延续性护理在初始使用胰岛素治疗2型糖尿病管理中的应用

Application of continuous nursing in the management of type 2 diabetes with insulin initiation

目的探讨延续性护理在初始使用胰岛素治疗2型糖尿病管理中的应用效果，为开展初始胰岛素治疗糖尿病的延续性护理干预服务提供可行性依据。方法研究阶段为2015年8月～2017年2月，入选对象共106例，均为2型糖尿病患者，随机分为对照组（常规出院指导）和观察组（延续性护理）各53例；3个月后评估患者自我管理水平、治疗依从性、血糖达标率、胰岛素规范注射率、低血糖发生率。结果观察组治疗依从优良率、血糖达标率、胰岛素规范注射率、低血糖发生率明显优于对照组，差异有统计学意义（P〈0．05）。两组护理前自我护理能力总分比较，差异无统计学意义（P〉0．05）；与护理前比较，两组护理后自我护理能力均得到提高，观察组提高情况明显高于对照组，差异有统计学意义（P〈0．05）。结论延续性护理在初始使用胰岛素治疗2型糖尿病管理中的应用效果显著，可有效提高患者治疗依从性、自我管理水平，值得临床推广应用。

Objective To explore the effect of continuous nursing in the treatment of type 2 diabetes with in- sulin, and to provide the feasibility basis for the continuous nursing intervention service of insulin-based therapy for dia- betes mellitus. Methods A total of 106 patients were enrolled in this study from August 2015 to February 2017. All patients were type 2 diabetic. They were randomly divided into the control group （routine discharge guidance） and the observation group （continuous care ）, 53 cases of each group. After 3 months, self-management level, treatment compliance, the reaching rate of blood glucose, the rate of insulin standard injection, and incidence of hypoglycemia were assessed. Results The treatment compliance rate, glycemic compliance rate, insulin standard injection rate and incidence of hypoglycemia in the observation group were significantly higher than those in the control group, and the differences were statistically significant （P〈0. 05 ）. The total score of self-care ability before nursing was compared be- tween the two groups, and the difference was not statistically significant （P〉0. 05 ）. Compared to before nursing, the self-care ability of the two groups was improved after nursing, and the improvement of the observation group was signifi- cantly higher than that of the control group, and the difference was statistically significant （P〈0. 05 ）. Conclusions The application of continuous nursing in the treatment of type 2 diabetes with insulin is significant, It can effectively im- prove the patient＇s treatment compliance, the level of self-management. It is worthy of clinical promotion and applica- tion.