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目的:探索针对接受胰岛素强化治疗的II型糖尿病患者的有效治疗护理方法。方法:对72例Ⅱ型糖尿病患者给予标准胰岛素强化治疗,于三餐前给予门冬胰岛素,皮下注射剂量0.5-1.0U·kg-1·d-1。甘精胰岛素睡前皮下注射。剂量根据患者血糖情况每日给予(2-20)IU。开展的护理工作包括上述患者采取心理调节、医疗知识健康教育、饮食控制和运动指导等四方面的积极护理措施。结果:经治疗护理后,所有患者血糖均控制良好。血糖控制率100%。护理后患者的生活质量高于护理前,有统计学差异(P<0.05)。治疗后S-AI评分及T-AI评分显著优于治疗前,有统计学差异(P<0.05)。结论:采取心理调节、医疗知识健康教育、饮食控制和运动指导等护理措施可提高患者对疾病的认知度,增强信心,改善情绪,提高药物依从性,形成良好生活习惯,进而达到理想治疗目标。
Objective: To explore effective treatment and care for type 2 diabetes patients undergoing intensive insulin therapy. Methods: Seventy-two patients with type 2 diabetes were given intensive insulin therapy. Insulin aspart was given before meals. The dose of subcutaneous injection was 0.5-1.0U · kg-1 · d-1. Glargine subcutaneous injection before bedtime. The dose is given daily (2-20) IU depending on the patient’s blood glucose level. Nursing work carried out include the above patients take active care in four aspects: psychological adjustment, medical knowledge, health education, diet control and sports instruction. Results: After treatment and care, all patients with good blood sugar control. Blood sugar control rate of 100%. The quality of life of the patients after nursing care was higher than before nursing, there was a significant difference (P <0.05). The scores of S-AI and T-AI after treatment were significantly better than those before treatment (P <0.05). Conclusion: Nursing measures such as psychological adjustment, medical knowledge, health education, diet control and sports instruction can improve patients’ awareness of the disease, enhance their confidence, improve their mood, improve drug compliance and form good living habits so as to achieve the ideal treatment goal .