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• 调查·研究 • 上一篇    下一篇

糖尿病患者胰岛素正确使用的现状调查

张晶晶 王琤 王铮 王艳梅 文丽娜   

  1. 首都医科大学附属北京安贞医院内分泌代谢科
  • 出版日期:2015-04-25 发布日期:2015-04-25

Investigation on the proper use of insulin in diabetic patients

  • Online:2015-04-25 Published:2015-04-25

摘要: 目的:调查糖尿病患者胰岛素正确使用现状。方法:通过自行设计胰岛素注射方法调查问卷及患者一般情况调查问卷,运用电话回访的方式,对就诊于首都医科大学附属北京安贞医院内分泌科门诊及住院的160 例糖尿病患者进行调查。结果:所有患者中,能够安装胰岛素针头保持针头和笔在一条直线上并转紧、能够把胰岛素安装至胰岛素笔内并转紧者分别达99.4%、98.2%,能够及时处理每次注射使用完的针头者及每次注射使用新针头者仅为34.4% 和16.9%。门诊与住院患者比较,注射时捏起皮肤等7 个项目上的差异具有统计学意义。结论:患者在更换针头、及时处理使用后针头以及注射前清洁双手等方面差。在患者治疗初期给予正规糖尿病教育对今后的胰岛素正确使用具有重要意义。

Abstract: Objective: To investigate on the proper use of insulin in diabetic patients. Methods: Telephone interviews were conducted among 160 diabetic patients who are being treated inpatient or outpatient at Beijing Anzhen Hospital, Captial Medical University affiliated institution. Questionaires were focused on the proper administration of insulin and patients demographic.Results: 98.8% of patients were able to store unopened vials of insulin correctly; 94.4% of patients were able to attach insulin needles correctly; 34.4% patients were able to properly dispose the used needles after insulin administration;16.9% of patients were compliant with change of needles. The difference between inpatients and outpatients was statistically significant when it comes to rewarming the insulin after taken out from the refrigerator and pinching the skin with injection. Conclusion: Diabetic educations need to be improved on the following areas: replacing of the needles, disposal of used needles, and washing hands before insulin administration. Diabetic education in the early onset is significantly important to patients in order to improve the proper use of insulin.