Davis Estella M, Bebee Anne, Crawford Leaanne, Destache Chris
Creighton University School of Pharmacy and Health Professions (Dr Davis, Dr Destache)
Alegent Health Bergan Mercy Medical Center (Dr Davis, Ms Bebee, Ms Crawford)
Diabetes Educ. 2009 Sep-Oct;35(5):799-809. doi: 10.1177/0145721709340057. Epub 2009 Jul 24.
The purpose of this study was to evaluate nurse satisfaction using pen devices compared with vials/syringes to administer insulin to hospitalized patients with diabetes.
A quasi-experimental 1-group posttest only study design was utilized to distribute a satisfaction survey to 54 registered nurses in a community hospital after implementation of insulin pen devices from July 2005 to May 2006 on 2 medical-surgical floors. Nurses completed a voluntary, anonymous, self-administered, postassessment, investigator-developed survey asking about the number of years practiced as a nurse and experience administering insulin to patients. The survey also asked about insulin administration satisfaction questions comparing insulin pen devices to vials/syringes, and estimated time to teach patients to self-inject insulin using either delivery method during the study period.
In comparison to vials/syringes, the majority of nurses agreed that insulin pens were more convenient, simple and easy to use, and an overall improvement compared with conventional vials/syringes. There were no insulin-related needlestick injuries using the insulin pens and safety needles.
Nurses were satisfied with multiple aspects of insulin pens compared with vials/syringes. Implementation of insulin pen devices does not increase nursing time spent to teach patients to self-inject insulin and does not increase insulin-related needlestick injuries.
本研究旨在评估与使用小瓶/注射器相比，使用胰岛素笔为住院糖尿病患者注射胰岛素时护士的满意度。
采用类实验性单组后测研究设计，于2005年7月至2006年5月在社区医院的两个内科/外科楼层实施胰岛素笔装置后，向54名注册护士发放满意度调查问卷。护士们完成了一份由研究者自行设计的自愿、匿名、自我填写的后测调查问卷，内容包括护士执业年限以及为患者注射胰岛素的经验。该问卷还询问了关于胰岛素注射满意度的问题，比较了胰岛素笔装置与小瓶/注射器，并估算了在研究期间使用每种注射方式教会患者自我注射胰岛素所需的时间。
与小瓶/注射器相比，大多数护士认为胰岛素笔更方便、简单易用，与传统小瓶/注射器相比有整体改进。使用胰岛素笔和安全针头未发生与胰岛素相关的针刺伤。
与小瓶/注射器相比，护士对胰岛素笔的多个方面感到满意。实施胰岛素笔装置不会增加护士教患者自我注射胰岛素所花费的时间，也不会增加与胰岛素相关的针刺伤。
