervention for patients in the observation group.Compared the nursing effect of the two groups.Results There was no statistically significant difference in HAMA and HAMD scores between the two groups before nursing(P>0.05).After nursing,the HAMA and HAMD scores of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).The number of hypoglycemia,the number of failures,and the number of broken graphs in the observation group were less than those of the control group,and the blood glucose reaching the standard time was shorter than that of the control group.The differences in the real-time dynamic blood glucose monitoring indicators between the two groups were statistically significant(P<0.05).The total incidence of adverse nursing events such as poor electrical signal transmission in the observation group was significantly lower than that in the control group,and the difference was statistically significan(P<0.05).The total nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference in nursing satisfaction between the two groups was statistically significant(P<0.05).Conclusion The application of systemic nursing intervention for critically ill diabetic patients receiving real-time dynamic blood glucose monitoring can help promote the smooth progress of the monitoring process and enable the treatment assistance to be fully exerted.