临床护理路径对胰岛素泵治疗1型糖尿病的效果评价

The Effect of Clinical Nursing Path in The Patients with Type 1 Diabetes

目的探讨应用临床护理路径对胰岛素泵治疗1型糖尿病患者的效果。方法将52例采用胰岛素泵治疗的1型糖尿病患者随机分为临床护理路径组(实验组)26例,对照组26例,前者采用临床护理路径管理模式,对照组采用常规传统的健康教育模式。分析比较两组患者住院期间患者满意度、糖尿病知识及格率、空腹血糖(FPG)、餐后2 h血糖(2 hPG)、血糖达标时间、低血糖发生率、平均佩戴泵天数、胰岛素泵报警次数、皮下感染等指标差异,出院后继续电话随访,比较出院后6个月两组患者出院后坚持糖尿病饮食、坚持检测血糖、坚持运动、坚持定期复诊、并发症等情况。结果两组患者出院后检测各项指标的差异均有统计学意义(P<0.05)。结论对植入胰岛素泵的1型糖尿病患者进行临床护理路径管理,能明显提高患者对糖尿病知识的掌握程度及对护士的满意度,降低并发症的发生率,提高生活质量,提高患者的自我护理能力,在临床护理实践中切实可行。

Objective To evaluate the care effect of clinical nursing path in patients with type ldiabetes who used insulin pump. Methods 52 cases of type 1 diabetic patients used insulin pump were randomly divided into the clinical care pathway group （experimental group） which had 26 cases, 26 cases of the control group, the former used the clinical nursing path management while the control group re- ceived conventional traditional health education model. Analysis and comparison of the differences of patient satisfaction, diabetes knowl- edge pass rate, fasting plasma glucose （FPG）, 2-hour postprandial glucose （2hPG）, time of blood glucose, the incidence of hypoglycemia, the average number of days wearing pumps, pump alarm times, subcutaneous infection in two groups of patients hospitalized. Telephone follow-up after discharge, compared two groups of patients adhere to diabetic diet, adhere to blood glucose, adhere to exercise, adhere to regular follow, complications and so on after 6 months discharge. Results Detection index differences in the two groups of patients during hospitalization and after discharge were significant（P〈0.05）. Conclusion Clinical nursing path management in patients with type 1 diabetes using insulin pump can significantly improve mastery of diabetes knowledge in patients and satisfaction for nurses, reduce complications and improve quality of life, improve self-care and feasible in clinical nursing practice.