首页|基于叙事护理改善社区老年2型糖尿病患者胰岛素注射痛苦的效果研究

基于叙事护理改善社区老年2型糖尿病患者胰岛素注射痛苦的效果研究

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目的 探讨基于叙事护理改善社区老年 2 型糖尿病患者胰岛素注射痛苦的效果。方法 采用随机分组方法将 140 例社区老年 2 型糖尿病患者分为观察组和对照组,各 70 例。对照组采用常规糖尿病护理管理模式,观察组在常规护理模式基础上,通过组建叙事护理小组、制订叙事护理干预方案并实施,比较两组患者在入组第 1 天和入组第 8 周的血糖指标达标情况、糖尿病痛苦评分和胰岛素抵抗评分。结果 干预后观察组空腹血糖达标率、餐后 2h血糖达标率、糖化血红蛋白达标率均明显高于干预前,差异有统计学意义(P<0。05),但与对照组比较差异无统计学意义;干预后观察组糖尿病痛苦总分明显低于对照组,差异有统计学意义(P<0。05);干预后观察组胰岛素抵抗评分明显低于对照组,差异有统计学意义(P<0。05)。结论 叙事护理能提高社区老年 2 型糖尿病胰岛素注射患者血糖控制水平,缓解糖尿病痛苦,有效降降低心理性胰岛素抵抗。
Study on the effect of narrative nursing on alleviating the pain of insulin injection in elderly patients with type 2 diabetes melli-tus in community
Objective To explore the effect of narrative nursing in alleviating the pain of insulin injection in elderly patients with type 2 diabetes mellitus in community.Methods A total of 140 elderly patients with type 2 diabetes mellitus in community were divided into ob-servation group and control group by random sampling method,with 70 cases in each group.The patients in the control group were managed by routine diabetes nursing management mode.On the basis of routine nursing mode,the observation group established a narrative nursing group,formulated a narrative nursing intervention program and implemented it.The compliance of the blood glucose index,the diabetes pain score and psychological insulin resistance score were compared between the two groups on the first day and the eighth week of enrollment.Results Af-ter intervention,the fasting blood glucose compliance rate,postprandial 2 h blood glucose compliance rate and glycosylated hemoglobin com-pliance rate in the observation group were significantly higher than those before intervention,and the differences were statistically significant(P<0.05),but there was no statistical difference compared with the control group.After intervention,the total score of diabetes pain in the ob-servation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).After interven-tion,the psychological insulin resistance score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Narrative nursing can improve the blood glucose control level of elderly patients with in-sulin injection,relieve the pain of diabetes,and effectively reduce the psychological insulin resistance.

narrative nursinginsulin injectiondiabetes painelderly patientstype 2 diabetes

曹环、刘慧芳、何荣莉、张雅萍、巩昕、周良、王朝昕、张瑞凤

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201104,上海市闵行区梅陇社区卫生服务中心

200235,上海市第六人民医院感染科

200120,上海市,同济大学附属东方医院心内科

200025,上海市,上海交通大学公共卫生学院

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叙事护理 胰岛素注射 糖尿病痛苦 老年患者 2型糖尿病

国家重点研发计划国家自然科学基金青年基金上海市中西医结合学会社区医学与健康管理科研项目

2022YFC3601500722041872021-42

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(2)
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