阶段性护理干预在初发2型糖尿病双C治疗中的应用与研究

The effect of stage - based nursing intervention on the application of double C treat- ment of the newly diagnosed patients with type 2 diabetes mellitus

目的探讨阶段性、个体化护理干预在初发T2DM患者双C治疗中的应用价值。方法对60例初诊的T2DM患者采用CSII和CGMS联合治疗（双c治疗）法，给予阶段性、个体化的护理干预，干预治疗前、后进行血糖及糖尿病知识测试得分、依从性等比较。结果干预治疗后患者的血糖水平较治疗前明显改善，血压下降，糖尿病知识测试及格率显著增加，病人依从性明显提高。结论阶段性、个体化的护理干预是提高初诊T2DM患者依从性的重要措施，有助于双C治疗的顺利实施。同时能减轻糖毒性，提高患者的自我管理能力，改善患者的生活质量。

Objective To explore the effect of stage - based and individualized nursing intervention on the newly diagnosed type 2 diabetes mellitus （T2DM） patients Mth the combined treatment of continuous subcntaneons insulin infusion （CSII） and continuous glucose monitoring system （CGMS） . Methods 60 newly diagnosed patients with T2DM were given combined therapy of CSII and CGMS, meanwhile they were given stage - based and individualized nursing intervention. The clinical data of all patients were collected before and after intervention, including general indexes, blood glucose, the score of diabetic knowledge, and the clinical compliance, etc. Results The blood glucose levels of all patients were significantly improved after intervention. Furthermore, the levels of blood pressure were obviously decreased. The pass ratio of test on diabetic knowledge was obviously increased. The clinical compliances of these patients were apparently increased. Conclusions Stage -based and individualized nursing intervention is the important measure to strengthen the clinical compliances of the newly diagnosed patients with T2DM. It ensures the smooth implementation of double C treatmentcan. Furthermore, it may decrease glucotoxicity, increase self- management ability and improve life quality of these patients.