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健康教育对糖尿病患者更换胰岛素注射针头依从性的影响 被引量:1

The Effect of Health Education on the Compliance of Diabetic Patients in Changing Insulin Injection Needles
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摘要 目的观察对糖尿病患者运用健康教育在提升其更换胰岛素注射针头依从性方面的应用价值。方法抽取2019年7月—2020年1月该院500例行胰岛素皮下注射治疗的糖尿病患者,依据随机数字表法分组,对照组患者进行常规的护理干预,观察组患者在该基础上进行健康教育,对比两组患者干预前后胰岛素注射针头更换频率的变化以及危害性认知评分的变化。结果两组患者护理干预前胰岛素注射针头更换频率集中分布于2~7 d、>7 d,且组间对比差异无统计学意义(P>0.05);护理干预6个月后观察组患者的胰岛素注射针头更换频率显著提升,同期对照组患者护理干预胰岛素注射针头更换频率仍多数分布于2~7 d、>7 d,且两组患者的胰岛素注射针头更换频率对比,差异有统计学意义(P<0.05);两组患者在该次干预前对胰岛素注射针头重复应用危害性的认知评分均较低,干预后两组患者对胰岛素注射针头重复应用危害性的认知评分均有所提升,且观察组患者的认知评分高于对照组,差异有统计学意义(P<0.05);观察组随访期间胰岛素注射针头相关不良事件发生率为0.80%,对照组为8.40%,差异有统计学意义(P<0.05);两组干预前FPG、2 hPG、HbA1c水平均较高,干预后两组患者FPG、2 hPG、HbA1c水平均低于干预前,差异有统计学意义(P<0.05),且观察组患者的FPG、2 hPG、HbA1c水平均低于同期对照组,差异有统计学意义(P<0.05)。结论通过对糖尿病患者进行健康教育有利于改善患者的胰岛素注射针头重复应用危害性认知水平,并提升其胰岛素注射针头更换依从性。 Objective To observe the application value of health education for diabetic patients in improving their compliance with insulin injection needle replacement. Methods 500 diabetic patients who underwent insulin subcutaneous injection in the hospital from July 2019 to January 2020 were selected and grouped according to the random number table method.Patients in the control group received routine nursing intervention, and patients in the observation group were given healthy education on this basis, compared the changes in the frequency of insulin injection needle replacement and the changes in the hazardous cognitive scores of the two groups before and after intervention. Results The frequency of insulin injection needle replacement before nursing intervention in the two groups was concentrated on 2-7 days, >7 days, and the difference between the groups was not statistically significant(P>0.05). After 6 months of nursing intervention, the insulin injection needle replacement frequency of patients in the observation group increased significantly in the same period, the frequency of insulin injection needle replacement in patients of the control group was still mostly distributed on 2-7 days, >7 days, in addition, there was a statistically significant difference in the frequency of insulin injection needle replacement between the two groups of patients(P<0.05). The cognitive scores of the harmfulness of repeated use of insulin injection needles of patients in the two groups before the intervention were all low. After the intervention, the cognitive scores of the two groups of patients on the harmfulness of repeated use of insulin injection needles all improved, and the cognitive scores of patients in the observation group were higher than those in the control group, the difference was statistically significant(P<0.05). The incidence of adverse events related to insulin injection needles in the observation group during the follow-up period was 0.80%, and that of the control group was 8.40%, the difference was statistically significant(P<0.05). The levels of FPG, 2 hPG, and HbA1 c before intervention in the two groups were higher, after intervention, the levels of FPG, 2 hPG, and HbA1 c in the two groups were lower than those before intervention, the difference was statistically significant(P<0.05), and the levels of FPG, 2 hPG, and HbA1 c of the observation group were lower than those of the control group during the same period, the difference was statistically significant(P<0.05). Conclusion Health education for diabetic patients is beneficial to improve patients’ awareness of the harmfulness of repeated use of insulin injection needles, and enhance their compliance with insulin injection needle replacement.
作者 刘佳 LIU Jia(Department of Endocrinology and Nephrology,the Fourth Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu Province,730060 China)
出处 《糖尿病新世界》 2021年第22期122-126,共5页 Diabetes New World Magazine
关键词 糖尿病患者 健康教育 胰岛素 注射针头 依从性 Diabetic patients Health education Insulin Injection needles Compliance
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