规范化自我管理教育对糖尿病患者院外胰岛素泵治疗效果的影响

目的探讨规范化自我管理教育对糖尿病患者院外胰岛素泵（CSⅡ）治疗效果的影响。方法将51例住院期间予CSⅡ治疗、出院后仍需CSⅡ治疗的患者作为研究对象，按随机数字表法随机分成两组：观察组26例，对照组25例，两组均在住院期间进行教育及出院后随访教育，观察组采取规范化自我管理教育，对照组采取传统教育方法。于出院前对两组患者掌握CSⅡ治疗及相关知识情况进行比较，出院后3个月观察两组患者的生化指标、体质指数及携泵期间异常情况出现人次进行比较。结果3个月后观察组患者糖化血红蛋白为（5．81±0．36）％，总胆固醇为（3．62±0．48）mmol／L，甘油三酯为（1．61±0．46）mmol／L，体质指数为（22．914-2．33）kg/m^2，对照组分别为（6．57±1．34）％、（4．50±0．99）mmol／L、（1．94±0．74）mmol／L、（24．20±2．95）kg／m^2，组间比较差异具有统计学意义（t分别为2．78，4．06，1．92，1．74；P〈0．05）。观察组患者携泵期间发生低血糖7．6％，输注部位皮肤发炎11．5％，堵管15．4％，胶布松脱15．4％，对照组分别为32．0％，64．0％，48．0％，72．0％，观察组发生率均低于对照组，组间比较差异具有统计学意义（X^2分别为4．78，15．01，6．29，16．65；P〈0．05）。结论规范化自我管理教育用于院外CSⅡ治疗患者健康教育效果优于传统教育方法，值得在临床推广。

Effect of standardized self-management education on the effect of diabetes patients outside the hospital treatment by continuous subcutaneous insulin pump insulin

Objective To investigate standardized self-management education for diabetics outside the hospital treatment by continuous subcutaneous insulin pump insulin （CSH） effect. Methods The 51 patients who received hospital stay treatment by continuous subcutaneous insulin pump insulin and post-discharge treatment by continuous subcutaneous insulin pump insulin were selected as research subjects, and randomly divided into two groups ： observation group of 26 patients and the control group of 25 patients, both groups received education in the hospital and after discharge follow-up of education; observation group was to take standardized self-management education, control group to take the traditional education method. Knowledge master CSH therapy in the two groups of patients before discharge was compared. Biochemical indicators, body mass index and the abnormal situation 3 months pest-discharge was compared in the two groups. Results Glycosylated hemoglobin, total cholesterol, triglycerides, body mass index were （5.81 ±0.36）%, （3.62 ±0.48）mmol/L, （1.61±0.46）mmol/L and （22.91± 2.33） kg/m^2, respectively, those in the control group were （6. 57 ± 1. 34）%, （4. 50 ± 0. 99） mmol/L, （ 1.94 ±0. 74） mmol/L, and （24. 20 ± 2. 95 ） kg/m^2, respectively, and the differences were significant （ t = 2. 78, 4. 06, 1.92, 1.74, respectively; P 〈 0. 05 ）. 7.6% hypoglycemia, 11.5% skin inflammation in the infusion site, 15.4% plugging, and 15.4% tape loose occurred in the observation group during the pump period, and those in the control group were 32. 0% ,64.0% ,48.0% ,72.0%, respectively;the incident rates in the observation group were lower than the control group, and the difference was significant （X^2 =4.78, 15.01, 6.29, 16. 65 ,respectively; P 〈 0. 05）. Conclusions The hospital CSU-treated diabetes, standardized self-management education is better than traditional education methods; it is worth in clinical practice.