90度角皮下注射的探讨  

The effect of subcutaneous injection angle on pains

作　　者：杜广芝[1] 闫晓云[1] 江俊霞[1] 杨利波[1] 

机构地区：[1]山东省泰安市中心医院,271000

出　　处：《国际护理学杂志》2010年第5期784-786,共3页international journal of nursing

摘　　要：目的探讨皮下注射角度对注射疼痛的影响，减轻注射时疼痛，方便糖尿病患者自行注射胰岛素。方法选择初次注射胰岛素的糖尿病患者80人，随机分为对照组、试验组，每组各柏例。对照组采用常规注射角度（30°-40°）进行皮下注射胰岛素；试验组采用90°进针角度皮下注射胰岛素。比较两种方法对注射疼痛的影响、局部硬结大小、首针注射成功率、患者注射依从性、低血糖发生率的影响。结果两种注射方法对注射疼痛的影响（P〈0．01）、局部硬结的大小（P〈0．01）、首针注射成功率（P〈0．01）、患者长期注射依从性（P〈0．05）存在显著性差异；低血糖发生率（P〉0．05）没有明显差异；两种角度注射后疼痛感觉显著性差异，90°角注射后疼痛明显轻于常规角度注射后所致的疼痛。结论将皮下注射的角度改为90°。对治疗效果没有负面影响，能减轻病人的疼痛，方便患者学习掌握，增加了患者对胰岛素注射的依从性。Objective To investigate the effect of subcutaneous injection angle on pains and improve compliance of injection. Methods A total of 80 diabetic patients initially receiving insldin injection were randomly divided into intervention group and control group, 40 subjects in each group. The subjects were assigned to eonvemional angle （30°- 40°） injection and 90 degrees injecion respectively, so as to compare the effects of inject angle on pains, site callosity, first injection success rate, compliance and episodes of hypoglycemia. Results A significant difference was observed between two groups in respect of injection pains （ P 〈 0. 01 ）, site callosity （ P 〈 0. 01 ）, first injection anceess rate （ P 〈 0.01 ）, long - term compliance （ P 〈 0. 05 ） , but no marked difference existed with regard to frequency of hypoglycemia （ P 〉 0. 05 ） . Conclusions Changing the injection angle to 90 degrees can relieve patients＇injection pains and improve compliance of injection without decreasing treatment effects.

关 键 词：皮下注射角度 硬结 注射成功率 依从性 疼痛 

分 类 号：R472.9[医药卫生—护理学]