糖尿病患者胰岛素规范化注射及管理的最佳证据总结  

Summary of best evidences for insulin standardized injection and management in patients with diabetes

作　　者：王红岩[1] 韩柳 李桂 李君[2] 李伟[3] 许莹[4] 刘天娇 张建霞[5] 李军 杜媛媛 邓俊[1] 李晶[1] 刘霞[1] 丁炎明[1] Wang Hongyan;Han Liu;Li Gui;Li Jun1;Li Wei;Xu Ying;Liu Tianjiao;Zhang Jianxia;Li Jun2;Du Yuanyuan;Deng Jun;Li Jing;Liu Xia;Ding Yanming(Nursing Department,Peking University First Hospital,Beijing 100034,China;Department of Endocrinology,Peking University First Hospital,Beijing 100034,China;Department of General Practice,Peking University First Hospital,Beijing 100034,China;Nephrology Department,Peking University First Hospital,Beijing 100034,China;Emergency Department,Peking University First Hospital,Beijing 100034,China;School of Nursing,Peking University,Beijing 100191,China)

机构地区：[1]北京大学第一医院护理部,100034 [2]北京大学第一医院内分泌科,100034 [3]北京大学第一医院全科医学科,100034 [4]北京大学第一医院肾内科,100034 [5]北京大学第一医院急诊科,100034 [6]北京大学护理学院,100191

出　　处：《中华现代护理杂志》2019年第36期4693-4697,共5页Chinese Journal of Modern Nursing

摘　　要：目的检索和分析糖尿病患者胰岛素注射部位选择及轮换的相关证据,并对最佳证据进行总结。方法以"糖尿病""胰岛素""注射""部位""轮换"为主题词检索了BMJ最佳临床实践、Uptodata、Cochrane Library(2014)、JBI循证卫生保健国际合作中心图书馆、加拿大安大略注册护士协会指南网、苏格兰学院间指南网、美国指南网等循证资源数据库,其次补充检索了Embase、Elsevier science Direct、PubMed、Web of science、OVID、CBM、万方等综合数据库中关于胰岛素注射部位选择及轮换的相关证据。结果共纳入证据13篇,包括:2篇证据总结,7篇指南,4篇专家共识。总结出糖尿病患者胰岛素规范化注射及管理的培训、评估、注射部位、轮换4个类别的证据。结论医务人员应该按照相关级别的循证医学证据,规范胰岛素注射部位选择及轮换临床实践行为,保证患者安全,提升护理质量。Objective To retrieve and analyze the evidences on insulin injection position selection and rotation in patients with diabetes,and to summary the best evidence.Methods We took"diabetes mellitus""insulin""injection""position""rotation"as subject terms to retrieve the evidences on insulin injection position selection and rotation in the evidence-based database such as the British Medical Journal(BMJ)best practice,Uptodata,Cochrane Library(2014),Joanna Briggs Institute Library,Registered Nurses'Association of Ontario(RNAO),Scottish Intercollegiate Guidelines Network(SIGN)and National Guideline Clearinghouse(NGC)as well as the comprehensive database such as the Embase,Elsevier science Direct,PubMed,Web of Science,OVID,China Biological Medicine(CBM)and WanFang data.Results A total of 13 evidences were included,2 evidence summaries,7 guidelines and 4 consensus.Four kinds of evidence were summarized including training for insulin standardized injection and management,evaluation,injection position and rotation.Conclusions Medical staff should standardize the clinical practice behavior in insulin injection position selection and rotation based on relevant levels of evidence-based medicine to guarantee the safety of patient and improve quality of nursing.

关 键 词：糖尿病 胰岛素 注射 部位 轮换 循证护理 

分 类 号：R473.5[医药卫生—护理学]