电话结合微信健康教育在出院糖尿病胰岛素泵治疗患者中的应用

来源 :中国健康教育 | 被引量 : 0次 | 上传用户:zisanjie
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨电话结合微信健康教育在出院使用胰岛素泵治疗糖尿病患者中的应用效果。方法选择60例在山东省立医院住院治疗,血糖稳定后出院继续胰岛素泵治疗的糖尿病患者,分为观察组和对照组各30例。对照组常规门诊随诊,观察组在此基础上给予电话结合微信健康教育。出院6个月时,比较2组空腹血糖、糖化血红蛋白、胰岛素泵使用知识及技能掌握水平、泵不良事件发生情况。结果出院时,2组患者空腹血糖、糖化血红蛋白、胰岛素泵使用知识和技能水平差异无统计学意义(P>0.05)。出院6个月时,观察组空腹血糖(6.23±0.71)优于对照组(6.89±1.22)(P<0.05),糖化血红蛋白(6.51±0.49)明显优于对照组(6.89±0.59)(P<0.01);观察组患者胰岛素泵使用相关知识、技能水平高于对照组(P<0.05);出院6个月内,观察组发生意外低血糖、注射部位皮肤感染或硬结等的人数少于对照组(P<0.01),发生意外高血糖人数比对照组少(P<0.05)。结论电话结合微信健康教育可使出院继续使用胰岛素泵治疗患者保持较高的泵使用知识、技能水平及良好的血糖控制,减少泵相关不良事件的发生。“,”Objective To explore the validity of telephone combined with WeChat health education in discharged diabetic patients with insulin pump. Methods 60 discharged diabetic patients with stable blood sugar and insulin pump therapy were enrolled,and equally divided into experimental group and control group.The patients in the control group was given traditional outpatient follow-up method while the patients in the experimental group were given telephone combined with WeChat health education.After six months of intervention,the levels of fasting blood glucose and glycosylated hemoglobin, the use knowledge and skills of insulin pumps,the condition of adverse events were compared between 2 groups. Results After discharged,there was no significant difference between 2 groups patients on fasting blood glucose,glycated hemoglo-bin,the use knowledge and skills of insulin pumps (P>0.05).After discharged 6 months,the level of fasting plasma glu-cose in observation group (6.23 ±0.71)was better than the control group (6.89 ±1.22) (P<0.05),the level of gly-cated hemoglobin in observation group (6.51 ±0.49)was obviously better than the control group (6.89 ±0.59) (P<0.01).Within discharged 6 month,the occurrences of unexpected hypoglycemia,injection site skin infections or induration in the observation group were less than that of the control group,the differences in statistically were obviously significant (P<0.01),the occurrences of unexpected hyperglycemia was less than the control group (P<0.05).Conclusion Tele-phone combined with WeChat health education can help discharged diabetic patients with pump therapy maintain higher skills of pump use and better blood glucose control,and reduce pump-related adverse events.
其他文献
期刊
期刊
目的比较去氧肾上腺素与去甲肾上腺素在限制性输液患者中的应用效果。方法选取65例择期行腹腔镜下直肠切除术的患者,采用随机数字表法分为观察组(去氧肾上腺素复合限制性输液)32例和对照组(去甲肾上腺素复合限制性输液)33例。比较两组手术情况、不同时间点血流动力学指标。采集T0、T1、T2时的中心静脉血和动脉血,比较两组中心静脉血饱和度(ScvO2)、动脉血乳酸(Lac)浓度、中心静脉血氧分压(PcvO2
期刊
期刊
期刊
期刊
期刊
期刊
期刊