CAJ | 학술논문

目的：分析2型糖尿病患者心理性胰岛素抵抗的原因,通过针对性的护理干预,提高患者胰岛素治疗的依从性。方法选取心理性胰岛素抵抗的2型糖尿病患者38例,分析患者拒绝治疗的原因后,针对性地进行护理干预。结果23例患者住院时、出院后均能接受胰岛素治疗,10例患者住院时接受胰岛素治疗,但拒绝出院后应用胰岛素治疗；5例患者拒绝应用胰岛素治疗。结论对心理性胰岛素抵抗的2型糖尿病患者进行针对性的护理干预,可提高患者对胰岛素治疗的依从性。
목적：분석2형당뇨병환자심이성이도소저항적원인,통과침대성적호리간예,제고환자이도소치료적의종성。방법선취심이성이도소저항적2형당뇨병환자38례,분석환자거절치료적원인후,침대성지진행호리간예。결과23례환자주원시、출원후균능접수이도소치료,10례환자주원시접수이도소치료,단거절출원후응용이도소치료；5례환자거절응용이도소치료。결론대심이성이도소저항적2형당뇨병환자진행침대성적호리간예,가제고환자대이도소치료적의종성。
Objective To explore the causes of psychological insulin resistance in type 2 diabetic patients and to give targeted psychological intervention, so as to improve patients′compliance to insulin therapy. Methods Thirty-eight type 2 diabetes mellitus patients with psychological insulin resistance were analyzed to find out their reasons for resistance,and followed by targeted nursing intervention.Results After psychological intervention,23 patients were willing to accept insulin therapy in hospital and after discharge.10 patients agreed to accept the therapy in hospital but not after discharge.And still 5 patients refused the treatment all the time.Conclusion Targeted psychological nursing improve the compliance of insulin therapy,so as to ensure the effectiveness of treatment.