延续护理对居家胰岛素注射患者处置医疗废物的影响

Influence of continuity care on how to deal with medical waste among domestic patients of insulin injections

目的：探讨延续护理模式对居家胰岛素注射患者处置废弃物情况的影响。方法选择2014年至9月至2015年3月居家胰岛素注射的糖尿病患者为我院“糖尿病教育课堂”的成员，将居家医疗废物处置相关内容纳入教育内容，通过延续护理服务对其进行干预。采用自设问卷调查的方法了解居家胰岛素注射患者对医疗废物的认知和处置情况，比较在连续性护理服务干预前后患者对医疗废物认知和处置情况的差异。结果居家胰岛素注射患者在延续护理干预后对居家医疗废物危害的知晓率为97.70%（212/217），较干预前的3.69%（8/217）明显提高，差异具有统计学意义（χ2=383.63，P<0.01）。延续护理干预前后对居家医疗废物规范处置情况比较，干预后放入加盖的硬壳容器内再丢进垃圾桶的比例为91.24%（198/217），干预前为3.23%（7/217），二者比较差异具有统计学意义（χ2=337.26，P<0.01）。结论延续护理规范了居家胰岛素注射患者医疗废物的处置行为，减少了环境污染和疾病传播。

Objective To explore the influence of continuity care model on how to deal with medical waste of insulin injections among domestic patients Methods Consecutive diabetes patients using the home insulin injections were recruited as the the members of our 'Diabetes Education Class'from September 2014 to March 2015. The home medical waste disposal was brought into the content of diabetes education;problems were intervened through the continuity care model. Using the questionnaire survey to investigate the cognitive and disposal of patients on medical waste, to compare the difference of results of questionnaire before and after the intervention. Results The cognitive rate of medical waste after intervention was 97.70%(212/217),while the cognitive rate before intervention was 3.69%(8/217), the difference was significant (χ2=383.63,P<0.01). Disposal of diabetes patients using the home insulin injections had improved after the continuity care, the rate of dealing with medical waste according to specification after the intervention was 91.24% (198/217),while the rate before the intervention was 3.23%(7/217), the difference was significant (χ2=337.26,P<0.01). Conclusions The continuity care model standardized the behavior of patients for disposal of medical waste, reduced the environment pollution of medical waste and decreased the spread of disease.