门诊胰岛素首次注射患者技能管理.pdfVIP

实践探索 Practice and Exploration 门诊胰岛素首次注射患者技能管理 万霞 谈静 樊春华 陈明珠 吴颖 曹蓉 陆群 [ 摘 要 ] 目的：评价对门诊胰岛素首次注射患者进行系统、综合的技能管理的效果。方法：采用自行设计的胰岛素注射 相关知识和技能调查问卷、2 型糖尿病患者自我管理行为量表，对 80 例门诊胰岛素首次注射患者进行调查，了解患者技能管 理干预前、后自我管理行为能力和胰岛素注射相关知识和技能改变情况。结果：系统、综合的技能管理干预后，患者自我管 理行为能力总分为（77.31±10.64) 分，较干预前的（70.24±12.45) 分，差异有统计学意义。胰岛素注射相关知识和技能调查 答错率仅为 5%～25%，比干预前降低了35%～55%。结论：对门诊胰岛素首次注射患者进行技能管理，可以提高患者自我管 理行为能力和胰岛素注射相关知识和技能水平。 [ 关键词 ] 首次胰岛素注射；糖尿病；技能管理；效果评价 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.08.029 The effect of skills management in outpatients with first insulin injection / WAN Xia, TAN Jing, FAN Chunhua, et al. // Endocrinology Department, Peoples Hospital of Wuxi City, Jiangsu province, 214023 China /// Chinese Nursing Management- 2014,14(8): 879-881 [ ] Abstract Objective: To evaluate the effect on outpatients with first insulin injection after systematic and comprehensive skills management. Methods: Eighty outpatients using insulin pen first time were surveyed with self-designed questionnaires of the insulin injection-related knowledge skills and Diabetes Self-care Scale (2-DSCS). Then the authors compared the self- management capacity and insulin-related knowledge skills of the patients before and after the intervention. Results: The self-management behavior scores increased after the intervention (77.31±10.64 vs. 70.24±12.45, P0.05). The wrong answer rate of insulin-related knowledge skills was only 5%~25% after intervention. It decreased 35%~55% compared with before. Conclusion: Skills management could improve self-management capacity and insulin-related knowledge skills of diabetic patients getting insulin injection