摘要
目的探讨热奄包干预联合健康教育对老年糖尿病(DM)胰岛素注射致皮下脂肪增生(LH)的疗效,提高患者胰岛素注射水平及舒适度,有利于血糖控制,有助于提高老年DM患者生活质量。方法选择2021年4月—2023年5月河南省人民医院内分泌科收治的老年DM胰岛素注射致LH患者80例作为观察对象,按照组间基线资料具有可比性原则,将患者分为对照组和观察组各40例,对照组采用常规护理,观察组在对照组基础上采用热奄包干预联合健康教育。干预前、干预14 d利用B超测量LH直径以评估面积变化,统计疗效,对比干预前、干预14 d血糖指标[空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbAlc)]、胰岛素注射技术掌握情况及舒适度。结果观察组患者疗效高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者血糖指标、胰岛素注射技术掌握水平、患者VAS评分比较差异无统计学意义(P>0.05),干预14 d后,观察组患者血糖指标低于对照组,差异有统计学意义(P<0.05)。干预14 d后,观察组患者胰岛素注射技术12个条目回答正确率高于对照组,差异有统计学意义(P<0.05)。干预14 d后,观察组患者VAS评分低于对照组,差异有统计学意义(P<0.05)。结论在老年DM胰岛素注射致LH患者中应用热奄包干预联合健康教育,可提高LH疗效,有利于其掌握胰岛素注射技巧,控制血糖水平,提高舒适度。
Objective To explore the efficacy of hot amniotic bag intervention combined with health education on lipohypertrophy(LH)caused by insulin injection in diabetes mellitus(DM)in the elderly,to improve the level of patients'insulin injection and comfort,which is favorable to glycemic control,and helps to improve the quality of life of elderly DM patients.Methods 80 cases of elderly DM patients with LH caused by insulin injection admitted to the Department of Endocrinology of Henan Provincial People's Hospital from April 2021 to May 2023 were selected as the observation objects,and in accordance with the principle of comparability of the baseline data between the groups,the patients were divided with 40 cases each in the control group and the observation group,and the control group adopted conventional nursing,and the observation group adopted the intervention of hot amniotic bag on the basis of the control group,and combined with health education.The control group applied the conventional nursing,and the observation group adopt hot amniotic bag intervention on the basis of the control group and combined health education.Before the intervention and on the 14 d of the intervention,LH diameter was measured by B ultrasound to assess the change of area,and the efficacy of the treatment was counted,and the blood glucose indexes[fasting plasma glucose(FPG),blood glucose 2 h after meal(2 hPG),and glycated hemoglobin(HbAlc)],the mastery of insulin injection technique and the degree of comfort were compared between the patients before the intervention and on the 14 d of the intervention.Results The efficacy of patients in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the comparison of blood glucose indexes,insulin injection technique mastery level,and patients'VAS scores between the two groups(P>0.05).After 14 d of intervention,the blood glucose indexes of patients in the obser
作者
赵芳
吕英华
马慧慧
石圆圆
胡永平
牛爱锦
刘军豪
ZHAO Fang;LV Yinghua;MA Huihui;SHI Yuanyuan;HU Yongping;NIU Aijin;LIU Junhao(Henan Provincial People's Hospital,Zhengzhou 450000,China;Fuwai Huazhong Hospital of Cardiovascular Diseases,Zhengzhou 450000,China)
出处
《护理实践与研究》
2024年第12期1860-1865,共6页
Nursing Practice and Research
基金
河南省卫生健康委员会医学科技攻关计划项目(编号:LHGJ20210096)。
关键词
热奄包干预
健康教育
老年糖尿病
胰岛素注射
皮下脂肪增生
Hot pack intervention
Health education
Geriatric diabetes mellitus
Insulin injection
Subcutaneous fat hyperplasia
