2型糖尿病患者胰岛素泵强化治疗中标准化护理的应用效果

Effect of Standardized Nursing in Intensive Insulin Pump Treatment of Type 2 Diabetes Mellitus

目的探究标准化护理在2型糖尿病(T2DM)患者胰岛素泵强化治疗期间的应用效果。方法选取2022年12月至2023年12月在本院开展胰岛素泵强化治疗的90例T2DM患者为主要观察对象,按照随机数字表法分成两组,分别有45例。对照组采取常规护理,观察组采取标准化护理。评估两组血糖值、糖尿病自我管理行为量表(SDSCA)评分、糖尿病特异性生存质量量表(A-DQOL)评分改善情况及不良事件控制效果。结果出院首日,两组空腹血糖(FBG)、餐后2 h血糖(2 hPG)均低于干预首日,且观察组FBG、2 hPG均低于对照组(P<0.05)。出院当日,观察组SDSCA总分高于对照组(P<0.05);A-DQOL总分比较,观察组比对照组低(P<0.05)。干预期间不良事件总发生率比较,观察组比对照组低(P<0.05)。结论于T2DM患者胰岛素泵强化治疗期间实施标准化护理,可使其主动改善不利于降糖的行为,提高降糖效果,规避可能影响降糖效果的不利因素,提升其生存质量。

Objective To explore the effect of standardized nursing in type 2 diabetes mellitus(T2DM)patients during intensive insulin pump therapy.Methods Ninety T2DM patients receiving intensive insulin pump therapy in our hospital from December 2022 to December 2023 were selected as the main observation objects,and were divided into two groups according to random number table method,with 45 cases respectively.The control group received routine nursing,and the observation group received standardized nursing.The improvement of blood glucose,diabetes self-Management Behavior Scale(SDSCA)score,diabetes-specific Quality of Life Scale(A-DQOL)score and the control effect of adverse events were evaluated in the two groups.Results On the first day of discharge,FBG and 2hPG in both groups were lower than those on the first day of intervention.The FBG and 2hPG in the observation group were lower than those in the control group(P<0.05).On the day of discharge,the total score of SDSCA in the observation group was higher than that in the control group(P<0.05).The total score of A-DQOL was lower in the observation group than in the control group(P<0.05).The overall incidence of adverse events during the intervention period was lower in the observation group than in the control group(P<0.05).Conclusions The implementation of standardized nursing during intensive insulin pump therapy in T2DM patients can actively improve the behavior that is not conducive to hypoglycemic effect,improve the hypoglycemic effect,avoid the adverse factors that may affect the hypoglycemic effect,and improve their quality of life.