糖尿病患者药物注射技术的评价

Study of evaluating insulin injection technique in patients with diabetes

目的描述糖尿病患者使用胰岛素注射技术现状并分析其影响因素。方法采用横断面调查性研究,便利抽样方法调查我院2013年12月至2015年7月门诊就诊和住院的符合纳入和排除标准的200例糖尿病患者。采用一般资料问卷,测评患者的一般资料和疾病资料。根据2011年中国糖尿病药物注射技术指南的标准评价患者的胰岛素注射技术,用二元Logistic回归分析胰岛素注射技术的影响因素。结果 200例患者中操作完全正确者62例(31%),不完全正确者138例(69%),其中注射部位选择不正确者26例(19%),注射部位不轮换者28例(20%),注射部位不检查与消毒者24例(17%),注射时不捏皮者16例(12%),进针角度不正确者20例(14%),针头留置时间<10 s者24例(17%)。二元Logistic回归分析显示,年龄、性别、文化程度、注射胰岛素疗程及定期门诊复诊对注射技术的影响有统计学差异(P<0.05)。结论糖尿病患者胰岛素注射技术有待提高,加强与规范胰岛素使用的健康教育管理势在必行。

Objective： To describe the status of insulin injection technique in patients with diabetes and to analyze influencing factors. Methods： A cross-sectional study was conducted to recruit 200 patients with diabetes using convenient sampling method in our hospital outpatient and hospitalized patients. General information questionnaire was used to collect data. The standard of evaluation of insulin injection technology was guided according to 2011 Chinese Patients with Diabetes Drugs Injection Technology. Binary logistic regression analysis was used to explore influencing factors. Results： Among 200 patients,entirely correct operation was 62（ 31%） cases. Inappropriate use of insulin injection was observed in 138（ 69%） cases,including incorrect chasing injection site 26（ 19%） cases,non-rotating injection site 28（ 20%） cases,non-examination and disinfection injection site 24（ 17%） cases,no-kneading skin 16（ 12%） cases and incorrect insertion angle 20（ 14%） cases.Binary logistic regression analysis showed that age,gender,degree of education,course of insulin injection,and regular outpatient return visit were the influencing factors of insulin injection technology（ P〈0. 05）. Conclusion： The status of insulin injection technology in patients with diabetes is suboptimal,and it is imperative to strengthen and standardize the management of health education in the use of insulin.