CAJ | 학술논문

目的探讨阶段性、个体化护理干预在初发T2DM患者双C治疗中的应用价值.方法对60例初诊的T2DM患者采用CSⅡ和CGMS联合治疗(双C治疗)法,给予阶段性、个体化的护理干预,干预治疗前、后进行血糖及糖尿病知识测试得分、依从性等比较.结果干预治疗后患者的血糖水平较治疗前明显改善,血压下降,糖尿病知识测试及格率显著增加,病人依从性明显提高.结论阶段性、个体化的护理干预是提高初诊T2DM患者依从性的重要措施,有助于双C治疗的顺利实施.同时能减轻糖毒性,提高患者的自我管理能力,改善患者的生活质量.
목적 탐토계단성、개체화호리간예재초발T2DM환자쌍C치료중적응용개치.방법 대60례초진적T2DM환자채용CSⅡ화CGMS연합치료(쌍C치료)법,급여계단성、개체화적호리간예,간예치료전、후진행혈당급당뇨병지식측시득분、의종성등비교.결과 간예치료후환자적혈당수평교치료전명현개선,혈압하강,당뇨병지식측시급격솔현저증가,병인의종성명현제고.결론 계단성、개체화적호리간예시제고초진T2DM환자의종성적중요조시,유조우쌍C치료적순리실시.동시능감경당독성,제고환자적자아관리능력,개선환자적생활질량.
Objective To explore the effect of stage - based and individualized nursing intervention on the newly diagnosed type 2 diabetes mellitus (T2DM) patients with the combined treatment of continuous subcutaneous insulin infusion (CSⅡ) and continuous glucose monitoring system (CGMS) . Methods 60 newly diagnosed patients with T2DM were given combined therapy of CSⅡ and CGMS, meanwhile they were given stage - based and individualized nursing intervention. The clinical data of all patients were collected before and after intervention, including general indexes, blood glucose, the score of diabetic knowledge, and the clinical compliance, etc. Results The blood glucose levels of all patients were significantly improved after intervention. Furthermore, the levels of blood pressure were obviously decreased. The pass ratio of test on diabetic knowledge was obviously increased. The clinical compliances of these patients were apparently increased. Conclusions Stage - based and individualized nursing intervention is the important measure to strengthen the clinical compliances of the newly diagnosed patients with T2DM. It ensures the smooth implementation of double C treatmentcan. Furthermore, it may decrease glucotoxicity, increase self - management ability and improve lfie quality of these patients.