系统化健康教育在小儿糖尿病患儿护理中的应用分析

Application Analysis of Systematic Health Education in Nursing of Children with Diabetes Mellitus

目的分析糖尿病(DM)患儿采取系统化健康教育的效果。方法选取2020年2月—2021年8月该院收治的98例DM患儿为研究对象,按照护理方式不同分为观察组和对照组,每组49例。观察组行系统化健康教育护理,对照组采用基础护理,观察两组护理效果。结果干预后,对照组空腹血糖(FPG)(8.44±2.03)mmol/L高于观察组(6.20±1.29)mmol/L,差异有统计学意义(t=6.519,P<0.05);对照组餐后2 h血糖(2 hPG)(12.17±3.18)mmol/L高于观察组(9.85±2.46)mmol/L,差异有统计学意义(t=4.039,P<0.05);对照组糖化血红蛋白(HbA1c)(8.49±1.05)%高于观察组(6.21±2.25)%,差异有统计学意义(t=6.428,P<0.05);对照组血糖变化情况(1.48±0.37)mmol/L高于观察组(1.15±0.24)mmol/L,差异有统计学意义(t=5.238,P<0.05);对照组日内平均血糖波动幅度(4.10±1.28)mmol/L高于观察组(3.22±1.31)mmol/L,差异有统计学意义(t=3.363,P<0.05);对照组并发症发生率(20.41%)高于观察组(2.04%),差异有统计学意义(χ^(2)=8.295,P<0.05);观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论DM患儿采取系统化健康教育效果理想。

Objective To analyze the effect of systematic health education for children with diabetes mellitus(DM).Methods A total of 98 children with DM admitted in the hospital from February 2020 to August 2021 were selected as the study objects,and divided into an observation group and a control group according to different nursing methods,with 49 cases in each group.The observation group received systematic health education and nursing,while the control group received basic nursing.The nursing effects of the two groups were observed.Results After intervention,the fasting blood glucose(FPG)in the control group was(8.44±2.03)mmol/L higher than that in the observation group(6.20±1.29)mmol/L,and the difference was statistically significant(t=6.519,P<0.05).The 2 h postprandial blood glucose(2 hPG)in the control group was(12.17±3.18)mmol/L higher than that in the observation group(9.85±2.46)mmol/L,and the difference was statistically significant(t=4.039,P<0.05).The glycated hemoglobin(HbA1c)in the control group was(8.49±1.05)%higher than that in the observation group(6.21±2.25)%,and the difference was statistically significant(t=6.428,P<0.05).The change of blood glucose in the control group(1.48±0.37)mmol/L was higher than that in the observation group(1.15±0.24)mmol/L,and the difference was statistically significant(t=5.238,P<0.05).The daily average blood glucose fluctuation range in the control group was(4.10±1.28)mmol/L higher than that in the observation group(3.22±1.31)mmol/L,and the difference was statistically significant(t=3.363,P<0.05).The incidence of complications in the control group was 20.41%higher than that in the observation group(2.04%),and the difference was statistically significant(χ^(2)=8.295,P<0.05).The SF-36 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of systematic health education in children with DM is ideal.