基于行为转变理论的护理干预在胰岛素泵强化治疗2型糖尿病患者中的应用

Application of nursing intervention based on behavioral change theory in intensive treatment of type 2 diabetes mellitus patients with insulin pump

目的探讨基于行为转变理论的护理干预在胰岛素泵强化治疗2型糖尿病(T2DM)患者中的应用价值。方法选取2018年6月—2021年8月T2DM患者166例为研究对象,按照均衡匹配的原则分为对照组与观察组,每组83例,对照组采用常规护理,观察组在此基础上采用行为转变护理干预。观察两组患者对疾病的认知情况、护理干预依从性、血糖水平、并发症发生率、生活质量以及护理满意程度。结果护理干预后,观察组疾病认知情况各维度评分均高于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组的护理干预依从性高于对照组,差异有统计学意义(P<0.05)。护理干预前,两组血糖水平比较差异无统计学意义(P>0.05);护理干预后,观察组的血糖水平低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量各维度评分比较,差异无统计学意义(P>0.05);干预后,观察组的生活质量各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于行为转变理论的护理干预用于胰岛素泵强化治疗T2DM患者,可提高患者对疾病的认知情况、治疗依从性,具有“血糖控制效果好、并发症风险低”等优势。

Objective To explore the application value of nursing intervention based on behavioral change theory in intensive treatment of type 2 diabetes mellitus(T2DM)patients with insulin pump.Methods A total of 166 patients with T2DM from June 2018 to August 2021 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of balanced matching,with 83 cases in each group.The control group was given routine nursing,and the observation group was given behavior change nursing intervention on this basis to observe the cognition of the disease,compliance with nursing intervention,blood glucose level,complication rate,quality of life and nursing satisfaction of the two groups of patients.Results After nursing intervention,the each dimension scores of cognition of the disease in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).After nursing intervention,the compliance with nursing intervention in the observation group was higher than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Before the nursing intervention,there was no signifi cant diff erence in the blood glucose level between the two groups(P>0.05).After nursing intervention,the blood glucose level in the observation group was lower than that in the control group,and the diff erence was statistically significant(P<0.05).After nursing intervention,the incidence of complications in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the each dimension scores of life quality between the two groups(P>0.05).After nursing intervention,the each dimension scores of life quality in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion Nursing intervention based on behavior change theory was used for intensive insulin pump treatment of T2DM patients,which can improve patients'cognition of the disease and compliance with treatment,and has the advantages of"good blood sugar control eff ect and low risk of complications".