基于Roy适应理论的护理干预对2型糖尿病胰岛素泵强化治疗患者的影响

Effect of nursing intervention based on Roy’s adaptation theory on intensive insulin pump therapy for type 2 diabetes mellitus

目的探讨基于Roy适应理论的护理干预对2型糖尿病胰岛素泵强化治疗患者血糖控制效果、治疗依从性及生活质量的影响。方法选取南京市第一医院2021年1月至2022年2月收治的300例2型糖尿病患者,按随机数字表法分为观察组和对照组,各150例。胰岛素泵强化治疗期间,对照组采取常规护理,观察组在常规护理基础上联合基于Roy适应理论的护理干预,均干预4周。比较两组治疗依从性及干预前后的血糖控制效果与生活质量。结果干预后,两组空腹血糖、餐后2 h血糖低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗依从性优于对照组,差异有统计学意义(P<0.05)。干预后,两组满意度、影响度、忧虑Ⅰ、忧虑Ⅱ评分及糖尿病特异性生存质量量表总分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于Roy适应理论的护理干预可帮助2型糖尿病患者更快适应胰岛素泵,强化血糖控制效果,提高治疗依从性及生活质量。

Objective To explore the effect of nursing intervention based on Roy’s adaptation theory on blood glucose control,treatment compliance,and quality of life in patients with type 2 diabetes mellitus who received intensive insulin pump therapy.Methods A total of 300 patients with type 2 diabetes mellitus admitted to Nanjing First Hospital from January 2021 to February 2022 were selected and divided into observation group and control group according to random number table method,with 150 cases in each group.During intensive treatment with insulin pump,the control group was received routine nursing,while the observation group was combined with nursing intervention based on Roy’s adaptation theory on the basis of routine nursing,all intervention for four weeks.Treatment compliance,blood glucose control,and quality of life before and after intervention were compared between the two groups.Results After intervention,fasting plasma glucose,two-hours postprandial blood glucose in two groups were lower than those before intervention,and those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The treatment compliance of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the satisfaction,impact,worryⅠ,worryⅡscores,and diabetic quality of life scores of the two groups were lower than those before intervention,and those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on Roy’s adaptation theory can help type 2 diabetes mellitus patients adapt to insulin pump faster,strengthen blood sugar control effect,improve treatment compliance and quality of life.