【作者】 平燕茹； 刘科； 雷静； 王蒙蒙； 贾竹敏；

【Author】 Ping Yanru;Liu Ke;Lei Jing;Wang Meng;JIA Zhumin;School of Nursing,Henan University of Science and Technology;The First Affiliated Hospital of Henan University of Science and Technology;

【机构】 河南科技大学护理学院； 河南科技大学第一附属医院；

【摘要】 目的探讨动态血糖监测系统联合心理干预对2型糖尿病患者血糖控制、依从及焦虑情绪的影响。方法便利选取我院2023年2月至2023年6月收治的50例住院2型糖尿病患者为研究对象,按照随机数字表法将其分为对照组(n=25)和试验组(n=25),对照组采用常规健康教育,进行自我血糖监测。试验组患者出院前1日,专科护士为其佩戴14天动态血糖监测系统(continuous glucose monitoring system,CGMS),向患者介绍CGMS官方APP界面及使用方法,指导患者APP内规律饮食、运动拍照打卡记录并告知患者记录的重要性及意义。佩戴CGMS1周后,专科护士微信联系患者,个性化为其分析血糖图谱,引导患者及时调整自身行为。分析比较试验组干预前后14天平均血糖目标范围时间(TIR)及变异系数(CV)、依从性用APP打卡率表示(每日4次打卡(3餐及1次运动记录),1日内2次未拍照记录或14天期间2天以上未记录视为未打卡)、焦虑自评量表(Self-rating anxiety scale,SAS)评分。结果干预后,25名试验组患者14天平均TIR为96.9%、平均变异系数为20.2%;APP打卡率(56%的患者按时拍照打卡14天(n=14),44%人2天以上未打卡或者日内2次未拍照打卡(n=11));试验组患者SAS评分降低程度较干预前高,差异有统计学意义(P<0.05)。结论动态血糖监测系统联合心理干预患者血糖得以有效控制,依从性高,可改善2型糖尿病患者焦虑水平,临床应用效果较好。更多还原

【Abstract】 Objective To investigate the effects of dynamic blood glucose monitoring system combined with psychological intervention on blood glucose control, compliance and anxiety in patients with type 2 diabetes.Methods Fifty patients with type 2 diabetes admitted to our hospital from February 2023 to June 2023 were conveniently selected as the study objects, and were divided into control group(n=25) and experimental group(n=25) according to random number table method. The control group was given routine health education and self-glucose monitoring. On the day before discharge, the patients of the experimental group were given 14-day continuous glucose monitoring system(CGMS) by a specialist nurse, and the official APP interface and usage methods of CGMS were introduced to the patients. Guide patients to take photos of regular diet and exercise in the APP, and inform patients of the importance and significance of the record. After wearing CGMS1 for a week, the specialist nurse contacted the patient on wechat to analyze the blood glucose profile for him and guide him to adjust his behavior in time. The mean blood glucose target range time(TIR) and coefficient of variation(CV) for14 days before and after intervention were analyzed and compared, and the compliance was expressed by APP punching rate(punching 4 times a day(3 meals and 1 exercise record). If no photo is taken twice within 1 day or no photo is recorded for more than 2 days within 14 days, it is regarded as no c D-in and Self-rating anxiety scale (SAS) score. Results After intervention, the average 14-day TIR of 25 experimental group patients was 96.9% and the average coefficient of variation was 20.2%. APP clocking rate(56% of patients took photos on time and clocking for 14 days(n= 14), 44% did not clocking for more than 2 days or 2 times within a day without taking photos(n=11)); SAS score of experimental group was lower than that before intervention, and the difference was statistically significant(P<0.05). Conclusion The dynamic blood glucose monitoring system combined with psychological intervention can effectively control the blood glucose of patients with high compliance, improve the anxiety level of patients with type 2 diabetes, and the clinical application effect is good.更多还原