Effectiveness of whole course fine nursing combined with insulin pump blood glucose management on patients with diabetes mellitus combined with ischemic cerebral infarction.

IF 4.6 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Nutrition & Diabetes Pub Date : 2025-05-24 DOI:10.1038/s41387-025-00376-9

Xiaobin Wu, Yayuan Yang, Xiufeng Huang, Liwen Chen

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引用次数: 0

Abstract

Objective: To probe the effectiveness of whole course fine nursing combined with insulin pump blood glucose management on patients with diabetes mellitus (DM) combined with ischemic cerebral infarction (ICI).

Methods: The control group (conventional nursing plus insulin subcutaneous injection) and observation group (whole course fine nursing plus insulin pump blood glucose management) were established. General characteristics, glucose control effects, recovery of neurological and motor functions, self-care ability, health behaviors, quality of life, satisfaction, and adverse event incidence were compared in both groups.

Results: Serum FBG, 2hPG, and HbA1c levels and NIHSS scores reduced and FMA, ESCA, 2-DSCS, and SF-36 scores increased after the intervention in both groups, and all significantly improved in the observation group. The observation group had higher satisfaction with blood glucose monitoring and feedback, health knowledge education, disposal of unexpected situations, treatment effect and comprehensive evaluation, and lower total adverse event incidence rate during hospitalization than the control group.

Conclusion: Whole course fine nursing combined with insulin pump glucose management can enhance the glucose control effect, and improve the neurological and motor functions, self-care ability, health behaviors and quality of life in patients with DM plus ICI, with high satisfaction and reduced adverse event incidence.

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全程精心护理配合胰岛素泵血糖管理对糖尿病合并缺血性脑梗死患者的疗效观察。

目的：探讨全程精细护理结合胰岛素泵血糖管理对糖尿病（DM）合并缺血性脑梗死（ICI）患者的疗效。方法：设对照组（常规护理加胰岛素皮下注射）和观察组（全程精细护理加胰岛素泵血糖管理）。比较两组患者的一般特征、血糖控制效果、神经和运动功能恢复情况、自理能力、健康行为、生活质量、满意度和不良事件发生率。结果：两组患者干预后血清FBG、2hPG、HbA1c水平及NIHSS评分均降低，FMA、ESCA、2-DSCS、SF-36评分升高，观察组均显著改善。观察组患者对血糖监测与反馈、健康知识教育、突发情况处理、治疗效果及综合评价的满意度均高于对照组，住院期间总不良事件发生率低于对照组。结论：全程精细护理配合胰岛素泵血糖管理可增强血糖控制效果，改善DM合并ICI患者的神经运动功能、自理能力、健康行为和生活质量，满意度高，不良事件发生率降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition & Diabetes ENDOCRINOLOGY & METABOLISM-NUTRITION & DIETETICS

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Nutrition & Diabetes is a peer-reviewed, online, open access journal bringing to the fore outstanding research in the areas of nutrition and chronic disease, including diabetes, from the molecular to the population level.