聚焦解决模式联合两部五区五指轮换法在糖尿病胰岛素注射患者中的应用效果  

Effect of solution focused approach combined with two-part,five-zone and five-finger rotation in diabetic insulin injection patients

作　　者：项英美[1] 陈敏华[2] Xiang Yingmei;Chen Minhua(Department of Trauma Orthopedics,Lishui People's Hospital,Lishui 323000,China;Nursing Department,Lishui People's Hospital,Lishui 323000,China)

机构地区：[1]丽水市人民医院创伤骨科,丽水323000 [2]丽水市人民医院护理部,丽水323000

出　　处：《中华现代护理杂志》2022年第17期2302-2307,共6页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2020ZH079)。

摘　　要：目的探讨聚焦解决模式联合两部五区五指轮换法在糖尿病胰岛素注射患者中的应用效果。方法采用便利抽样法,选取2019年8月—2021年10月丽水市人民医院收治的108例糖尿病胰岛素注射患者为研究对象,利用随机数字表法将其分为对照组和试验组,每组各54例。对照组实施常规护理干预,试验组在对照组的基础上实施聚焦解决模式护理联合两部五区五指轮换法,比较护理前、护理4周后两组的胰岛素注射位置轮换相关知识调查问卷、状态-特质焦虑量表(STAI)、积极度量表(PAM)、中文版Mishel疾病不确定感量表(MUIS)评分以及胰岛素注射位置不良反应总发生率。结果护理4周后,试验组的胰岛素注射位置轮换相关知识调查问卷得分高于对照组,STAI中的状态焦虑量表和特质焦虑量表、MUIS评分低于对照组,PAM评分高于对照组,差异均有统计学意义(P<0.05);试验组胰岛素注射位置不良反应总发生率为1.85%(1/54),低于对照组的12.96%(7/54),但两组差异无统计学意义(P>0.05)。结论聚焦解决模式护理联合两部五区五指轮换法有利于提高糖尿病患者胰岛素注射相关知识水平,缓解其焦虑情绪,提高患者对疾病治疗的积极性。Objective To explore the effect of the solution focused approach combined with the two-part,five-zone and five-finger rotation in diabetic insulin injection patients.Methods From August 2019 to October 2021,convenience sampling was used to select 108 diabetic insulin injection patients admitted to Lishui People's Hospital as the research object.The patients were divided into the control group and the experimental group by random number table method,with 54 cases in each group.The control group was given routine nursing,while the experimental group received the solution focused approach combined with the two-part,five-zone,and five-finger rotation on the basis of the control group.The scores of the Insulin Injection Position Rotation Knowledge Questionnaire,State-Trait Anxiety Inventory(STAI),Patient Activation Measure(PAM)and the Chinese version of the Mishel's Uncertainty in Illness Scale(MUIS)and the total incidence of adverse reactions at insulin injection sites were compared between the two groups before nursing and after four weeks of nursing.Results After four weeks of nursing,the scores of the Insulin Injection Position Rotation Knowledge Questionnaire in the experimental group were higher than those in the control group,the scores of State Anxiety Inventory,Trait Anxiety Inventory in STAI and MUIS score were lower than those in the control group,and the PAM score was higher than that in the control group.All were statistically significant(P<0.05).The total incidence of adverse reactions at the insulin injection site in the experimental group was 1.85%(1/54),which was lower than 12.96%(7/54)in the control group,but there was no significant difference between the two groups(P>0.05).Conclusions The solution focused approach combined with the two-part,five-zone and five-finger rotation is beneficial to improve the knowledge of insulin injection in diabetic patients,relieve their anxiety,and increase patients'enthusiasm for disease treatment.

关 键 词：糖尿病 焦虑 聚焦解决模式 轮换法 疾病不确定感 积极性 

分 类 号：R473.5[医药卫生—护理学]