Kondo Manabu, Saji Rika, Yamada Yuka, Hayashi Mari, Shirai Tomoko
Department of Diabetes and Endocrinology, 53-1 Yahatanobaba, Yamaguchi City, Yamaguchi 753-8519 Japan.
Nursing Department, Yamaguchi Red Cross Hospital, 53-1 Yahatanobaba, Yamaguchi City, Yamaguchi 753-8519 Japan.
Diabetol Int. 2024 May 9;15(3):544-549. doi: 10.1007/s13340-024-00726-5. eCollection 2024 Jul.
While several studies have shown that insulin pens are more convenient and accurate than conventional administration with syringes and vials (syringes/vials), there is a frequent need for low-dose insulin injections administered by nurses using syringes/vials in hospital settings, particularly for critically ill patients. However, there is a lack of research investigating factors related to the accuracy of low-dose insulin administration using syringes/vials, particularly in hospital settings. We therefore performed a cross-sectional study to assess the accuracy of low-dose insulin administration by registered nurses using syringes/vials and to determine whether time of day, years of experience and adherence to proper injection procedures (vertical insertion/drawing and air bubble checking) affected the accuracy. The participants were 33 registered nurses working in the diabetes ward, and a total of 198 trials were analyzed. Using syringes/vials, the median errors converted to insulin units were found to be 0.6 units for the 2- and 6-unit target doses, and 0.7 units for the 10-unit target dose. In cases with the largest error, errors for the 2-, 6-, and 10-unit target doses were observed to be 2.3, 4.0, and 3.3 units, respectively. In our study, time of day, years of experience and vertical insertion/drawing did not correlate with errors, but errors were significant in the participants who did not check for air bubbles. Nurses can make non-negligible dosage errors when administering low-dose insulin using syringes/vials, and this is particularly likely when air bubble checks are missed.
The online version contains supplementary material available at 10.1007/s13340-024-00726-5.
虽然多项研究表明胰岛素笔比使用注射器和药瓶（注射器/药瓶）的传统给药方式更方便、更准确，但在医院环境中，护士经常需要使用注射器/药瓶为患者注射低剂量胰岛素，尤其是重症患者。然而，目前缺乏关于使用注射器/药瓶进行低剂量胰岛素给药准确性相关因素的研究，特别是在医院环境中。因此，我们进行了一项横断面研究，以评估注册护士使用注射器/药瓶进行低剂量胰岛素给药的准确性，并确定给药时间、工作年限以及是否遵循正确的注射程序（垂直进针/抽取和检查气泡）是否会影响准确性。研究对象为33名在糖尿病病房工作的注册护士，共分析了198次试验。使用注射器/药瓶时，2单位和6单位目标剂量的胰岛素单位换算后的中位误差为0.6单位，10单位目标剂量的中位误差为0.7单位。在误差最大的情况下，2单位、6单位和10单位目标剂量的误差分别为2.3单位、4.0单位和3.3单位。在我们的研究中，给药时间、工作年限和垂直进针/抽取与误差无关，但未检查气泡的参与者误差显著。护士在使用注射器/药瓶进行低剂量胰岛素给药时可能会出现不可忽视的剂量误差，尤其是在未检查气泡时。
在线版本包含可在10.1007/s13340-024-00726-5获取的补充材料。
