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胰岛素笔应用能力对2型糖尿病患者血糖控制效果的影响
引用本文:蒋青,;施耀方,;汪小华,;王琪,;丁丽娟. 胰岛素笔应用能力对2型糖尿病患者血糖控制效果的影响[J]. 护士进修杂志, 2014, 0(17): 1553-1556
作者姓名:蒋青,  施耀方,  汪小华,  王琪,  丁丽娟
作者单位:[1]苏州大学附属第一医院内分泌科,江苏苏州215006; [2]苏州大学护理学院,江苏苏州215006; [3]江苏省常熟市第二人民医院,江苏常熟215500
基金项目:江苏省常熟市医药科技计划项目(编号:CSWS201209)
摘    要:目的:探讨胰岛素笔应用能力对2型糖尿病患者血糖控制效果的影响。方法采用一般资料调查表和胰岛素笔应用能力调查问卷,调查苏州地区130例2型DM患者胰岛素笔应用能力现状及其血糖控制情况。结果胰岛素笔应用能力中的胰岛素精确注射维度对2型糖尿病患者空腹血糖的影响具有统计学意义(P<0.05);胰岛素笔注射相关并发症的发生情况(P<0.05)和血(尿)糖监测依从性(P<0.05)两维度对餐后2 h的血糖影响具有统计学意义;胰岛素笔注射相关并发症的发生情况(P<0.01)和血(尿)糖监测依从性(P<0.05)两维度对糖化血红蛋白(HbA1c)的影响具有统计学意义。结论胰岛素笔应用能力可影响2型DM的血糖控制效果,应加强相应的管理。

关 键 词:胰岛素笔  应用能力  血糖  2型糖尿病

Impact of application ability of insulin pen on the blood glucose control for type 2 diabetic patients
Affiliation:Jiang Qing, Shi Yaofang, Wang Xiaohua, etc (Department of Endocrinology, The First Affiliated Hospital of Soochow University, , Soochow 215006 )
Abstract:Objective To evaluate the impact of application ability of insulin pen on the blood glucose control for type 2 diabetic patients .Method 130 patients with type 2 diabetes from Suzhou area were investigated for the situation of application ability of insulin pen with application ability scale of insulin pen for diabetic patients .Result The factor of precise injection in application ability scale of insulin pen could significantly influence the level of fasting blood glucose (P〈0 .05) and the other two factors ,frequency of the complications related to insulin pen injection (P〈0 .05) and the compliance of monitoring blood (or urine) glucose(P〈0 .05) .It could significantly influence the level of postprandial 2h blood glucose .In addition ,the factors of frequency of the complications related to insulin pen injection (P〈0 .01) and the compliance of monitoring blood (or urine) glucose(P〈0 .05) could significantly in-fluence the level of HbA1c .Conclusion The application ability of insulin pen could impact the blood glucose control for type 2 diabetic patients .We should pay more attention on these management .
Keywords:Insulin pen  Application ability  Blood glucose  Type 2 diabetes mellitus
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