国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2014年
11期
2986-2990
,共5页
孙慧伶%翟振艳%叶兰%唐娇艳%张瑜
孫慧伶%翟振豔%葉蘭%唐嬌豔%張瑜
손혜령%적진염%협란%당교염%장유
糖尿病%胰岛素注射%管理
糖尿病%胰島素註射%管理
당뇨병%이도소주사%관리
Diabetes%Injection of insulin%Management
目的：调查分析综合医院内分泌专科和非内分泌专科护士对住院糖尿病患者的胰岛素注射管理情况及差异。方法2012年1月至2013年12月，共纳入三甲综合医院323例采用胰岛素治疗的糖尿病住院患者，按其来源分为内分泌科患者（ n＝213）和非内分泌科患者（ n＝110），采用填写问卷和访谈的方法对所有患者进行胰岛素注射管理层面的调查，包括是否掌握了正确的胰岛素注射方法、对胰岛素注射装置的了解、是否明确注射不良反应、接受的注射教育等，分析比较两组患者对于上述胰岛素注射管理的问题了解是否存在差异。结果内分泌科回收有效问卷181份，非内分泌科回收有效问卷99份。两组患者胰岛素基线使用时间一致，但与非内分泌科患者相比，内分泌科患者进行胰岛素规范注射的比例更高，包括注射前皮肤消毒、注射部位大轮换、皮下注射、停留时间较长等；绝大多数患者注射时无明显疼痛和出血，而最常见的引发疼痛的原因是重复使用针头，而之所以重复使用针头又多是从节约费用考虑出发。35.91％的内分泌科患者和46.46％的非内分泌科患者曾遗漏注射胰岛素，最常见的原因是忘记，其他还包括未进餐、低血糖不适或处于公共场合等原因。从教育来源来看，两组患者均100％接受了护理人员的教育，其他还包括患教活动和阅读资料等，在随访中，非内分泌科患者更注重注射部位检查，每次就诊均检查注射部位的比例较高，而内分泌科患者有65.75％的患者从未检查过注射部位。结论内分泌科护士对于胰岛素规范治疗的教育较非专科护士更为充分，同时患者良好掌握的比例更高，但对患者注射后随访指导不足；同时患者主观不重视和医疗费用障碍也是造成患者不能进行规范化胰岛素注射的原因。
目的：調查分析綜閤醫院內分泌專科和非內分泌專科護士對住院糖尿病患者的胰島素註射管理情況及差異。方法2012年1月至2013年12月，共納入三甲綜閤醫院323例採用胰島素治療的糖尿病住院患者，按其來源分為內分泌科患者（ n＝213）和非內分泌科患者（ n＝110），採用填寫問捲和訪談的方法對所有患者進行胰島素註射管理層麵的調查，包括是否掌握瞭正確的胰島素註射方法、對胰島素註射裝置的瞭解、是否明確註射不良反應、接受的註射教育等，分析比較兩組患者對于上述胰島素註射管理的問題瞭解是否存在差異。結果內分泌科迴收有效問捲181份，非內分泌科迴收有效問捲99份。兩組患者胰島素基線使用時間一緻，但與非內分泌科患者相比，內分泌科患者進行胰島素規範註射的比例更高，包括註射前皮膚消毒、註射部位大輪換、皮下註射、停留時間較長等；絕大多數患者註射時無明顯疼痛和齣血，而最常見的引髮疼痛的原因是重複使用針頭，而之所以重複使用針頭又多是從節約費用攷慮齣髮。35.91％的內分泌科患者和46.46％的非內分泌科患者曾遺漏註射胰島素，最常見的原因是忘記，其他還包括未進餐、低血糖不適或處于公共場閤等原因。從教育來源來看，兩組患者均100％接受瞭護理人員的教育，其他還包括患教活動和閱讀資料等，在隨訪中，非內分泌科患者更註重註射部位檢查，每次就診均檢查註射部位的比例較高，而內分泌科患者有65.75％的患者從未檢查過註射部位。結論內分泌科護士對于胰島素規範治療的教育較非專科護士更為充分，同時患者良好掌握的比例更高，但對患者註射後隨訪指導不足；同時患者主觀不重視和醫療費用障礙也是造成患者不能進行規範化胰島素註射的原因。
목적：조사분석종합의원내분비전과화비내분비전과호사대주원당뇨병환자적이도소주사관리정황급차이。방법2012년1월지2013년12월，공납입삼갑종합의원323례채용이도소치료적당뇨병주원환자，안기래원분위내분비과환자（ n＝213）화비내분비과환자（ n＝110），채용전사문권화방담적방법대소유환자진행이도소주사관리층면적조사，포괄시부장악료정학적이도소주사방법、대이도소주사장치적료해、시부명학주사불량반응、접수적주사교육등，분석비교량조환자대우상술이도소주사관리적문제료해시부존재차이。결과내분비과회수유효문권181빈，비내분비과회수유효문권99빈。량조환자이도소기선사용시간일치，단여비내분비과환자상비，내분비과환자진행이도소규범주사적비례경고，포괄주사전피부소독、주사부위대륜환、피하주사、정류시간교장등；절대다수환자주사시무명현동통화출혈，이최상견적인발동통적원인시중복사용침두，이지소이중복사용침두우다시종절약비용고필출발。35.91％적내분비과환자화46.46％적비내분비과환자증유루주사이도소，최상견적원인시망기，기타환포괄미진찬、저혈당불괄혹처우공공장합등원인。종교육래원래간，량조환자균100％접수료호리인원적교육，기타환포괄환교활동화열독자료등，재수방중，비내분비과환자경주중주사부위검사，매차취진균검사주사부위적비례교고，이내분비과환자유65.75％적환자종미검사과주사부위。결론내분비과호사대우이도소규범치료적교육교비전과호사경위충분，동시환자량호장악적비례경고，단대환자주사후수방지도불족；동시환자주관불중시화의료비용장애야시조성환자불능진행규범화이도소주사적원인。
Objective To investigate the differences of the hospitalized patients with diabetes for insulin injection between endocri -nology and non-endocrinology department in the general hospital.Methods In general hospital from January 2012 to December 2013 , 323 hospitalized patients with diabetes for insulin injection were included ..According to the source of patients , all patients were divided into pa-tients from endocrinology (n=213) and patients from non-endocrinology (n=110) .The management of insulin for all patients was inves-tigated with questionnaire and interview , including the injection method of insulin , the acknowledge about insulin injection device , the ad-verse reactions of injection and the education of accepting injection.The differences of management of insulin were compared between the two groups.Results The valid questionnaires collected from endocrinology and non -endocrinology department were 181 and 99, respective-ly.The using time of insulin at baseline was the same between the two groups.Compared with the patients from non -endocrinology depart-ment , the proportion of regulate injections with insulin of patients in endocrine department is higher , including skin disinfection before injec-tion, the large rotation of injection site , subcutaneous , stay longer and so on.Most of patients were not obvious pain and bleeding , and the common reason for pain was reuse of needles.35.91%of patients with endocrinology and 46.46%of patients without endocrine had been o-mitted from insulin injection , and the most common reason was forgetting , but also included not eating , discomfort for low blood sugar or sta-ying in public places.The both groups accepted the education from doctors and nurses.In the following-up, the patients in non-endocrinol-ogy department pay more attention with the sites of injection , but 65.75%of patients in endocrinology department had never checked the in-jection sites.Conclusions The education of regulate treatment with insulin in endocrinology department was more fully than that in non -en-docrinology department , and the proportion of mastering was also higher in endocrinology department than in non -endocrinology depart-ment.But the guidance was insufficient following -up after injection in endocrinology department.At the same time , not paying enough atten-tion and the barrier of medical costs were contributed to the non -standardized injection of insulin for patients with diabetes.
