摘要
目的探讨自我血糖监测日志联合认知行为干预对糖尿病血液透析患者低血糖的作用。方法选择2018年1月—2019年6月时段接受治疗的90例糖尿病血液透析患者,随机数字表法分为对照组与试验组,分别45例,对照组接受常规护理方式干预,试验组在其基础上加行自我血糖监测日志联合认知行为干预,观察并对比低血糖发生率以及健康知识掌握、依从性情况,并予以对比分析。结果不同时段试验组低血糖总发生率8.89%明显较对照组26.67%低,两组比较差异有统计学意义(χ~2=4.865,P<0.05);试验组健康知识掌握(29.43±2.68)分以及生活方式(88.42±4.23)分、服药情况(88.45±4.31)分、自我检测(89.02±6.13)分、合理饮食(92.42±5.43)分等依从性情况均显著优于对照组,两组比较差异有统计学意义(t=14.283、19.561、19.346、15.682、18.647,P<0.05)。结论自我血糖监测日志联合认知行为干预在糖尿病血液透析患者中的应用效果理想,可有效预防低血糖,并丰富健康知识掌握程度,提升依从性。
Objective To explore the effect of self-glycemic monitoring log combined with cognitive behavior intervention on hypoglycemia in diabetic hemodialysis patients.Methods A total of 90 diabetic hemodialysis patients who received treatment from January 2018 to June 2019 were selected.The random number table method was divided into a control group and a test group,with 45 cases in each.The control group received routine nursing intervention.On the basis of it,a self-glycemic monitoring log and cognitive behavioral interventions were added to observe and compare the incidence of hypoglycemia and the knowledge and compliance of health knowledge,and make a comparative analysis.Results The total incidence of hypoglycemia in the test group at different time periods was8.89%,which was significantly lower than that in the control group,26.67%.The difference between the two groups was statistically significant(χ~2=4.865,P<0.05);the health knowledge of the test group was(29.43±2.68)points and the compliance of lifestyle(88.42±4.23)points,medication(88.45±4.31)points,self-test(89.02±6.13)points,and reasonable diet(92.42±5.43)points were significantly better than the control group.the difference was statistically significant(t=14.283,19.561,19.346,15.682,18.647,P<0.05).Conclusion The self-blood glucose monitoring log combined with cognitive behavioral intervention is ideal for diabetic hemodialysis patients.It can effectively prevent hypoglycemia,enrich the knowledge of health knowledge,and improve compliance.
作者
陈洁双
伍月芳
蔡世少
CHEN Jie-shuang;WU Yue-fang;CAI Shi-shao(Blood Purification Center,People's Hospital of Taishan City,Taishan,Guangdong Province,529200 China)
出处
《系统医学》
2020年第13期169-171,共3页
Systems Medicine
关键词
糖尿病
血液透析
低血糖
自我血糖监测日志
认知行为干预
Diabetes
Hemodialysis
Hypoglycemia
Self-blood glucose monitoring log
Cognitive behavioral intervention
