Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.850
Nursing Risks of Different Insulin Injection Methods for Treating Diabetes Mellitus
Abstract
We aimed to evaluate effects of different insulin injection methods on treating diabetes mellitus and nursing risks, and to investigate the corresponding nursing measures. A total of 80 patients with type 2 diabetes mellitus hospitalized in the Endocrinological Inpatient Department of our hospital from January 2018 to December 2019 were enrolled as the research subjects, and they were evenly divided into two groups using a random number table. Multiple subcutaneous insulin injection therapy was carried out in control group, while continuous intravenous insulin pump-infusion therapy was conducted in observation group. During treatment, specialized nursing intervention was performed in both groups, and the overall response rate, blood glucose indexes, time to reach target glucose level, insulin dose, dynamic blood glucose indexes, unhealthy emotion scores and quality-of-life score were compared between the two groups. The overall response rate in observation group was higher than that in control group (95.00% vs. 80.00%, P<0.05). Compared with those before intervention, the levels of fasting blood glucose and 2 h postprandial blood glucose declined in the two groups after intervention (P<0.05), whereas observation group had lower levels of fasting blood glucose and 2 h postprandial blood glucose than control group after intervention (P<0.05). In comparison with those in control group, the time to reach target blood glucose level was shortened (P<0.05), the insulin dose was decreased (P<0.05), and the proportion of time in hypoglycemia, blood glucose fluctuation coefficient, and incidence rate of hypoglycemia declined (P<0.05) in observation group. After intervention, the self-rating anxiety scale (SAS) and depression self-rating scale (SDS) scores in the two groups were lower than those before intervention, and the SAS and SDS scores in observation group were lower than those in control group after intervention (P<0.05). Moreover, the quality-of-life score in the two groups after intervention was higher than that before intervention, and observation group had a higher quality-of-life score than control group (P<0.05). Continuous intravenous insulin pump-infusion therapy is more efficacious in treating type 2 diabetes mellitus than multiple subcutaneous insulin injection therapy. In combination with specialized nursing measures, it can effectively control blood glucose, reduce blood glucose fluctuations and hypoglycemia risk and relieve the unhealthy emotion of patients, thereby helping improve their quality of life.
Keywords
type 2 diabetes mellitus, insulin, injection, nursing