个性化护理模式在胰岛素泵强化治疗糖尿病儿童中的应用效果分析

Application Effect of Personalized Nursing Model in Intensive Insulin Pump Treatment of Diabetic Children

目的探讨个性化护理模式在胰岛素泵强化治疗糖尿病(Diabetes Mellitus,DM)儿童中的应用效果。方法选取2021年1月—2022年6月在山东大学附属儿童医院接受胰岛素泵治疗的90例1型DM患儿作为研究对象,按照随机数表法分为个性化组(n=45,个性化护理)和常规组(n=45,常规护理),比较两组患儿干预前后血糖水平[空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(2-hours Postprandial Plasma Glucose,2 hPG)、血红蛋白(Glycated Hemoglobin A1c,HbA1c)]、负面情绪[儿童焦虑相关障碍量表(Screen for Child Anxiety Related Emotional Disorders,SCARED)、儿童抑郁障碍自评量表(Depression Self-rating Scale Children,DSRSC)]、生活质量评分、风险事件发生率及护理满意度。结果干预后,两组患儿FPG、2 hPG、HbA1c水平、SCARED及DSRSC评分较干预前降低,生活质量评分较干预前显著提高,且个性化组优于常规组,差异有统计学意义(P均<0.05)。个性化组患儿风险事件发生率(0)显著低于常规组(13.33%),差异有统计学意义(P<0.05)。干预组护理满意度为100.00%,显著高于常规组的86.67%,差异有统计学意义(P<0.05)。结论在使用胰岛素泵治疗的1型DM患儿中采用个性化护理可显著缓解患儿负面情绪、减低风险事件发生率,提升治疗效果的同时还可提升患儿生活质量和护理满意度。

Objective To explore the effect of personalized nursing model in intensive insulin pump treatment of dia-betes mellitus(DM)children.Methods Ninety children with type 1 DM who received insulin pump treatment in Chil-dren's Hospital Affiliated to Shandong University from January 2021 to June 2022 were selected as the study objects,and were divided into personalized group(n=45,personalized care)and routine group(n=45,routine care)according to random number table method.The blood glucose level[fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG),and glycated hemoglobin A1c(HbA1c)],negative emotions[Screen for Child Anxiety Related Emo-tional Disorders(SCARED),Depression Self-rating Scale Children(DSRSC)],quality of life score before and after in-tervention,incidence of risk events and nursing satisfaction were compared between the two groups.Results After in-tervention,the levels of FPG,2 hPG,HbA1c,scores of SCARED and DSRSC in two groups were lower compared with before intervention,and score of quality of life in two groups was significantly improved compared with before interven-tion,and the personalized group was better than the conventional group,and the differences were statistically signifi-cant(all P<0.05).The incidence of risk events in personalized group(0)was significantly lower than that in conven-tional group(13.33%),and the difference was statistically significant(P<0.05).Nursing satisfaction in the intervention group was 100.00%,which was significantly higher than 86.67%in the conventional group,and the difference was sta-tistically significant(P<0.05).Conclusion Personalized nursing in children with type 1 DM treated with insulin pump can significantly alleviate negative emotions,reduce the incidence of risk events,improve the treatment effect,and im-prove the quality of life and nursing satisfaction of the children.