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目的探讨家庭随访指导老年2型糖尿病患者胰岛素注射的效果。方法 78例经治疗出院的老年2型糖尿病患者分为两组,对其中一组进行护理干预,随后采用电话、上门家访面谈形式了解患者情况,并填写调查表进行效果评价。结果干预组对胰岛素治疗相关知识和胰岛素笔使用知识知晓掌握情况明显高于对照组;餐后血糖控制情况干预组疗效优于对照组。结论家庭随访指导可以明显降低家庭老年2型糖尿病患者血糖升高、低血糖症状的发生率从而减少糖尿病并发症的发生,同时还可培养患者的自我护理能力和家属(或照顾者)的管理能力。
Objective To investigate the effect of family follow-up on insulin injection in elderly type 2 diabetic patients. Methods A total of 78 elderly patients with type 2 diabetes mellitus who were discharged from hospital were divided into two groups. Nursing intervention was performed on one of the two groups. Subsequently, patients were interviewed by phone, home visit and interviews, and the questionnaire was filled in to evaluate the effect. Results The knowledge of insulin therapy and insulin pen in the intervention group was obviously higher than that in the control group. The effect of postprandial blood glucose control in the intervention group was better than that in the control group. Conclusion Family follow-up guidance can significantly reduce the incidence of hyperglycemia and hypoglycemia in the elderly with type 2 diabetes in the family to reduce the incidence of diabetic complications and at the same time cultivate the patient’s self-care ability and family member’s (or caregiver’s) managerial ability .