Effects of insulin pump management led by diabetes specialist nurses in elderly diabetic patients
10.3760/cma.j.cn115682-20210803-03438
- VernacularTitle:糖尿病专科护士主导的胰岛素泵管理在老年糖尿病患者中的应用
- Author:
Li LIN
1
;
Yanrong ZHENG
;
Wei CUI
Author Information
1. 首都医科大学附属北京友谊医院医保内科/老年医学科，北京 100050
- Keywords:
Diabetes mellitus, type 2;
Diabetes specialist nurse;
Insulin pump;
Management
- From:
Chinese Journal of Modern Nursing
2022;28(11):1504-1508
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of insulin pump management led by diabetes specialist nurses in elderly diabetic patients.Methods:From January 2019 to December 2020, convenience sampling was used to select 149 patients with type 2 diabetes mellitus who used insulin pumps during hospitalization in the Department of Geriatrics, Beijing Friendship Hospital, Capital Medical University. Among them, the patients from January to December 2019 were in the control group (71 cases) , and the patients from January to December 2020 were in the observation group (78 cases) . During the use of insulin pump, the two groups were treated with conventional insulin pump management and insulin pump management led by diabetes specialist nurses. The blood glucose fluctuation coefficient, the time to reaching blood glucose target, insulin pump-related negative events, and insulin pump-related knowledge and skills were compared between the two groups.Results:The blood glucose fluctuation coefficient of the observation group was lower than that of the control group, and the time to reaching blood glucose target was shorter than that of the control group, and the differences were statistically significant ( P<0.01) . The incidences of insulin pump-related negative events in the control group and the observation group were 57.75% (41/71) and 20.51% (16/78) , respectively, and the difference was statistically significant (χ 2=21.815, P<0.01) . After intervention, the insulin pump-related knowledge and skills in the observation group were better than those in the control group, and the difference was statistically significant ( P<0.01) . Conclusions:The insulin pump management led by diabetes specialist nurses is beneficial to patients' blood glucose control, can reduce the incidence of insulin pump-related negative events, and improve patients' insulin pump-related knowledge and skills.
