应用胰岛素访谈工具包对2型糖尿病患者心理性胰岛素抵抗的影响研究

The effect of insulin dialogue toolkit on psychological insulin resistance of type 2 diabetes

目的：探讨胰岛素访谈工具包对2型糖尿病患者心理性胰岛素抵抗的作用。方法根据入院顺序筛选符合纳入和排除标准、有心理性胰岛素抵抗的2型糖尿病患者134例，采用计算机随机法将研究对象根据入组顺序编号分为干预组和对照组，每组67例。对照组采用常规的健康教育，干预组在常规健康教育的基础上，将个体健康教育改为使用胰岛素访谈工具包进行健康教育。干预时间2周。观察2组干预前后《我对胰岛素的看法》主表总分及各维度评分和患者血糖情况。结果干预前干预组和对照组《我对胰岛素的看法》主表总分分别为（66.40±8.51）、（66.91±7.27）分，2组比较差异无统计学意义，P>0.05；干预后干预组主表总分（76.93±5.31）分，对照组主表总分（71.09±7.77）分，2组比较差异有统计学意义，Z=-5.585，P<0.01；干预后干预组和对照组各维度评分比较差异均有统计学意义， P<0.05或<0.01。干预后干预组和对照组空腹血糖分别为（7.35±1.76）、（7.54±1.70）mmol/L，餐后2 h血糖分别为（9.47±2.26）、（8.79±2.04）mmol/L，2组比较差异无统计学意义，P>0.05。结论使用胰岛素访谈工具包可以很好地改善2型糖尿病患者心理性胰岛素抵抗，从而可以规范化胰岛素使用。但对血糖的有效控制还有待进一步研究。

Objective To explore the effectiveness of insulin dialogue toolkit on psychological insulin resistance of type 2 diabetes. Methods A total of 134 type 2 diabetes with psychological insulin resistance were selected by the inclusion and exclusion criteria . The participates were randomly assigned to control group and intervention group by computer with 67 cases each. The control group was given conventional health education, the intervention group was given insulin dialogue toolkit instead of individual health education based on conventional health education. The intervention was lasted 2 weeks.The total score and each dimension score of my opinion of insulin and the blood glucose before and after intervention were observed. Results Before intervention, the total score in my opinion of insulin in intervention group and control group was (66.40±8.51), (66.91±7.27) scores, and there was no significant difference between two groups, P>0.05.After intervention, the total score in my opinion of insulin in intervention group and control group was(76.93±5.31), (71.09±7.77) scores, and there was significant difference between two groups, Z=-5.585, P<0.01. There was significant difference in each dimension score, P<0.05 or 0.01. After intervention, the fasting blood glucose in intervention group and control group was (7.35±1.76), (7.54±1.70) mmol/L,the postprandial blood glucose 2 h in intervention group and control group was (9.47±2.26), (8.79±2.04 ) mmol/L, and there were no significant differences, P>0.05. Conclusions The insulin dialogue toolkit has an impact on psychological insulin resistance of type 2 diabetes. Insulin dialogue toolkit is a way to improve the diabetes′attitude of insulin, but the effect on blood sugar are not clarity.