同伴支持对青少年1型糖尿病患者胰岛素泵治疗效果的影响

Effects of companion support on insulin pump therapy in adolescents with type 1 diabetes

目的 探讨应用同伴支持干预方式对青少年1型糖尿病患者长期佩戴胰岛素泵治疗效果的影响.方法 将60例符合研究标准的患者按照随机数字表法分为观察组和对照组,每组各30例.对照组给予常规教育,观察组在此基础上行同伴支持干预.比较两组患者血糖变化情况、胰岛素泵使用过程中负性事件发生情况、胰岛素泵操作规范性,并于每月随机抽取1d记录所有患者睡前血糖情况,比较两组患者血糖波动情况.结果 6个月后,观察组空腹和餐后血糖、糖化血红蛋白及胰岛素泵负性事件发生率均低于对照组,胰岛素泵规范操作依从性高于对照组,差异均有统计学意义（P〈0.05）;观察组睡前血糖波形稳定性好于对照组.结论 同伴支持对长期佩戴胰岛素泵治疗的青少年1型糖尿病患者的血糖控制效果显著,能提高患者胰岛素泵操作的规范性,有效减少胰岛素泵负性事件的发生.

ObjectiveTo explore the effects of companion support on insulin pump therapy in adolescents with type 1 diabetes.Methods A total of 60 patients were randomly divided into experimental group and control group,30 cases respectively. Patients in control group were given routine education,while patients in experimental group received additional intervention of companion support. Changes of blood glucose,the occurrence of negative events during the use of insulin pump and standardized usage of insulin pump were compared between two groups. Blood glucose before sleep in one random day was recorded and the fluctuation of blood glucose was compared between two groups.Results After six months,fasting and postprandial blood glucose,glycated hemoglobin and the occurrence of negative events during the use of insulin pump in experimental group were significantly lower than those in control group （P〈0.05）. The waveform stability at one random day before sleep of experimental group was better than that of control group.Conclusions Companion support plays curial roles in controlling blood glucose, improves the standardization of insulin pump operation and effectively reduces the negative events in adolescents with type 1 diabetes undergoing temporary insulin pump therapy.