老年2型糖尿病患者低血糖反应的健康教育及护理干预

Health education nursing intervention of hypoglycemia in elderly patients with type 2 diabetes mellitus

目的观察健康教育护理干预在老年2型糖尿病患者胰岛素强化支持治疗期间低血糖反应的临床效果。方法采用临床资料查证法选取我院2015年至2016年收治的128例胰岛素强化支持治疗的老年2型糖尿病患者,按照护理方法的不同,将其分为对照组和研究组,各64例。对照组患者采用内分泌科常规护理方法,观察组在此基础上采用健康教育护理干预,比较两组患者的护理效果及低血糖发生率。结果观察组患者的低血糖发生率为6.25%(4/64),明显低于对照组的25.00%(16/64)(P<0.05);观察组的护理总有效率为93.75%,显著高于对照组的75.00%(P<0.05)。结论健康教育护理干预应用于老年2型糖尿病患者胰岛素强化支持治疗期间低血糖反应的临床效果确切,具有较低的低血糖发生率及较高的血糖调节力,值得临床推广应用。

Objective To observe the clinical effect of health education nursing intervention of hypoglycemia in elderly patients with type 2 diabetes mellitus during insulin intensive supportive therapy. Methods A total of 128 patients with type 2 diabetes mellitus and intensive insulin therapy from 2015 to 2016 were enrolled in our hospital according to clinical data validation method, and all the patients were divided into control group and study group according to different nursing methods, with 64 cases in each group. Patients in the control group were treated with routine nursing methods of endocrinology, while the observation group was treated with health education nursing intervention on the basis of the control group. The incidences of clinical hypoglycemia and nursing effects were compared between the two groups. Results The incidence of hypoglycemia in the observation group was 6.25%（4/64）, which was significantly lower than 25.00%（16/64） in the control group（P〈0.05）. The total effective rate of nursing in the observation group was 93.75%, which was significantly higher than 75.00% in the control group（P〈0.05）. Conclusion The health education nursing intervention on hypoglycemia in elderly patients with type 2 diabetes mellitus during insulin intensive supportive therapy has significant effect, it has low incidence of hypoglycemia and high blood glucose regulation, which is worthy of clinical application and popularization.