多靶点护理干预改善糖尿病患者注射皮肤环境对胰岛素治疗效果影响的研究

Effects of Multi target nursing intervention on improving insulin treatment in diabetic patients with skin injections

目的探讨多靶点护理干预改善糖尿病患者注射皮肤环境对胰岛素治疗效果影响。方法选取2017年6月3日～2018年5月在我院就诊的糖尿病患者240例为调查对象。随机分成4组,对照组,皮肤厚度研究组、皮肤温度研究组及皮肤按摩研究组,各60例,对照组给予常规护理,各研究组均采取多靶点护理干预对患者注射的皮肤环境进行改善,干预2周,比较干预前、干预各研究组与对照组患者胰岛素治疗态度以及FBG、PBG、HbA1c、TC、LDL-C、TG、HDL-C及FIN。结果与干预前及同期对照组比较,皮肤温度及局部按摩各研究组干预后FBG、PBG、HbA1c、TC、LDL-C、TG水平均降低,差异有统计学意义(P<0.05),血HDL-C水平升高,差异有统计学意义(P<0.05)。结论多靶点护理干预可通过改善胰岛素注射的皮肤环境,提高胰岛素治疗效果,还可有效改善患者胰岛素治疗态度,提高治疗依从性,从而优化血糖控制效果,值得临床借鉴和推广。

Objective To investigate the effects of Multi target nursing intervention on improving insulin treatment in diabetic patients with skin injections.Methods From June to 2017 to 2018 May in our hospital treated 240 cases of diabetic patients were randomly divided into the Multi target nursing group and the control group, the Multi target nursing group was given Multi target nursing intervention, the control group received Routine nursing, For 4 weeks, Attitudes of insulin treatment, incirence of FBG、PBG、HbA1c、TC、LDL-C、TG、HDL-C and FIN were compared Between the two groups at baseline and after intervention. Results Compared with pre intervention and control group, the levels of FBG, PBG, HbA1c, TC, LDL-C and TG in the subcutaneous fat thickness, skin temperature and local massage were decreased （P 〈 0.05）, the level of blood HDL-C increased （P〈0.05）, and the thickness of subcutaneous fat, skin temperature and local massage after the injection of after the local massage group were injected. Conclusion Multi target nursing intervention can improve the effect of insulin therapy by improving the skin environment of insulin injection, improve the attitude of insulin treatment and improve the compliance of the treatment, so as to optimize the effect of blood glucose control. It is worthy of clinical reference and promotion.