Lan Xuefen, Zheng Simin, Ji Xiaozhen, Chen Ling, Zhou Ling, Ye Bin, Zhu Qingqing, Zheng Xiaojia, Lu Shunfei
Department of Medicine, Lishui University, Lishui, China.
The First Affiliated Hospital of Lishui University, Lishui, China.
Front Endocrinol (Lausanne). 2025 Aug 18;16:1501992. doi: 10.3389/fendo.2025.1501992. eCollection 2025.
Suboptimal insulin injection is widely used to treat Chinese patients with diabetes, with most patients being treated in primary care institutions. However, research on community nurses' knowledge, attitude, and practice concerning insulin injection in less developed areas of China is extremely scarce.
To investigate the knowledge, attitude, and practice of community nurses concerning insulin injection in a mountainous area of southwest, Zhejiang, China.
We employed a cross-sectional study in 30 community healthcare service centers and 1911 randomly selected community nurses between 20th June to 20th July 2023. The Chinese insulin injection knowledge, attitude, and practice questionnaire was used to collect data. Descriptive, correlational, and multivariate linear regression analyses were performed by Stata version 15.0.
In total, 47.7% of nurses had poor insulin injection knowledge, while only 3.7% and 2.5% had poor levels of attitude and practice concerning insulin injection. Sex, location of the institution, working period, marital status, institutional manager, knowledge of the latest guidelines, and undertaking insulin injection training over the last year (all p<0.05) were all identified as independent predictors of insulin injection knowledge. Sex, working period, experience of delivering insulin education to patients, knowledge of the latest guidelines, and undertaking insulin injection training over the previous year (all p<0.05) were identified as independent predictors of insulin injection attitude. Location of the institution, sex, knowledge of the latest guidelines, and undertaking insulin injection training over the last year (all p<0.05) were all independent predictors of insulin injection practice.
Community nurses in this study (Southwest Zhejiang) had relatively good attitudes and practices towards insulin injection, although their specific knowledge was poor. Sex, location of the institution, working period, marital status, knowledge of the guidelines, experience in delivering education, and training experience exhibited significant relationships with the knowledge, attitude, and practice of insulin injection. Therefore, effective tailored, standardized guideline-based training should be recommended to improve the knowledge, attitude, and practice of community nurses regarding insulin injection, especially for married and younger male nurses.
胰岛素注射方案欠佳在中国糖尿病患者中广泛使用，大多数患者在基层医疗机构接受治疗。然而，在中国欠发达地区，关于社区护士对胰岛素注射的知识、态度和实践的研究极为匮乏。
调查中国浙江西南部山区社区护士对胰岛素注射的知识、态度和实践情况。
2023年6月20日至7月20日，我们在30个社区卫生服务中心对1911名随机抽取的社区护士进行了一项横断面研究。采用中国胰岛素注射知识、态度和实践问卷收集数据。使用Stata 15.0进行描述性、相关性和多元线性回归分析。
总体而言，47.7%的护士胰岛素注射知识较差，而胰岛素注射态度和实践水平较差的护士分别仅占3.7%和2.5%。性别、机构所在地、工作年限、婚姻状况、机构管理者、对最新指南的了解以及过去一年是否接受胰岛素注射培训（均p<0.05）均被确定为胰岛素注射知识的独立预测因素。性别、工作年限、为患者提供胰岛素教育的经验、对最新指南的了解以及前一年是否接受胰岛素注射培训（均p<0.05）被确定为胰岛素注射态度的独立预测因素。机构所在地、性别、对最新指南的了解以及过去一年是否接受胰岛素注射培训（均p<0.05）均为胰岛素注射实践的独立预测因素。
本研究中的社区护士（浙江西南部）对胰岛素注射的态度和实践相对较好，尽管他们的具体知识较差。性别、机构所在地、工作年限、婚姻状况、对指南的了解、教育经验和培训经验与胰岛素注射的知识、态度和实践存在显著关系。因此，应推荐进行有效的针对性、基于标准化指南的培训，以提高社区护士对胰岛素注射的知识、态度和实践，尤其是对已婚和年轻男性护士。
