2型糖尿病胰岛素注射护理中应用临床护理路径的效果评价

Application of clinical nursing pathway in insulin injection in patients with type 2 diabetes

目的:探讨临床护理路径在2型糖尿病胰岛素注射护理中应用效果.方法:按照随机数字表法将106例2型糖尿病患者均分为实验组和对照组,每组53例,住院期间对照组患者按照常规护理模式给予胰岛素注射护理,实验组患者按照临床护理路径护理模式给予胰岛素注射护理,比较两组患者住院时间、住院费用、入院时和出院时血糖水平、住院期间低血糖发生率、胰岛素相关知识、注射技术掌握情况以及护理满意度.结果:实验组患者平均住院时间及平均住院费用均显著低于对照组(12.49 d±3.08 d v s 14.41 d±3.66 d、11036.85元±3166.15元vs 14438.22元±4057.12元),差异具有统计学意义(P<0.05);实验组患者出院时空腹血糖和餐后2 h血糖水平均显著低于对照组(7.05 mmol/L±0.86 mmol/L vs 7.66 mmol/L±0.98 mmol/L、9.36 mmol/L±1.34 mmol/L vs 10.48 mmol/L±1.59 mmol/L),差异均具有统计学意义(P<0.05);实验组患者住院期间低血糖发生率显著低于对照组(3.77%v s 15.09%),差异具有统计学意义(P<0.05);实验组患者胰岛素相关知识及注射技术掌握优良率均显著高于对照组(90.57%vs75.47%、94.34%vs 81.13%),差异均具有统计学意义(P<0.05);实验组患者护理总满意度显著高于对照组(96.23%vs 83.02%),差异具有统计学意义(P<0.05).结论:在2型糖尿病胰岛素注射护理中应用临床护理路径能够有效提高患者血糖控制效果,缩短住院时间、降低住院费用,提高患者胰岛素相关知识和注射技术掌握度以及护理满意度,临床应用价值较高.

AIM：To explore the application of clinical nursing pathway in insulin injection in patients with type 2 diabetes.METHODS：One hundred and six patients with type 2 diabetes were randomly divided into either an experiment group（53 cases） or a control group（53 cases）.The control group was cared by routine nursing mode during insulin injections,and the experiment group was cared using clinical nursing pathway.The hospital stay,hospitalization expense,blood glucose level,incidence of hypoglycemia,insulin related knowledge,mastery of injection skill,and nursing satisfaction were compared for the two groups.RESULTS：The hospital stay and hospitalization expense for the experiment group were significantly lower than those for the control group（12.49 d ± 3.08 d vs 14.41 d ± 3.66 d,11036.85 ± 3166.15 vs 14438.22 ± 4057.12,P〈0.05）.The fasting blood glucose and blood sugar 2 h after meals for the experiment group were significantly lower than those for the control group（7.05 mmol/L ± 0.86 mmol/L vs 7.66 mmol/L ± 0.98 mmol/L,9.36 mmol/L ± 1.34 mmol/L vs 10.48 mmol/L ± 1.59mmol/L,P〈0.05）.The rate of hypoglycemia for the experiment group was significantly lower than that for the control group（3.77%vs 15.09%,P〈0.05）.The rates of awareness of insulin related knowledge and mastery of injection skill for the experiment group were significantly higher than those for the control group（90.57%vs 75.47%,94.34%vs 81.13%,P〈0.05）.The rate of satisfaction to nursing for the experiment group was significantly higher than that for the control group（96.23%vs 83.02%,P〈0.05）.CONCLUSION：The implementation of clinical nursing pathway in insulin injection in patients with type 2 diabetes can help control blood sugar,reduce hospital stay and hospitalization cost,increase the awareness of insulin related knowledge and the mastery of the injection skill,and increase the satisfaction to nursing.