Monitoring and nursing of gestational diabetes patients treated with continuously subcutaneous insulin infusion
10.3760/cma.j.issn.1674-6090.2009.03.014
- VernacularTitle:妊娠期糖尿病胰岛素泵治疗的观察及护理
- Author:
Lifang TONG
;
Qifu LI
;
Zhiping LIU
;
Qingfeng CHENG
- Publication Type:Journal Article
- Keywords:
Diabetes mellitns;
Gestation;
Subcutaneous insulin infusion;
Nursing
- From:
Journal of Endocrine Surgery
2009;3(3):184-186,196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of the intensive treatment with continuously subcutaneous in-sulin infusion(CSII) in patients with gestational diabetes and the nursing during the treatment. Methods From Jan 2007 to Aug 2008, 42 patients with gestational diabetes underwent continuously subcutaneous insulin infu-sion, and a standard nursing plan of patients was made up before treatment. The efficacy of treatment and nursing were analyzed. Results After using the CSII, the blood glucose of all patients was controlled at normal level after 7.0±1.5d. 88.1% of patients were satisfied with the effect and one patient was dissatisfied with the treatment because of losing the fetus for sever bleeding caused by placenta previa. 40.5% of patients with different degrees of anxiety accepted CSII therapy after psychological care by nurses;In 9.5% of patients the infusion bump a-larmed because of needle blockage or infusion tube bending, it restarted working and ran normally once the needle replaced or bending tube unwinded. 7.1% of patients developed hypoglycemia during CSII and recovered after eating. Conclusions Intensive treatment with CSII in gestational diabetes patients can effectively control blood glucose level The effect can be improved by taking specific nursing measures.