糖尿病患者胰岛素自行注射评价体系的建立与临床应用研究

The establishment of appraisal system of self-injection of insulin and its clinical application research for diabetes patients

目的探讨胰岛素白行注射评价体系的建立、实施和临床应用效果。方法选择100例2型糖尿病患者作为受试对象，建立糖尿病患者胰岛素白行注射评价体系，量化评估患者的相关知识和白行注射水平，进行针对性健康教育，应用计划一实施一评价一处理（PDCA）的循环工作法进行健康教育质量控制管理。结果评价体系实施后，患者对胰岛素白行注射的相关知识和技能评分显著提高，空腹和餐后2h血糖控制稳定，与评价体系实施前比较差异有统计学意义。结论评价体系的实施是提高患者自我管理疾病能力，避免健康教育工作盲目性、低效性、重复性等弊端的有效措施。

Objective To discuss the establishment,implementation and clinical effect of appraisal system of serf-injection of insulin. Methods 100 type 2 diabetes patients were chosen as the objects. The appraisal system of serf-injection of insulin for diabetes patients was established to quantify the level of related knowledge and serf-injection level. Selective health education was given to patients and plan-implementation-appraisal-processing （PDCA） method was adopted in the quality control management of health education. Results After the implementation of the appraisal system, the patients＇ grades of the related knowledge and skill on serf-injection of insulin were enhanced. Fasting blood glucose and 2 h postprandial blood glucose was stably controlled,wbicb was statistically different from that before the implementation of the appraisal system. Conclusions The implementation of the appraisal system can sharpen the patients＇ self-control ability of disease and avoid the blindness,low efficiency and duplication of health education workers.