老年糖尿病患者胰岛素笔用针头重复使用的现状和危害性调查

Investigation on the Status and Harmfulness of Repeated Use of Insulin Pen Needles in Elderly Diabetic Patients

目的分析老年2型糖尿病(T2DM)患者重复使用胰岛素笔用针头的现状和危害性,探讨临床干预对策。方法对使用胰岛素笔用针头治疗的240例老年T2DM患者的使用频率和危害性进行现状调查,研究临床干预对策,观察干预效果。结果老年T2DM患者重复使用胰岛素笔用针头的频率平均(9.62±0.85)次,主要原因为认知不足、经济条件差和依从性低等;危害性有注射部位异常率和疼痛指数高、血糖控制率低等,与使用频率的增加呈显著相关性。经过6个月的综合干预后,认知度评分、平均使用频率、注射技术评分、疼痛指数、糖化血红蛋白、一次性使用率、针头损坏率、注射部位异常率、血糖控制率和针刺伤率与干预前比较,差异均有统计学意义(P<0.05)。结论老年T2DM患者重复使用胰岛素笔用针头的频率较高,易出现注射部位异常和血糖控制不佳等现象,应加强临床综合干预措施,提高注射针头的一次性使用率,减少注射部位异常率,良好控制血糖水平,保证临床用药安全。

Objective To investigate the current situation and harmfulness of repeated use of insulin pen needles in elderly patients with type 2 diabetes mellitus(T2DM),and to explore clinical intervention measures.Methods The use frequency of insu-lin pen needles and harmfulness of repeated use of needle in 240 elderly patients with T2DM were investigated.The effect was evalua-ted after intervention.Results The mean frequency of repeated use of insulin pen needles in elderly T2DM patients was(9.62±0.85)times,mainly due to lack of cognition,poor economic conditions and low compliance.Repeated use of needles lead to higher rates of abnormal injection site and pain index,and lower control rate of blood glucose.After 6 months of comprehensive intervention,compared with before,there were significant differences in recognition score,average use frequency,injection technique score,pain index,glycosylated hemoglobin level,and the rates of disposable use,needle damage,abnormal injection site,blood glucose control and acupuncture injury(P<0.05).Conclusion The frequency of repeated use of insulin pen needles is high in elderly T2DM pa-tients,which may result in abnormal injection site and poor blood sugar control.