2型糖尿病患者胰岛素注射的集束化干预研究

Clustering intervention on insulin injection for patients with type 2 diabetes

目的 探讨在2型糖尿病患者胰岛素注射中引入集束化干预策略的作用与效果.方法 选取123例使用胰岛素的2型糖尿病患者,对患者实施集束化干预,制订并整合应用一系列切实有效的措施.通过问卷调查与指标检测,对比研究患者入院第1天和3个月后胰岛素注射与血糖控制情况,观察集束化管理效果.结果 集束化干预后患者胰岛素使用明显规范,知识掌握更加全面,3个月后空腹血糖、餐后2h血糖分别为（5.91±0.41） mmol/L和（8.27±0.53） mmol/L,明显低于入院第1天的（8.94±1.32） mmol/L和（11.15±1.34） mmol/L,t=13.462、17.127,P值均＜0.01.结论 实施集束化干预,可以规范胰岛素注射,提高患者自我管理能力和治疗依从性,有效控制血糖,延缓或减少并发症的发生.

Objective To know the effect of using clustering intervention on insulin injection in the patients with type 2 diabetes.Methods 123 patients with type 2 diabetes were selected in the research.Clustering intervention was carried out in these patients with a series of effective measures to develop and integrate the application.Compared the controlling condition of blood sugar and the condition of insulin injection in patients by self control.Results The fasting blood glucose and the postprandial blood glucose after the intervention was （5.91±0.41） mmol/L and （8.27±0.53）mmol/L respectively,which was significant lower than that of before the intervention [（8.94±1.32） mmol/L and （11.15±1.34）mmol/L respectively,P〈0.01].Conclusion Clustering intervention can regulate insulin injections,improve patients＇ ability of self-management and the treatment compliance,effectively control blood sugar and delay or reduce complications after the implementation of cluster intervention.