减少胰岛素注射针头重复使用的管理实践

Implementing management to reduce reuse of insulin injection needle

目的 :探索胰岛素注射针头连续护理管理模式的临床应用。方法 :采用自行设计的问卷调查表对150例糖尿病患者胰岛素注射针头相关情况进行调查评估,并从胰岛素针头更换频次、胰岛素注射针头回收及注射部位皮肤异常情况三个方面进行比较。结果 :经过连续护理管理模式干预,患者胰岛素针头重复使用率及注射部位皮肤异常情况发生率明显下降,而胰岛素针头回收率明显提高(P<0.05)。结论 :胰岛素注射针头连续护理管理模式有效减少了针头重复使用,提高了注射针头回收率,有效避免了环境污染,同时也减少了注射部位的不良反应,提高了治疗效果。

Objective： To explore the clinical application of the continous care method to manage insulin injection needle. Methods： The continous care management system, including education during hospitalization, evaluation before discharge, and needle recycle in clinic follow-up, was implemented in this study. A self-designed questionnaire was used to Investigate 150 diabetic patients. Their insulin needle replacement frequency, insulin needle recycle rate and injection site abnormalities were recorded and analyzed. Results： After implementing the new management system, the percent of insulin needle reuse and the incidence of injection site skin abnormalities decreased, while insulin needle recycle rate increased significantly（P0.05）. Conclusion： The continous care management system could effectively reduce the needle reuse, increase the needle recycle, prevent the environment pollution, reduce the adverse reactions at the injection site, and improve the treatment effect.