Effect of nursing risk intervention in reducing adverse events of insulin pumps in endocrinology
护理风险干预在降低内分泌科胰岛素泵不良事件中的效果

摘要

目的 探究在降低内分泌科胰岛素泵不良事件过程中应用护理风险干预的效果。方法 本次研究选择126例内分泌科使用胰岛素泵治疗的患者为研究对象，就诊时间为2022年4月-2023年4月，双色球法分到两个研究小组中，每组63例，分别进行护理风险干预（干预组）和常规护理干预（常规组），对比两组胰岛素泵不良事件发生情况和血糖控制效果。结果 干预组患者发生胰岛素泵不良事件率低于常规组，分别为4.76%和15.87%，差异呈显著性（P＜0.05）；干预组患者的糖化血红蛋白、空腹血糖、餐后2h血糖水平均低于常规组，差异呈显著性（P＜0.05）。结论 分泌科患者在进行胰岛素泵强化治疗时，应用护理风险干预可以有效减少不良事件，有效控制血糖水平，具有临床推广价值。

Abstract

Objective To explore the effect of nursing risk intervention in the process of reducing adverse events of insulin pump in endocrinology department.
Methods 126 patients treated with insulin pump in the Department of Endocrinology were selected as the study subjects from April 2022 to April 2023. They were divided into two research groups by bicolor method, with 63 cases in each group, and received nursing risk intervention (intervention group) and routine nursing intervention (routine group) respectively. The adverse events of insulin pump and the effect of blood glucose control were compared between the two groups.
Results The incidence of insulin pump adverse events in the intervention group was 4.76% and 15.87%, respectively, and the difference was significant (P < 0.05). The levels of HBA1c, fasting blood glucose and 2h postprandial blood glucose in intervention group were lower than those in conventional group, and the differences were significant (P < 0.05).
Conclusion   Nursing risk intervention can effectively reduce adverse events and control blood glucose level in patients with secretory department undergoing intensive insulin pump therapy, which has clinical value.