临床护士对胰岛素治疗认知及注射技术掌握现状调查  

A survey of clinical nurses' cognition of insulin and injection skills

作　　者：刘雪英[1] 祖大玲[1] 丁红美[1] 黄敏[1] 王红丽[1] 黄帅[1] 黄继峥[1] 刘雪[1] LIU Xue-ying ZU Da-ling DING Hong-mei HUANG Min WANG Hong-li HUANG Shuai HUANG Ji-zheng LIU Xue(Fuyang Second People＇ s Hospital, Fuyang 236015, China)

机构地区：[1]安徽省阜阳市第二人民医院,阜阳236015

出　　处：《上海护理》2017年第4期35-39,共5页Shanghai Nursing

摘　　要：目的了解临床护士对胰岛素治疗的认知及注射技术执行现状,为探索胰岛素相关知识的培训模式、提高糖尿病专科护理提供依据。方法采用自行设计的"临床护士胰岛素认知及注射技能现状调查问卷",于2016年1—3月对安徽省阜阳市7所二级以上综合医院的423名临床护士进行调查。问卷内容包括护士基本信息、对胰岛素的认知、胰岛素注射技术及执行力4部分。结果仍有较多护士对胰岛素治疗存在误区,且胰岛素注射方法的掌握及执行情况不容乐观。56.5%的护士认为注射胰岛素是糖尿病患者最后的选择;认为掌握胰岛素注射方法及部位的护士占72.1%;认为掌握胰岛素剂型、起效时间、减痛方法等的护士均低于50%;执行力最好的是"注射胰岛素后交代患者进餐时间",占91.5%;每次注射胰岛素后均在皮下停留10 s以上占78.7%;糖尿病联络护士及专科护士对胰岛素规范应用优于普通护士(P<0.05)。结论护士对胰岛素治疗的认知、操作等还存在一定不足,需进行针对性培训,以进一步提高专科护理水平。Objective To investigate the clinical nurses＇ cognition of insulin and injection skills, and to provide the basis for exploring the training model of insulin-related knowledge and improving the nursing care of diabetes. Methods A self-designed questionnaire was conducted in 423 clinical nurses in Fuyang City, Anhui Province from January to March 2016. The questionnaire included four parts： the basic information of nurses, the cognition of insulin, the technique of insulin injection and the executive force. Results Many nurses had misconception about insulin therapy, and the status of grasping and implementation of insulin injection was not optimistic. 56.5% of the nurses believed that the injection of insulin was a final choice for diabetic patients; 72.1% mastered the methods and sites of insulin injection; Less than 50% mastered the dosage form and onset time of insulin, and pain relief methods; 91.5% could tell the patients the mealtimes after insulin injection. 78.7% could retain needle for more than 10 s after subcutaneous injection of insulin. The diabetic nurses had better standard operations than the general nurses （P 〈 0.05 ）. Conclusion There exist some problems in the cognition and operation of insulin therapy in nurses, and targeted training should be carried out to further improve the specialized nursing level.

关 键 词：胰岛素 认知 注射技术 护士 现状 调查 

分 类 号：R473.5[医药卫生—护理学]