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风险护理对胰岛素泵强化治疗糖尿病患者的影响

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目的 观察风险护理对胰岛素泵强化治疗的糖尿病患者的影响,探究糖尿病患者有效的护理方案.方法 选取2022年6月-2023年5月天津医科大学朱宪彝纪念医院收治的采用胰岛素泵强化治疗的糖尿病患者106例进行研究,将患者根据护理方法不同分为常规组和风险护理组各53例.常规组患者实施常规护理干预,风险护理组患者在常规组的基础上实施风险护理干预.比较两组患者胰岛素用量、血糖达标时间、住院时间、不良反应发生率以及护理干预满意率.结果 风险护理组胰岛素用量为(30.26±4.23)U/d,少于常规组的(41.25±5.23)U/d,且血糖达标时间以及住院时间为(6.75±1.10)和(10.02±1.01)d,均短于常规组的(8.23±1.65)和(12.12±1.62)d,差异均有统计学意义(P<0.05).风险护理组不良反应发生率为3.77%,低于常规组的15.09%,差异有统计学意义(x2=3.975 0,P<0.05).风险护理组护理干预满意率为96.23%,高于常规组的83.02%,差异有统计学意义(x2=4.970 3,P<0.05).结论 为胰岛素泵强化治疗的糖尿病患者实施风险护理的效果较好,可更好地促进患者血糖水平恢复,患者治疗起效快,胰岛素用量少,且不良反应少,患者满意认可,值得临床推广应用.
Effect of risk nursing on diabetic patients with intensive insulin pump therapy
Objective To observe the effect of risk nursing on diabetic patients with intensive insulin pump therapy,and in order to explore the effective nursing plan for diabetic patients.Methods A total of 106 patients with diabetes mellitus who received intensive insulin pump therapy in Tianjin Medical University Chu Hsien-I Memorial Hospital from June 2022 to May 2023 were selected for research.According to different nursing methods,the patients were divided into routine group and risk nursing group,with 53 patients in each group.Patients in the routine group received routine nursing interventions,while patients in the risk nursing group received risk nursing interventions on the basis of routine group.The insulin dosage,the time to meet blood glucose standards,hospital stay,incidence of adverse reactions and satisfaction rate of nursing interventions between two groups of patients were compared.Results The insulin dosage in the risk nursing group was(30.26±4.29)U/d,which was less than that in the routine group with(41.25±5.23)U/d,and the time to meet blood glucose standards and hospital stay were(6.75±1.10)and(10.02±1.01)d,which were shorter than those in the routine group with(8.23±1.65)and(12.12±1.62)d,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the risk nursing group was 3.77%,which was lower than 15.09%in the routine group,and the difference was statistically significant(x2=3.975 0,P<0.05).The satisfaction rate of nursing intervention in the risk nursing group was 96.23%,which was higher than 83.02%in the routine group,and the difference was statistically significant(x2=4.970 3,P<0.05).Conclusion The effect of risk nursing for diabetic patients with intensive insulin pump therapy was better,which could better promote the recovery of patients'blood glucose level.The treatment of patients took effect quickly,the amount of insulin was small,and the adverse reactions were few,the patients were satisfied and recognized,which was worthy of clinical promotion and application.

Diabetes mellitusIntensive insulin pump therapyRoutine nursingRisk nursingAdverse reactions

刘欣

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天津医科大学朱宪彝纪念医院中西医结合科,天津市内分泌研究所,国家卫健委激素与发育重点实验室,天津市代谢性疾病重点实验室,天津 300134

糖尿病 胰岛素泵强化治疗 常规护理 风险护理 不良反应

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(4)
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