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Survey and Analysis of Insulin-treated Type 2 Diabetes Patients’ Self-monitoring of Blood Glucose

目的　了解接受胰岛素治疗的糖化血红蛋白＞7.5%的2型糖尿病患者自我血糖监测现状及存在的问题，为帮助患者建立健康行为提供理论依据。 方法　对2008年12月－2011年2月住院治疗的128例符合纳入标准的患者进行问卷调查。调查内容包括患者一般资料、血糖控制情况、自我监测相关知识及技能等内容。 结果　共发放问卷128份，收回128份，其中有效问卷122份。糖尿病患者血糖自我监测知识获取渠道单一，且相关知识匮乏；不能制定正确血糖自我监测方案，不能对检测结果进行正确记录和汇报；血糖检测操作不正确，检测频率达不到标准要求。 结论　接受胰岛素治疗的2型糖尿病患者自我监测现状并不容乐观，患者自我监测行为缺乏。为此，提高糖尿病患者健康教育水平，帮助其建立并维持健康行为，是糖尿病教育工作的重点和挑战。

伽玛刀治疗三叉神经痛的护理

Impact of Individualized Diabetes Education Prescription on Glycemic Control in Out-patients with Diabetes

ObjectiveTo explore the effect of individualized health education prescription on glycemic control in out-patients with diabetes. MethodBetween January and May 2014, seventy-three out-patients with diabetes were given individualized health education prescription for 6 months. The we observed the change of HbA1c level, HbA1c standard rate and medication compliance of the patients. ResultsBefore the use of individualized health education prescription, HbA1c was (8.10±1.86)%, and HbA1c was (6.55±1.26)% after the intervention (P<0.001). HbA1c standard rate (72.6%) and medication compliance (the number of patients with high, medium, and poor compliance was 36, 27, and 10, respectively) after the intervention were both significantly better than those before (16.4%; 12, 42, and 19) the intervention (P<0.001). ConclusionsEducation prescription is effective in the management of blood glucose for patients with diabetes.

Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing

ObjectiveTo explore the influencing factors for lost follow-up of diabetic patients, looking for suitable follow-up methods for patients in the region of Central and Western China, in order to help ensure the quality of follow-up, improve the rate of follow-up and provide a basis for improving the quality of patients' continuous nursing outside of the hospital. MethodsContinuous nursing was carried out for 600 patients discharged from our department by two full-time diabetes education nurses from September 2012 to April 2014. The data of outside hospital patients who were lost in the follow-up were retrospectively analyzed. According to the sequential order of the patients, they were divided into three groups. The difference among the three groups of patients was analyzed and the effect of nursing intervention on patients' follow-up loss was also analyzed. ResultsThe rate of lost follow-up for the three groups were 29.4%, 20.3%, and 12.2%. Big classroom participation rate was 29.4%, 50.5%, and 57.5%. The lost follow-up rate of group three using team comprehensive management pattern was lower than that in group 1 with traditional supervision intervention. The age of the patients who were lost in the follow-up concentrated under 40 and above 75 years old. The patients with a disease history longer than 10 years with more complications were more likely to be lost in the follow-up. The main reason for lost follow-up was self-conceit and lack of awareness of the follow-up. ConclusionDiversified ways of follow-up can complement each other which can reduce the rate of lost follow-up.

胰岛素注射笔存放架的设计与应用研究

目的 设计一种新型的胰岛素注射笔存放架，并探讨其临床应用效果。 方法 2012 年 10 月使用治疗盘存放胰岛素注射笔作为对照组，2012 年 11 月使用存放架存放胰岛素注射笔作为观察组，比较两组注射胰岛素总人次（次/d）、准备胰岛素时间（s/支）、取错胰岛素注射笔的次数（次/d）的情况。 结果 两组注射胰岛素总人次分别为（262.9±8.1）、（263.8±5.6）次/d，差异无统计学意义（P>0.05）；观察组准备胰岛素的时间 [（43.0±0.6）s/支] 比对照组 [（121.5±1.8）s/支] 短，取错胰岛素注射笔的次数 [（0.4±0.9）次/d] 比对照组 [（2.4±2.5）次/d] 少，两组差异有统计学意义（P<0.05）。 结论 胰岛素注射笔存放架可提高护士工作效率，还可保证患者的用药安全，减少不良事件的发生，值得临床推广。

QQ 群在 1 型糖尿病患者出院后自我管理的应用研究

目的 探讨 QQ 群管理对 1 型糖尿病患者出院后依从性的影响。 方法 选择 2013 年 10 月—2015 年 2 月内分泌代谢科住院期间 1 型糖尿病患者 41 例，出院后使用 QQ 群对患者进行健康教育及管理，比较入院时和出院后 6 个月患者的空腹血糖（fasting blood glucose，FBG）、餐后 2 h 血糖（2-hour postprandial blood glucose，2hPBG）、糖化血红蛋白（hemoglobin A1c，HbA1c）及依从性。 结果 入院时，患者的 FBG、2hPBG、HbA1c 分别为（9.03±2.61）mmol/L、（16.04±5.25）mmol/L、（8.77±1.52）%，出院后 6 个月，患者上述指标分别下降为（6.33±1.37）mmol/L、（9.41±2.57）mmol/L、（7.52±1.03）%，差异均有统计学意义（P<0.05）。患者出院后 6 个月依从性量表各项评分均高于入院时，差异均有统计学意义（P<0.05）。 结论 使用 QQ 群管理 1 型糖尿病患者是有效的。