摘要
目的分析糖尿病(DM)患者胰岛素笔应用能力现状及其影响因素。方法运用胰岛素笔应用能力及相关影响因素问卷对苏州市多家医院住院及门诊的256例DM患者进行调查。结果胰岛素笔应用能力的精确注射维度、注射并发症发生维度和血糖监测依从性维度得分分别为(85.9±13.1)分、(76.8±14.7)分和(61.0±17.9)分。DM胰岛素笔技能专业教育情况、DM健康信念得分、DM病程、胰岛素每日注射次数和工作状态5个因素可以解释胰岛素笔精确注射能力总变异的25.1%;DM健康信念得分、BMI、胰岛素笔使用时间、文化程度4个因素可以解释注射并发症发生总变异的14.7%;自我管理行为得分、文化程度、治疗方案3个因素可以解释血糖监测依从性维度总变异的35.5%。结论胰岛素注射剂量的精准性有待提高。其中,接受胰岛素笔技能专业教育情况、DM健康信念和自我管理能力是可干预的主要影响因素,护理人员可针对以上影响因素的不足予以强化,提高DM患者胰岛素笔应用能力。
Objective To analyze the current status and factors influencing the ability of insulin pen use in the patients with diabetes mellitus（DM）.Methods A total of 256 DM patients from inpatients and outpatients of 14 hospitals in Suzhou city was investigated with the questionnaire about the ability of insulin pen using and the factors influencing it.Results The scores for precise injection,frequency of complications related to injection and compliance of blood glucose monitoring were（85.9±13.1）points,（76.8±14.7）points and（61.0±17.9）points in the ability of insulin pen using,respectively.A 25.1% of the precise injection variance could be explained by five factors of the professional education experience of insulin pen using,health belief,duration of DM,the number of injections and work state.A 14.7% of the variance of complications related to injection could be explained by four factors of health belief,BMI,times injected per day and education state.A 35.5% of the compliance variance could be explained by three factors of self-management,education state and therapeutic regimen.Conclusion The ability for precise injection needs to be improved.The professional education experience in insulin pen technique,health belief and self-management are the main manageable impact factors,to which attention should be paid in order to improve the ability of DM patients to use insulin pen.
出处
《江苏医药》
CAS
2016年第8期925-928,共4页
Jiangsu Medical Journal
关键词
糖尿病
胰岛素笔
Diabetes mellitus
Insulin pen
