糖尿病患者是否正确使用胰岛素笔？
Do patients with diabetes use the insulin pen properly?
作者信息
Tosun Betul, Cinar Fatma Ilknur, Topcu Zeliha, Masatoglu Burcu, Ozen Nurten, Bagcivan Gulcan, Kilic Ozge, Demirci Canan, Altunbas Ayten, Sonmez Alper
机构信息
Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey.
University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Turkey.
出版信息
Afr Health Sci. 2019 Mar;19(1):1628-1637. doi: 10.4314/ahs.v19i1.38.
AIM
This study was conducted to evaluate the insulin pen application knowledge and skills of patients with diabetes.
METHODS
In our descriptive study, 200 patients with diabetes were asked to present the insulin pen injection technique on a mannequin and the steps of the pen injection implementation were noted on the data collection form as correct/incorrect by researchers.
RESULTS
More than 3 out of 4 (79.5%) of the participants were using the insulin pen or the cartridge after the expiry date, 70.5% were not rotating the injection site, and 63.0% were massaging the skin after injection. Injection sites complications were significantly more in those who were using the insulin pen or the cartridge after the expiry date, those who don't know the proper length of the needle and the possible body injection sites, those who don't rotate the injection sites, those who massage after injection, and those who don't use a new needle at each injection (p<0.05).
CONCLUSION
This study put into light some failures in the knowledge and skills of patients with diabetes regarding insulin pen use. Nurses should provide patients with diabetes an effective and repetitive training concerning insulin pen use.
目的
本研究旨在评估糖尿病患者对胰岛素笔的应用知识和技能。
方法
在我们的描述性研究中，200名糖尿病患者被要求在人体模型上展示胰岛素笔注射技术，研究人员在数据收集表上记录笔式注射实施步骤的正确与否。
结果
超过四分之三（79.5%）的参与者在胰岛素笔或笔芯过期后仍在使用，70.5%的人未轮换注射部位，63.0%的人在注射后按摩皮肤。在胰岛素笔或笔芯过期后仍在使用的人、不知道合适的针头长度和可能的身体注射部位的人、不轮换注射部位的人、注射后按摩的人以及每次注射不使用新针头的人中，注射部位并发症明显更多（p<0.05）。
结论
本研究揭示了糖尿病患者在胰岛素笔使用知识和技能方面的一些不足。护士应针对胰岛素笔的使用为糖尿病患者提供有效且反复的培训。
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