摘要
目的探讨强化胰岛素正确注射方法教育联合图表标示减少皮肤并发症发生的临床价值。方法将239例糖尿病患者按出院顺序分为对照组和观察组,出院后均采用腹部顺时针方向按8个注射点轮换注射胰岛素,要求8 d内注射点不重复、注射点距离上次注射点≥2 cm;并要求一针一换和按正确方法消毒等;对观察组患者强化正确注射方法的重要性教育,并将注射部位和注射时间以图表标示。出院后6个月时比较2组患者胰岛素正确注射方法执行的差异、注射部位皮肤并发症发生率差异,并分析未正确执行胰岛素注射方法患者皮肤并发症发生率。结果2组注射方法除正确排气差异无统计学意义,注射前洗手、部位轮换注射8 d为一周期、8 d内注射点不重复、注射点距离上次注射点≥2 cm、采用正确的消毒方法、针头做到一次性使用观察组均明显好于对照组;注射部位皮肤并发症发生率观察组明显低于对照组;皮肤并发症发生率以注射部位未按周期轮换、8 d内注射点有重复及注射点距离上次注射点<2 cm最高,其次是针头多次使用和未按正确方法消毒。结论强化胰岛素正确注射方法教育可以提高患者注射胰岛素的可操作性,降低注射部位皮肤并发症发生率。
Objective To explore the clinical value of the combination of the right method of insulin injection with the chart sign for reducing the incidence of skin complications. Methods 239 patients were divided into the control 1 group and the observation group in chronological order of discharge. The patients of both groups were required to inject insulin rotationally at 8 different points in the abdomen clockwisely. The injection points could not be repeated within 8 days and had to be more than 2 cm apart. All the patients were informed of the disposability of the needle and the correct i sterilization method. Patients in the observation group were also reminded of the importance of standard injection and were offered a picture of proper abdominal injection points. After 6 months, the difference in insulin injection methods and in the incidence of skin complications was compared between the two groups and the incidence of skin complications in the substandard group were analyzed. Results Except for the air discharge from the syringe, other indexes were significantly different between th i two groups, and the observation group was better than the control group. The skin complication rate in observation grout was significantly lower than in the control group. The repetition of injection points in 8 days and injection within an interval of less than 2 cm were the most prevalent, followed by the repeated use of the needle and the use of the wrong meihod of disinfection. Conclusion Intensive education on insulin injection can improve the quality of injection and reduce !he incidence of skin complications at the injection point.
出处
《空军医学杂志》
2016年第5期351-353,共3页
Medical Journal of Air Force
