CAJ | 학술논문

目的通过分析影响初次使用胰岛素的2型糖尿病住院患者出现低血糖症状的自身因素,探讨低血糖高危人群加强糖尿病教育和低血糖护理的重要性.方法选取257例初次使用胰岛素的2型糖尿病住院患者,其中出现低血糖症状80例.比较低血糖组和未发生低血糖组患者性别、BMI和HbAlc等之间的差别.利用Logistic回归分析,发现可能与低血糖症状发生有关的危险因素.然后应用ROC曲线分析影响最大的因素.结果 2组间BMI、Scr、HbAlc和TG等7个因素水平比较差异有统计学意义.BMI和HbAlc为影响低血糖发生的最主要的保护因素.HbAlc＜8.65％或BMI＜26.3 kg/m2的患者低血糖发生率增加.结论 BMI和HbAlc是影响首次使用胰岛素的患者出现低血糖症状最主要的自身因素.护理人员应加强对HbAlc＜8.65％或BMI＜26.3 kg/m2的患者进行糖尿病相关健康教育,对预防低血糖事件的发生有重要意义.
목적 통과분석영향초차사용이도소적2형당뇨병주원환자출현저혈당증상적자신인소,탐토저혈당고위인군가강당뇨병교육화저혈당호리적중요성.방법 선취257례초차사용이도소적2형당뇨병주원환자,기중출현저혈당증상80례.비교저혈당조화미발생저혈당조환자성별、BMI화HbAlc등지간적차별.이용Logistic회귀분석,발현가능여저혈당증상발생유관적위험인소.연후응용ROC곡선분석영향최대적인소.결과 2조간BMI、Scr、HbAlc화TG등7개인소수평비교차이유통계학의의.BMI화HbAlc위영향저혈당발생적최주요적보호인소.HbAlc＜8.65％혹BMI＜26.3 kg/m2적환자저혈당발생솔증가.결론 BMI화HbAlc시영향수차사용이도소적환자출현저혈당증상최주요적자신인소.호리인원응가강대HbAlc＜8.65％혹BMI＜26.3 kg/m2적환자진행당뇨병상관건강교육,대예방저혈당사건적발생유중요의의.
Objective To explore the importance of diabetic education and hypoglycemia nursing for population with high risk of hypoglycemia through analysis of the personal factors influencing incidence of hypoglycemia of type 2 diabetic patients during initial use of insulin.Methods There were 257 cases of T2DM hospitalized patients during initial use of insulin,among whom 80 experienced hypoglycemia.They were divided into two groups,one was the hypoglycemia group,another was the non-hypoglycemia group.Firstly,we compared the different characteristics of the two groups such as gender,BMI and HbAlc,and so on.And then,the possible risk factors of hypoglycemia were analyzed by a Logistic regression model.Finally,the most significant factors were analyzed with the ROC curve.Results These two groups were obviously different in seven elements such as BMI,Scr,HbAlc and TG,and so on.BMI and HbAlc were the most primary causes for prevention of hypoglycemia.When patients got HbAlc＜8.65％ or BMI＜26.3 kg/m2,they had more opportunity to occur hypoglycemia.Conclusions BMI and HbAlc of patients are primary causes for hypoglycemia.It is of great significance for nurses to enhance diabetes education to the patients with HbAlc＜8.65％ or BMI＜26.3 kg/m2 to alleviate the incidence of hypoglycemia.