目的 观察自制医用腹部注射投影电筒在胰岛素注射部位轮换中的应用效果.方法 选择2020年3月1日至7月30日符合中国2型糖尿病防治指南(2017年版)诊断标准并在该科住院的糖尿病患者70例,随机分为观察组与对照组,各35例.观察组采用一种医用腹部注射投影电筒进行腹部胰岛素注射部位轮换,对照组采用常规胰岛素腹部轮换注射定位卡进行轮换.比较两组治疗前及出院后3个月胰岛素注射部位并发症、糖化血红蛋白水平及患者满意度情况.结果 两组性别、文化程度比较,差异均无统计学意义(P>0.05).治疗后3个月观察组注射部位并发症发生率(14.3％)和糖化血红蛋白明显低于对照组(71.4％),满意度明显高于对照组,差异均有统计学意义(P<0.01).结论 使用医用腹部注射投影电筒可有效降低胰岛素注射部位局部并发症发生率和糖化血红蛋白值,提高患者满意度,适用于各种体型的2型糖尿病患者.
目的 了解嘉兴地区综合性医院护士心理健康状况,并分析其影响因素.方法 采用整群抽样的方法对嘉兴地区2家综合性三甲医院的护士进行症状自评量表(SCL-90)和社会支持评定量表(SSRS)调查.结果 除敌意、恐怖、偏执因子得分外,SCL-90总分与其他各因子得分均高于全国常模,差异有统计学意义(P<0.05).多元Logistic回归分析结果显示,护士的职称、职务、护龄和社会支持得分是护士心理健康的影响因素(P<0.05).结论 被调查护士的心理健康水平低于全国常模,职称和社会支持得分是护士心理健康状况的保护因素,职务和护龄是护士心理健康的危险因素.
Objective? To explore the effects of the problem-oriented intervention model on major nursing issues, self-care behavior and illness perception in elderly patients with type 2 diabetes. Methods? Totally 112 elderly patients with type 2 diabetes admitted in the First Hospital of Jiaxing from September 2016 to September 2017 were selected by convenient sampling and divided into the control group (n=56) and the observation group (n=56) based on the time of admission. Patients in the control group received conventional nursing care, while patients in the observation group received conventional nursing care in addition to problem-oriented nursing interventions. The Omaha Problem Classification Scheme was used to evaluate the nursing issues in the two groups, and the Chinese version of Summary of Diabetes Self-Care Activities (SDSCA) and the Brief Illness Perception Questionnaire (BIPQ) were used to evaluate the intervention effects between the two groups. Results? After 6 months, the resolution rate of major nursing issues in the observation group was 82.93% (68/82), while that in the control group was 63.16% (48/76); (χ2=7.898, P＜ 0.05). The self-care behavior and illness perception in the observation group totaled (27.33±7.36) and (38.49±5.76), respectively, both higher than that in the control group (t=5.180, 7.201; P＜ 0.01). Conclusions? The problem-oriented nursing intervention model can effectively enhance the self-care ability and illness perception in elderly patients with type 2 diabetes.
