同伴教育项目在初始胰岛素治疗患者中的应用效果

Study on the effect of peer education program on blood glucose fluctuation in patients with initial insulin therapy

目的探讨同伴教育项目在初始胰岛素治疗患者中的应用效果。方法选取2019年4月至2020年12月于南昌大学第四附属医院接受初始胰岛素治疗的85例糖尿病患者作为研究对象,采用随机数字表法将其分为对照组(42例)与观察组(43例)。对照组采用常规护理,观察组采用同伴教育,两组均连续干预3个月,观察两组治疗依从性,并比较两组干预前后血糖水平及自我管理水平。结果干预3个月后,观察组治疗总依从性高于对照组,差异有统计学意义(P<0.05);干预前,两组空腹血糖、餐后2 h血糖比较,差异无统计学意义(P>0.05);干预3个月后,观察组空腹血糖、餐后2 h血糖低于对照组,差异有统计学意义(P<0.05)。干预前,两组的自我管理水平比较,差异无统计学意义(P>0.05);干预3个月后,观察组的自我管理水平高于对照组,差异有统计学意义(P<0.05)。结论同伴教育项目可提高初始胰岛素治疗患者治疗依从性及自我管理水平,降低血糖水平。

Objective To explore the effect of peer education program in patients with initial insulin therapy.Methods Eighty-five diabetic patients who received initial insulin treatment at the Fourth Affiliated Hospital of Nanchang University from April 2019 to December 2020 were selected as the research subjects,and they were divided into a control group(routine care,42 cases)using the random number table method.Compared with the observation group(peer education,43 cases),both groups were continuously intervened for 3 months to observe the treatment compliance of the two groups,and the blood glucose levels and self-management levels of the two groups before and after the intervention for 3 months were compared.Results After 3 months of intervention,the total treatment compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,the treatment compliance of observation group was higher than control group,the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in fasting blood glucose and 2 h postprandial blood glucose between the two groups(P>0.05).After 3 months of intervention,the fasting blood glucose and 2 h postprandial blood glucose in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in self-management level between the two groups(P>0.05).After 3 months of intervention,the self-management level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The peer education program can improve treatment compliance and self-management level of patients with initial insulin therapy,and reduce blood glucose levels.