CAJ | 학술논문

目的探讨皮下注射角度对注射疼痛的影响,减轻注射时疼痛,方便糖尿病患者自行注射胰岛素.方法选择初次注射胰岛素的糖尿病患者80人,随机分为对照组、试验组,每组各40例.对照组采用常规注射角度(30°～40°)进行皮下注射胰岛素;试验组采用90°进针角度皮下注射胰岛素.比较两种方法对注射疼痛的影响、局部硬结大小、首针注射成功率、患者注射依从性、低血糖发生率的影响.结果两种注射方法对注射疼痛的影响(P<0.01)、局部硬结的大小(P<0.01)、首针注射成功率(P<0.01)、患者长期注射依从性(P<0.05)存在显著性差异;低血糖发生率(P>0.05)没有明显差异;两种角度注射后疼痛感觉显著性差异,90°角注射后疼痛明显轻于常规角度注射后所致的疼痛.结论将皮下注射的角度改为90°,对治疗效果没有负面影响,能减轻病人的疼痛,方便患者学习掌握,增加了患者对胰岛素注射的依从性.
목적 탐토피하주사각도대주사동통적영향,감경주사시동통,방편당뇨병환자자행주사이도소.방법 선택초차주사이도소적당뇨병환자80인,수궤분위대조조、시험조,매조각40례.대조조채용상규주사각도(30°～40°)진행피하주사이도소;시험조채용90°진침각도피하주사이도소.비교량충방법대주사동통적영향、국부경결대소、수침주사성공솔、환자주사의종성、저혈당발생솔적영향.결과 량충주사방법대주사동통적영향(P<0.01)、국부경결적대소(P<0.01)、수침주사성공솔(P<0.01)、환자장기주사의종성(P<0.05)존재현저성차이;저혈당발생솔(P>0.05)몰유명현차이;량충각도주사후동통감각현저성차이,90°각주사후동통명현경우상규각도주사후소치적동통.결론 장피하주사적각도개위90°,대치료효과몰유부면영향,능감경병인적동통,방편환자학습장악,증가료환자대이도소주사적의종성.
Objective To investigate the effect of subcutaneous injection angle on pains and improve compliance of injection. Methods A total of 80 diabetic patients initially receiving insulin injection were randomly divided into intervention group and control group, 40 subjects in each group. The subjects were assigned to conventional angle (30°～40°) injection and 90 degrees injecion respectively , so as to compare the effects of inject angle on pains, site callosity, first injection success rate, compliance and episodes of hypogly-cemia. Results A significant difference was observed between two groups in respect of injection pains (P < 0.01), site callosity (P < 0. 01) , first injection success rate (P < 0.01) , long-term compliance (P < 0. 05), but no marked difference existed with regard to frequency of hypoglycemia (P >0.05) . Conclusions Changing the injection angle to 90 degrees can relieve patients' injection pains and improve compliance of injection without decreasing treatment effects.