关键词: 循证护理, 糖尿病, 胰岛素泵

Abstract: Objective　To explore the effect of evidence-based nursing care for preschool children with type 1 diabetes taking long-term insulin pump therapy. Methods　From June 2018 to March 2021, 136 preschool children with type 1 diabetes treated at Children's Hospital of Zhengzhou University were selected as experimental subjects. They were divided into an observation group and a control group by the isometric sampling method, with 68 cases in each group. The observation group had 38 boys and 30 girls who were (4.86±1.13) years old, and took evidence-based nursing care. The control group had 36 boys and 32 girls who were (4.75±1.24) years old, and took routine care. The general data, such as blood glucose, body weight, age, gender, and height, in both groups were investigated. The blood glucose levels, Caregiver Burden Scale (CBI) scores, negative emotions, various compliance behaviors, and negative events of insulin pump were compared between the two groups after the nursing care. The measurement data of normal distribution were expressed as (x±s), and compared between the two groups by LSD-t test. The enumeration data were expressed as cases (%), and compared between the two groups by χ² test. Results　Three months after the nursing care, the 2-hour postprandial blood glucose, fast blood glucose, hemoglobin A1C, and scores of Self-rating Depression Scale and Self-rating Anxiety Scale were (6.58±1.39) mmol/L, (5.18±0.11) mmol/L, (6.32±0.27)%, (43.39±2.21), and (42.16±3.37) in the observation group, which were lower than those in the control group (all P<0.05). The scores of CBI 1 and 3 months after the nursing care were (47.36±3.12) and (42.86±3.32) in the observation group, which were lower than those in the control group (both P<0.05). More patients correctly changed the sites, checked the injection sites every day, monitored blood glucose every day, carried backup drugs and tools with them, and safely kept the drugs and tools in the observation group [97.06% (66/68), 98.53% (67/68), 100.00% (68/68), 92.65% (63/68), and 97.06% (66/68)] than in the control group (all P<0.05). The incidence of the negative insulin pump events was 4.41% (3/68) in the observation group, which was lower than that in the control group (P<0.05). Conclusion　Evidence-based nursing care for preschool children with type 1 diabetes can standardize the long-term use of insulin pumps and reduce the incidence of accidents.

Key words: Evidence-based nursing care, Diabetes, Insulin pumps