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目的了解糖尿病患者自我血糖监测的认知程度和对血糖仪的使用情况。方法对已购有快速毛细血管血糖仪的120例糖尿病患者进行问卷式调查。结果 120例患者中,仅有46例(38.3%)患者能按照血糖监测方案进行监测。按照指南监测患者的空腹血糖(FBG)、餐后2h血糖、糖化血红蛋白水平均低于未按指南监测患者,差异均有统计学意义(P<0.05)。患者入院当天对血糖监测的基本知识了解甚少,经过住院期间医护人员的宣教,出院当天患者对基本知识的各项内容了解情况均优于入院当天,差异有统计学意义(P<0.05)。入院当天患者对血糖监测的正确使用方法未掌握,经过住院的强化教育后,出院当天90%以上的患者掌握测量血糖的正确方法,达到预期目标,正确使用方法知晓率高于入院当天,差异有统计学意义(P<0.05)。结论加强对糖尿病患者健康教育和血糖监测仪的使用方法指导,能有效地使血糖监测的结果更准确、更科学。按照血糖监测指南方案进行自我血糖监测的患者血糖控制的效果更理想,值得向糖尿病患者大力推广。
Objective To understand the cognitive level of blood glucose monitoring in patients with diabetes and the use of blood glucose meters. Methods A total of 120 cases of diabetes patients who had purchased the rapid capillary blood glucose meter were surveyed. Results Of the 120 patients, only 46 (38.3%) patients were monitored according to the glucose monitoring program. According to the guidelines, the fasting blood glucose (FBG), 2h postprandial blood glucose and HbA1c in patients were all lower than those without follow-up monitoring, the difference was statistically significant (P <0.05). Patients on the day of admission little understanding of the basic knowledge of blood glucose monitoring, after hospitalization during the mission of medical staff, discharge of patients on the day of knowledge of the contents of the basic knowledge were better than the day of admission, the difference was statistically significant (P <0.05). On the day of admission, the correct method of blood glucose monitoring was not mastered. After intensive hospitalization, more than 90% of patients on the day of discharge had the correct method of measuring blood sugar to achieve the expected goal. The correct rate of use of the method was higher than that on the day of admission, Statistical significance (P <0.05). Conclusion Strengthening the guidance on the use of health education and blood glucose monitor in patients with diabetes can effectively make blood glucose monitoring results more accurate and scientific. Patients with self-monitoring of blood glucose according to the guidelines for glycemic monitoring programs have better glycemic control and are worth promoting to those with diabetes.