中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
27期
110-112,117
,共4页
改良健康教育路径%胰岛素强化治疗%2型糖尿病%低血糖
改良健康教育路徑%胰島素彊化治療%2型糖尿病%低血糖
개량건강교육로경%이도소강화치료%2형당뇨병%저혈당
Improved health education path%Intensive insulin therapy%2 diabetes metillus%Hypoglycemia
目的：分析改良健康教育路径在胰岛素强化治疗2型糖尿病患者中的应用效果。方法资料选自2012年12月~2013年12月在内蒙古医科大学附属医院确诊为2型糖尿病并接受胰岛素强化治疗患者112例，按照完全抽样法1：1分成两组，56例对照组患者予常规健康教育路径护理，56例研究组患者予改良健康教育路径，分析两组患者的认知能力与血糖指标改善情况。结果干预后，研究组糖尿病、胰岛素注射知识评分[(79.68±14.71)、(15.48±2.61)分]均比对照组[(56.74±21.46)、(10.64±3.75)分]高，差异有高度统计学意义(P<0.01)；研究组空腹血糖(FPG)、餐后2 h血糖(2 h PBG)与糖化血红蛋白(HbA1c)水平均显著低于干预前及干预后对照组，差异有高度统计学意义(P<0.01)；研究组遵医行为评分为(13.85±2.47)分，比对照组[(8.35±1.68)分]高，血糖达标时间为(28.75±9.57)d，比对照组[(41.78±14.62)d]短，低血糖发生次数为(1.03±0.57)次，比对照组[(4.35±2.16)次]少，差异有高度统计学意义(P<0.01)。结论2型糖尿病胰岛素强化治疗应用改良健康教育路径的控糖效果显著，利于改善患者预后。
目的：分析改良健康教育路徑在胰島素彊化治療2型糖尿病患者中的應用效果。方法資料選自2012年12月~2013年12月在內矇古醫科大學附屬醫院確診為2型糖尿病併接受胰島素彊化治療患者112例，按照完全抽樣法1：1分成兩組，56例對照組患者予常規健康教育路徑護理，56例研究組患者予改良健康教育路徑，分析兩組患者的認知能力與血糖指標改善情況。結果榦預後，研究組糖尿病、胰島素註射知識評分[(79.68±14.71)、(15.48±2.61)分]均比對照組[(56.74±21.46)、(10.64±3.75)分]高，差異有高度統計學意義(P<0.01)；研究組空腹血糖(FPG)、餐後2 h血糖(2 h PBG)與糖化血紅蛋白(HbA1c)水平均顯著低于榦預前及榦預後對照組，差異有高度統計學意義(P<0.01)；研究組遵醫行為評分為(13.85±2.47)分，比對照組[(8.35±1.68)分]高，血糖達標時間為(28.75±9.57)d，比對照組[(41.78±14.62)d]短，低血糖髮生次數為(1.03±0.57)次，比對照組[(4.35±2.16)次]少，差異有高度統計學意義(P<0.01)。結論2型糖尿病胰島素彊化治療應用改良健康教育路徑的控糖效果顯著，利于改善患者預後。
목적：분석개량건강교육로경재이도소강화치료2형당뇨병환자중적응용효과。방법자료선자2012년12월~2013년12월재내몽고의과대학부속의원학진위2형당뇨병병접수이도소강화치료환자112례，안조완전추양법1：1분성량조，56례대조조환자여상규건강교육로경호리，56례연구조환자여개량건강교육로경，분석량조환자적인지능력여혈당지표개선정황。결과간예후，연구조당뇨병、이도소주사지식평분[(79.68±14.71)、(15.48±2.61)분]균비대조조[(56.74±21.46)、(10.64±3.75)분]고，차이유고도통계학의의(P<0.01)；연구조공복혈당(FPG)、찬후2 h혈당(2 h PBG)여당화혈홍단백(HbA1c)수평균현저저우간예전급간예후대조조，차이유고도통계학의의(P<0.01)；연구조준의행위평분위(13.85±2.47)분，비대조조[(8.35±1.68)분]고，혈당체표시간위(28.75±9.57)d，비대조조[(41.78±14.62)d]단，저혈당발생차수위(1.03±0.57)차，비대조조[(4.35±2.16)차]소，차이유고도통계학의의(P<0.01)。결론2형당뇨병이도소강화치료응용개량건강교육로경적공당효과현저，리우개선환자예후。
Objective To analyze the practical effects of improved health education path in 2 diabetes metillus treated with intensive insulin therapy. Methods Data of 112 cases were randomly selected from the diabetes metillus patients treated with intensive insulin therapy in the Affiliated Hospital of Inner Mongolia Medical University (shorted for "our hospital") from December 2012 to December 2013. According to all sample method (1:1 proportion), they were divided into two groups. 56 cases as the control group were given the conventional nursing health education path; while the other 56 cases as the research group were given the improved health education path. Then the cognitive ability and im-proved glycemic index of two groups were analyzed. Results Knowledge scores of diabetes and insulin injections were (79.68±14.71) scores and (15.48±2.61) scores in the research group after intervention, which were higher than those in the control group [(56.74±21.46) scores and (10.64±3.75) scores], with statistical significance (P<0.01). FPG, 2 h PBG and HbA1c levels of the research group were obviously lower than those before the intervention and in the control group after intervention, with statistical significance (P< 0.01). Besides, the medical behavior score was (13.85±2.47) scores in the research group, which was higher than that in the control group [(8.35±1.68) scores], with statistical significance (P < 0.01). Therapeutic time of blood glucose was (28.75±9.57) d in t he research group, which was shorter than that in the control group [(41.78±14.62) d]; and the incidence rate of hypoglycemia was (1.03±0.57) times, which was less than that in the control group [(4.35±2.16) times], with statistical significance(P< 0.01). Conclusion 2 diabetes metillus treated with intensive insulin therapy has apparent effect of controlling the suger through improved health education path, which contributes to improving the prognosis of patients.
