摘要
目的 分析E-Coach模式结合动态血糖管理对重症糖尿病患者外周血糖脂水平的影响,为临床提供更适合的血糖管理方法。方法 采用便利抽样法,选取2022年3月—2023年3月宁波市第二医院重症医学科收治的100例重症糖尿病患者作为研究对象,根据随机数字表法将其分为对照组(50例)和观察组(50例)。对照组应用传统血糖管理,观察组在对照组基础上应用E-Coach模式结合动态血糖管理。观察2组患者干预前后外周血空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)指标,以及治疗依从性及护理满意度。结果 干预后,观察组外周血FBG、2hPG及HbA1c水平均低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组外周血TG、LDL-C低于对照组,HDL-C高于对照组,差异均有统计学意义(均P<0.05);观察组患者治疗依从性为90%(45/50),高于对照组的74%(37/50),且观察组患者护理满意度为92%(46/50),高于对照组的76%(38/50),差异均有统计学意义(均P<0.05)。结论 E-Coach模式结合动态血糖管理相较于常规护理更有利于改善ICU糖尿病患者外周血糖脂水平,有助于提高患者的治疗依从性及护理满意度。
Objective To analyze the effect of E-Coach mode combined with dynamic glucose management on peripheral blood glucose and lipid levels in patients with severe diabetes,and to provide more suitable blood glucose management methods for clinical practice.Methods A convenient sampling method was used to select 100 patients with severe diabetes who were admitted to the Intensive Care Medicine of Ningbo Second Hospital from March 2022 to March 2023 as the research objects.According to the random number table,they were divided into a control group and an observation group with 50 patients in each group.Patients in the control group were treated with traditional blood glucose management,while patients in the observation group were treated with E-Coach mode combined with dynamic blood glucose management based on the control group.The changes of peripheral blood fasting blood sugar(FBG),2 h blood glucose(2hPG),glycated hemoglobin,triglyceride(TG),total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),treatment compliance and nursing satisfaction were observed before and after the intervention in the two groups.Results After intervention,the levels of peripheral blood FBG,2hPG,and HbAlc were compared between the two groups,and the observation group was lower than the control group,with statistically significant differences(P<0.05);The TG and LDL-C in peripheral blood of the observation group were lower than those of the control group,and the HDL-C was higher than that of the control group(all P<0.05).The treatment compliance of the observation group was 90%(45/50),which was higher than 74%(37/50)of the control group,and the nursing satisfaction of the observation group was 92%(46/50),which was higher than 76%(38/50)of the control group,the differences were statistically significant(all P<0.05).Conclusion E-Coach mode combined with dynamic blood glucose management is more conducive to improving the peripheral blood glucose and lipid levels of ICU diabetes patients than con
作者
陈瑜
王琼
邢红叶
CHEN Yu;WANG Qiong;XING Hongye(Department of Intensive Care Unit,Ningbo No.2 Hospital,Ningbo,Zhejiang 315000,China)
出处
《中华全科医学》
2023年第9期1617-1620,共4页
Chinese Journal of General Practice
基金
浙江省医药卫生科技计划项目(2023KY1099)。
关键词
糖尿病
E-Coach模式
动态血糖管理
重症
外周血糖脂水平
Diabetes
E-Coach mode
Dynamic blood glucose management
Severe illness
Peripheral blood glucose and lipid levels
