糖尿病患者胰岛素治疗接受度调查分析  

Survey on Reception of Insulin Treatment among Diabetic Patients

作　　者：程恩荷[1] 彭红丹[1] 姚红萍[1] 朱玉琢[1] 李爽[1] 

机构地区：[1]安徽医科大学附属省立医院内分泌科,安徽合肥230001

出　　处：《护理学报》2009年第19期23-25,共3页Journal of Nursing（China）

摘　　要：目的了解糖尿病患者对胰岛素应用的认知状况,分析胰岛素应用的误区,为临床糖尿病健康教育提供依据。方法用自行设计的胰岛素治疗接受度调查表,对157例糖尿病住院患者进行问卷调查,了解其是否愿意注射胰岛素;对不愿注射胰岛素的患者,从8个方面进一步调查,了解其对胰岛素应用的认知误区。结果本组糖尿病患者中,不愿意注射胰岛素的有104例占66.2%,其主要原因为害怕麻烦(71.2%)、害怕成瘾(68.3%)、认为口服药能替代胰岛素(64.4%),糖尿病患者不愿意注射胰岛素受其文化程度和医疗费用支付方式影响(P<0.05)。结论糖尿病患者常存在惧怕应用胰岛素的误区,在糖尿病健康教育中要特别重视胰岛素应用的教育,使患者走出误区,尽早应用胰岛素治疗,以缓解病情、改善疾病预后。Objective To understand diabetic patients＇ understanding status of insulin use, analyze their misconcepts in this regard, so as to provide the basis for the related health education. Methods By means of the self-designed questionnaire, a survey was made with 157 hospitalized diabetic patients as to their willingness to accept insulin injection. Those unwilling to accept the insulin treatment were surveyed from 8 aspects about their misconcepts about it. Results The patients unwilling to accept the insulin injection numbered 104, accounting for 66.2%, with the major reasons being worry about the trouble （71.2%）, fear of being addicted （68.3%）, and the concept that other oral drugs can be a replacement of insulin （64.4%）. The patients＇ reluctance to accept insulin was influenced by their educational background and way of payment of the medical cost （P〈0.05）. Conclusion There exist miseoncepts in diabetic patients＇ fear of insulin injection; therefore, in diabetic health education, special importance should be attached to the application of insulin so that they can go out of the misconcepts and accept insulin treatment as early as possible for alleviation of the disease condition and improvement of the prognosis.

关 键 词：糖尿病 胰岛素 接受程度 应用误区 健康教育 

分 类 号：R58[医药卫生—内分泌]