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皮下注射胰岛素时振动与咳嗽技术对疼痛严重程度和个体满意度的患者体验:随机对照试验。

Patient experience between vibration and coughing techniques during subcutaneous insulin injection on pain severity and individual satisfaction: Randomized controlled trial.

作者信息

Abdulyemmah Ali D, Majeed Haider M

机构信息

Department of Adult Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq.

出版信息

J Educ Health Promot. 2025 Jul 4;14:269. doi: 10.4103/jehp.jehp_28_25. eCollection 2025.

Abstract

BACKGROUND

Diabetes mellitus represents a chronic illness distinguished by sustained elevations in blood glucose concentrations, and it ranks as the sixth foremost cause of mortality globally.

MATERIALS AND METHODS

This randomized controlled experimental study was conducted consisted of 105 patients divided into three groups (36 vibration group, 38 coughing technique group, and 31 control group) who applied subcutaneous insulin injections in hospitalized adults' patients with type 2 diabetes between September 2024 and January 2025 to examine the effect of the coughing technique and vibration device on the intensity of pain and the degree of patient satisfaction during the administration of subcutaneous insulin injections. The study data were collected using the Structured Information Form, VAS for Pain, and VAS for Satisfaction. The data were analyzed using descriptive and inferential statistics (Chi-square tests).

RESULTS

The age of the participants included in this study ranged between 18 years and older with a mean age of (51.61 ± 15.048) years and females accounted for 62.1% of total study participants. The highest group of the study population has finished their primary graduate degree (30.7%).

CONCLUSIONS

Consort statement was followed for reporting. After the subcutaneous insulin injections, a significant difference was found between the groups in terms of the mean scores of VAS for Pain and VAS for Injection Satisfaction ( < 0.001). It was determined that local vibration application was more effective in reducing the pain and in increasing satisfaction that occurs during subcutaneous insulin injections according to the coughing technique groups and control groups.

摘要

背景

糖尿病是一种以血糖浓度持续升高为特征的慢性疾病,是全球第六大主要死因。

材料与方法

本随机对照实验研究纳入了105例患者,分为三组(振动组36例、咳嗽技巧组38例、对照组31例),于2024年9月至2025年1月期间,对住院的成年2型糖尿病患者进行皮下胰岛素注射,以检验咳嗽技巧和振动装置对皮下胰岛素注射时疼痛强度和患者满意度的影响。研究数据通过结构化信息表、疼痛视觉模拟评分法(VAS)和满意度视觉模拟评分法收集。数据采用描述性和推断性统计(卡方检验)进行分析。

结果

本研究纳入的参与者年龄在18岁及以上,平均年龄为(51.61±15.048)岁,女性占研究参与者总数的62.1%。研究人群中最高学历组为小学毕业(30.7%)。

结论

报告遵循了CONSORT声明。皮下胰岛素注射后,疼痛VAS平均得分和注射满意度VAS平均得分在各组之间存在显著差异(<0.001)。与咳嗽技巧组和对照组相比,确定局部振动应用在减轻皮下胰岛素注射时的疼痛和提高满意度方面更有效。

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