E-Coach模式结合动态血糖管理对重症糖尿病患者外周血糖脂水平的影响

陈瑜; 王琼; 邢红叶

doi:10.16766/j.cnki.issn.1674-4152.003183

E-Coach模式结合动态血糖管理对重症糖尿病患者外周血糖脂水平的影响

doi: 10.16766/j.cnki.issn.1674-4152.003183

宁波市第二医院重症医学科，浙江宁波 315000

基金项目:

浙江省医药卫生科技计划项目 2023KY1099

详细信息

通讯作者:
陈瑜，E-mail: chenyuicu@163.com

中图分类号: R473.5 R587.1
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- 被引次数: 0
出版历程
- 收稿日期: 2023-05-15
- 网络出版日期: 2023-10-19

Effect of E-Coach mode combined with dynamic glucose management on peripheral blood glucose and lipid levels in patients with severe diabetes

Department of Intensive Care Unit, Ningbo No.2 Hospital, Ningbo, Zhejiang 315000, China

摘要

摘要: 目的分析E-Coach模式结合动态血糖管理对重症糖尿病患者外周血糖脂水平的影响，为临床提供更适合的血糖管理方法。方法采用便利抽样法，选取2022年3月—2023年3月宁波市第二医院重症医学科收治的100例重症糖尿病患者作为研究对象，根据随机数字表法将其分为对照组(50例)和观察组(50例)。对照组应用传统血糖管理，观察组在对照组基础上应用E-Coach模式结合动态血糖管理。观察2组患者干预前后外周血空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)指标，以及治疗依从性及护理满意度。结果干预后，观察组外周血FBG、2hPG及HbA1c水平均低于对照组，差异均有统计学意义(均P＜0.05)；干预后，观察组外周血TG、LDL-C低于对照组，HDL-C高于对照组，差异均有统计学意义(均P＜0.05)；观察组患者治疗依从性为90%(45/50)，高于对照组的74%(37/50)，且观察组患者护理满意度为92%(46/50)，高于对照组的76%(38/50)，差异均有统计学意义(均P＜0.05)。结论 E-Coach模式结合动态血糖管理相较于常规护理更有利于改善ICU糖尿病患者外周血糖脂水平，有助于提高患者的治疗依从性及护理满意度。
- 糖尿病 /
- E-Coach模式 /
- 动态血糖管理 /
- 重症 /
- 外周血糖脂水平
Abstract: Objective To analyze the effect of E-Coach mode combined with dynamic glucose management on peripheral blood glucose and lipid levels in patients with severe diabetes, and to provide more suitable blood glucose management methods for clinical practice. Methods A convenient sampling method was used to select 100 patients with severe diabetes who were admitted to the Intensive Care Medicine of Ningbo Second Hospital from March 2022 to March 2023 as the research objects. According to the random number table, they were divided into a control group and an observation group with 50 patients in each group. Patients in the control group were treated with traditional blood glucose management, while patients in the observation group were treated with E-Coach mode combined with dynamic blood glucose management based on the control group. The changes of peripheral blood fasting blood sugar (FBG), 2 h blood glucose (2hPG), glycated hemoglobin, triglyceride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), treatment compliance and nursing satisfaction were observed before and after the intervention in the two groups. Results After intervention, the levels of peripheral blood FBG, 2hPG, and HbA1c were compared between the two groups, and the observation group was lower than the control group, with statistically significant differences (P < 0.05); The TG and LDL-C in peripheral blood of the observation group were lower than those of the control group, and the HDL-C was higher than that of the control group (all P < 0.05). The treatment compliance of the observation group was 90% (45/50), which was higher than 74% (37/50) of the control group, and the nursing satisfaction of the observation group was 92% (46/50), which was higher than 76% (38/50) of the control group, the differences were statistically significant (all P < 0.05). Conclusion E-Coach mode combined with dynamic blood glucose management is more conducive to improving the peripheral blood glucose and lipid levels of ICU diabetes patients than conventional nursing care, which is conducive to improving patients' treatment compliance and nursing satisfaction.
- Diabetes /
- E-Coach mode /
- Dynamic blood glucose management /
- Severe illness /
- Peripheral blood glucose and lipid levels

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表 1 2组重症糖尿病患者一般资料比较

Table 1. Comparison of general data between two groupsof patients with severe diabetes(x±s)

组别	例数	性别(例)		年龄 (x±s，岁)	病程 [M(P₂₅, P₇₅)，年]	合并症(例)
组别	例数	男性	女性	年龄 (x±s，岁)	病程 [M(P₂₅, P₇₅)，年]	肾病	神经病变	冠心病
对照组	50	33	17	65.64±13.43	15(4，18)	24	14	7
观察组	50	35	15	66.20±13.49	16(6，20)	22	15	7
统计量		0.184^a		0.208^b	0.071^c	0.110^a
P值		0.668		0.836	0.846	0.946
注：^a为χ²值，^b为t值，^c为Z值。

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表 2 2组重症糖尿病患者干预前后外周血糖指标比较(x±s)

Table 2. Comparison of peripheral blood glucose indicators between two groups of patients before and after intervention(x±s)

组别	例数	FBG(mmol/L)		2hPG(mmol/L)		HbA1c(%)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
对照组	50	11.97±3.26	9.15±1.21	15.62±3.39	12.13±2.10	10.42±2.71	8.80±2.15
观察组	50	10.83±4.54	8.06±0.89	15.02±3.73	10.47±1.66	9.83±1.33	7.76±1.29
t值		1.442	5.131	0.842	4.385	1.382	2.933
P值		0.152	< 0.001	0.402	< 0.001	0.170	0.004

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表 3 2组重症糖尿病患者干预前后外周血血脂指标比较(mmol/L)

Table 3. Comparison of peripheral blood lipid indicators between two groups of patients before and after intervention(mmol/L)

组别	例数	TC(x±s)		TG[M(P₂₅, P₇₅)]		LDL-C(x±s)		HDL-C(x±s)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	50	4.01±1.38	3.31±1.37	2.55(1.95，3.42)	1.88(1.22，2.06)	2.38±1.07	2.15±0.95	1.36±0.58	1.44±0.56
观察组	50	4.17±1.36	3.16±1.21	2.50(1.91，3.37)	1.32(0.94，1.75)	2.36±0.94	1.65±0.60	1.53±0.52	1.83±0.53
统计量		0.584^a	0.580^a	0.317^b	3.872^b	0.099^a	3.147^a	1.543^a	3.577^a
P值		0.561	0.563	0.804	0.005	0.921	0.002	0.126	0.001
注：^a为t值，^b为Z值。

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