门诊胰岛素首次注射患者技能管理

The effect of skills management in outpatients with first insulin injection

目的：评价对门诊胰岛素首次注射患者进行系统、综合的技能管理的效果。方法：采用自行设计的胰岛素注射相关知识和技能调查问卷、2型糖尿病患者自我管理行为量表,对80例门诊胰岛素首次注射患者进行调查,了解患者技能管理干预前、后自我管理行为能力和胰岛素注射相关知识和技能改变情况。结果：系统、综合的技能管理干预后,患者自我管理行为能力总分为（77.31±10.64）分,较干预前的（70.24±12.45）分,差异有统计学意义。胰岛素注射相关知识和技能调查答错率仅为5%-25%,比干预前降低了35%-55%。结论：对门诊胰岛素首次注射患者进行技能管理,可以提高患者自我管理行为能力和胰岛素注射相关知识和技能水平。

Objective： To evaluate the effect on outpatients with first insulin injection after systematic and comprehensive skills management. Methods： Eighty outpatients using insulin pen first time were surveyed with self-designed questionnaires of the insulin injection-related knowledge skills and Diabetes Self-care Scale（2-DSCS）. Then the authors compared the selfmanagement capacity and insulin-related knowledge skills of the patients before and after the intervention. Results： The self-management behavior scores increased after the intervention（77.31±10.64 vs. 70.24±12.45, P〈0.05）. The wrong answer rate of insulin-related knowledge skills was only 5%-25% after intervention. It decreased 35%-55% compared with before. Conclusion： Skills management could improve self-management capacity and insulin-related knowledge skills of diabetic patients getting insulin injection first time.