CAJ | 학술논문

目的：调查糖尿病患者胰岛素正确使用现状。方法：通过自行设计胰岛素注射方法调查问卷及患者一般情况调查问卷，运用电话回访的方式，对就诊于首都医科大学附属北京安贞医院内分泌科门诊及住院的160例糖尿病患者进行调查。结果：所有患者中，能够安装胰岛素针头保持针头和笔在一条直线上并转紧、能够把胰岛素安装至胰岛素笔内并转紧者分别达99.4%、98.2%，能够及时处理每次注射使用完的针头者及每次注射使用新针头者仅为34.4%和16.9%。门诊与住院患者比较，注射时捏起皮肤等7个项目上的差异具有统计学意义。结论：患者在更换针头、及时处理使用后针头以及注射前清洁双手等方面差。在患者治疗初期给予正规糖尿病教育对今后的胰岛素正确使用具有重要意义。
목적：조사당뇨병환자이도소정학사용현상。방법：통과자행설계이도소주사방법조사문권급환자일반정황조사문권，운용전화회방적방식，대취진우수도의과대학부속북경안정의원내분비과문진급주원적160례당뇨병환자진행조사。결과：소유환자중，능구안장이도소침두보지침두화필재일조직선상병전긴、능구파이도소안장지이도소필내병전긴자분별체99.4%、98.2%，능구급시처리매차주사사용완적침두자급매차주사사용신침두자부위34.4%화16.9%。문진여주원환자비교，주사시날기피부등7개항목상적차이구유통계학의의。결론：환자재경환침두、급시처리사용후침두이급주사전청길쌍수등방면차。재환자치료초기급여정규당뇨병교육대금후적이도소정학사용구유중요의의。
Objective:To investigate on the proper use of insulin in diabetic patients. Methods:Telephone interviews were conducted among 160 diabetic patients who are being treated inpatient or outpatient at Beijing Anzhen Hospital, Captial Medical University afifliated institution. Questionaires were focused on the proper administration of insulin and patients demographic. Results:98.8%of patients were able to store unopened vials of insulin correctly;94.4%of patients were able to attach insulin needles correctly;34.4%patients were able to properly dispose the used needles after insulin administration;16.9%of patients were compliant with change of needles. The difference between inpatients and outpatients was statistically signiifcant when it comes to rewarming the insulin after taken out from the refrigerator and pinching the skin with injection. Conclusion:Diabetic educations need to be improved on the following areas:replacing of the needles, disposal of used needles, and washing hands before insulin administration. Diabetic education in the early onset is signiifcantly important to patients in order to improve the proper use of insulin.