新型胰岛素注射笔针头处理器的研制与应用研究  

Development and application of a novel needle disposal device for insulin injection pen

作　　者：陈玉杏 钱佳栋 李春华 居俏艳 徐云峰 CHEN Yuxing;QIAN Jiadong;LI Chunhua;JU Qiaoyan;XU Yunfeng(Department of Neurosurgery,Jiaxing University Affiliated Hospital&Jiaxing First Hospital,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴大学附属医院/嘉兴市第一医院神经外科,浙江嘉兴314000

出　　处：《护士进修杂志》2024年第9期997-1000,共4页Journal of Nurses Training

基　　金：嘉兴市第一医院院级课题(编号:2021YJKY003)

摘　　要：目的探讨自行研制的新型胰岛素注射笔针头处理器临床应用效果。方法研制一款可以防止拆卸胰岛素笔针头时发生针刺伤的新型胰岛素注射笔针头处理器。选取神经外科住院合并糖尿病或血糖升高需胰岛素笔芯针注射治疗的患者99例。以前期2021年3月-2022年2月的49例累计注射1497次,采用常规拆卸胰岛素笔针头方法作为对照组;以后期2022年3月-2023年2月的50例累计注射1425次,使用新型胰岛素注射笔针头处理器处置针头方法作为观察组。比较2组的胰岛素笔针头平均拆卸用时、针刺伤发生率、处置规范率、护士的依从性及满意度。结果观察组胰岛素笔针头平均拆卸用时为,短于对照组的;处置规范率高于对照组;护士依从性及满意度高于对照组,差异均有统计学意义(P<0.05)。观察组针刺伤发生率为0例,低于对照组3例,差异无统计学意义(P=0.262)。结论新型胰岛素注射笔针头处理器能节省护士胰岛素笔针头处置时间,规范操作行为,有效减少针刺伤,提高护士的依从性和满意度。Objective To explore the clinical application effect of a self-developed novel needle disposal device for insulin injection pen.Methods A novel needle disposal device for insulin injection pen was developed to prevent needlestick injuries during the disassembling of insulin pen needles.A total of 99 patients with diabetes or elevated blood glucose levels requiring insulin pen needle injections in neurosurgery department were selected.A total of 49 patients who received a total of 1,497 injections from March 2021 to February 2022 were selected as the control group by using the conventional method of insulin pen needle disassembling,while a total of 50 patients who received a total of 1,425 injections from March 2022 to February 2023were selected as the observation group by using the novel insulin pen needle disposal device.The average disassembling time of insulin pen needles,incidence of needlestick injuries,compliance rate of disposal protocol,and nurse compliance and satisfaction were compared between 2 groups.Results The average disassembling time of insulin pen needles in the observation group was shorter than that in the control group.The compliance rate of disposal protocol in the observation group was higher than that in the control group.Nurse compliance and satisfaction in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of needlestick injuries in the observation group was 0 case,which was lower than 3 cases in the control group,and the difference was not statistically significant(P=0.262).Conclusion The novel disposal device of insulin pen needle can save nurses'time in disposing of insulin pen needles,standardize operational behaviors,effectively reduce needlestick injuries,and improve nurse compliance and satisfaction.

关 键 词：胰岛素注射笔 针头处理器 针刺伤 护理 

分 类 号：R473.2[医药卫生—护理学]