糖尿病患者院外自行注射胰岛素风险分析  

The Risk Analysis of Insulin Injection in Diabetic Patients outside the Hospital by Themselves

作　　者：龙学红[1] 邓文郁[1] 徐利[1] 

机构地区：[1]宜宾市第一人民医院南岸B区综合二病区,四川宜宾644000

出　　处：《华西医学》2012年第3期405-408,共4页West China Medical Journal

摘　　要：目的了解糖尿病患者院外自行注射胰岛素存在的风险。方法 2010年1月-12月,通过随访调查老年组83例,中青年组69例糖尿病患者院外自行注射胰岛素的实施情况,对存在的问题进行归类、统计。调查的内容主要包括3个方面:胰岛素装置的正确使用、胰岛素的规范注射、血糖监测及低血糖处理。分析两组患者院外注射胰岛素的风险,并对存在的问题进行原因分析、提出解决方法。结果发放调查表152份,有效回收131份,其中老年组73份,中青年组58份。在胰岛素装置使用方面,老年组存在问题48项,中青年组27项,两者间差异无统计学意义(χ2=2.432,P>0.05)。在胰岛素的规范注射方面,老年组存在问题176项,中青年组77项,老年组在胰岛素注射方面存在的问题明显高于中青年组(χ2=25.009,P<0.001)。在低血糖的认识及正确处理上,老年组存在问题115项,中青年组33项,两组差异具有统计学意义(χ2=40.383,P<0.001)。结论糖尿病患者院外自行注射胰岛素存在诸多风险。老年糖尿病患者院外胰岛素注射需在他人协助、监督下进行。Objective To investigate the risk of insulin injection outside the hospital by patients themselves.Methods From January to December 2010, 152 patients including 83 in the old-aged group and 69 in the middle andyoung-aged group were investigated through telephone or home follow-up on insulin injection outside the hospital bythemselves. Problems found in the investigation were categorized and analyzed. Contents in the investigation mainlyincluded correct usage of the equipment of insulin injection, standard injection of insulin, blood sugar monitoring andglycopenia treatment. The risks of insulin injection outside the hospital and the reasons of these risks were analyzed inboth the two groups, and solutions were put forward. Results A total of 152 questionnaires were distributed, and 131were retreated, including 73 from the old-aged group and 58 from the middle and young-aged group. For the item ofinsulin injection equipment use, 48 problems were discovered in old–aged group, and 27 in the middle and young-agedgroup, without significant difference between them （χ2=2.432, P〉0.05）. For the item of standard injection, 129 problemswere found in the old-aged group, and 48 in the middle and young-aged group with a significant difference between them（χ2=25.009, P 〈 0.001）. For blood sugar monitoring and glycopenia treatment, 115 defects were discovered in the old-aged group, and 33 in the middle and young-aged group with a significant difference between them （χ2=40.383, P〈0.001）.Conclusion There are many risks in insulin injection outside the hospital by patients themselves. Old-aged diabeticpatients need to be assisted and inspected by others.

关 键 词：糖尿病 胰岛素 自行注射 风险 

分 类 号：R473.5[医药卫生—护理学]