胰岛素注射规范护理对糖尿病治疗患者皮下不良反应及生活质量的影响

Effect of Insulin Injection Standard Nursing on Subcutaneous Adverse Reactions and Quality of Life in Patients with Diabetes

目的对糖尿病患者治疗期间应用胰岛素注射规范护理干预的效果进行探讨。方法方便选取该院2017年4月—2018年4月期间收治的166例2型糖尿病患者,所有患者均采用皮下注射胰岛素方法治疗,随机将患者分为观察组与对照组,各83例,对照组给予常规护理,观察组应用胰岛素注射规划护理,对比两组患者护理效果。结果皮下不良反应发生率方面,观察组(7.23%)明显低于对照组(20.48%),差异有统计学意义(χ^2=6.924,P<0.05);生活质量各指标评分方面,观察组生理、心理、社会、治疗评分分别为(16.82±3.17)分、(17.03±3.02)分、(5.22±1.37)分、(11.86±1.92)分,明显优于对照组的(21.44±4.72)分、(21.16±4.24)分、(8.46±1.86)分、(18.13±2.26)分,差异有统计学意义(t=6.873、6.236、4.017、7.967,P<0.05);干预后,观察组在注射知识、注射技能掌握评分分别为(41.28±5.66)分、(42.26±5.34)分,均高于对照组的(33.87±5.07)分、(30.32±4.78)分,差异有统计学意义(t=4.215、6.033,P<0.05)。结论在胰岛素注射治疗的糖尿病患者中应用胰岛素注射规划护理,对皮下不良反应有明显的降低作用,可显著提高患者对皮下注射胰岛素相关知识的掌握程度,改善患者生活质量,在临床中值得推广应用。

Objective To investigate the effect of nursing intervention on insulin injection during treatment of diabetic patients.Methods A total of 166 patients with type 2 diabetes who were admitted to our hospital from April 2017 to April 2018 were enrolled.All patients were treated with subcutaneous injection of insulin.Patients were randomly divided into observation group and control group,83 cases each.The control group was given routine care,the observation group used insulin injection planning care to compare the nursing effects of the two groups.Results The incidence of subcutaneous adverse reactions was significantly lower in the observation group(7.23%)than in the control group(20.48%).The difference was statistically significant(χ^2=6.924,P<0.05).The scores of quality of life indicators were observed in the observation group.The psychological,social,and therapeutic scores were(16.82±3.17)points,(17.03±3.02)points,(5.22±1.37)points,and(11.86±1.92)points,which were significantly better than those of the control group(21.44±4.72)points,(21.16±4.24)points,(8.46±1.86)points,(18.13±2.26)points,the difference was statistically significant(t=6.873,6.236,4.017,7.967,P<0.05);after the intervention,the observation group was injected.The scores of knowledge and injection skills were(41.28±5.66)points and(42.26±5.34)points,respectively,which were higher than those of the control group(33.87±5.07)points and(30.32±4.78)points.The difference was statistically significant(t=4.215,6.033,P<0.05).Conclusion Insulin injection planning care in insulin-injected diabetic patients has a significant effect on subcutaneous adverse reactions,which can significantly improve the patient's knowledge of subcutaneous insulin injection.To improve the quality of life of patients,it is worthy of promotion and application in the clinic.