Open Access Article
International Journal of Nursing Research. 2024; 6: (10) ; 135-138 ; DOI: 10.12208/j.ijnr.20240350.
Investigation on the knowledge, attitude and practice of insulin injection among grassroots nurses in the medical community region and evaluation of training effectiveness
医共体区域内基层护士胰岛素注射知信行现状调查与培训效果评价
作者:
陈月柳 *,
张翠雁,
梁晓清,
马玉姗,
胡静仪,
冯绮玲
广东省开平市中心医院 广东开平
*通讯作者:
陈月柳,单位:广东省开平市中心医院 广东开平;
发布时间: 2024-10-30 总浏览量: 140
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摘要
目的 调查医共体区域内基层护士胰岛素注射知识、信念及行为(知信行)现状,并评价培训效果。方法 采用便利抽样法,选取本地区医共体所有医疗机构的456名临床护士作为研究对象。根据《中国糖尿病药物注射技术指南》及中华护理学会糖尿病护理专委会的相关问卷,设计调查问卷进行调查。结果 护士对于胰岛素分类及注射时间的准确率低于55.48%,注射部位不重复使用同一注射点的准确率为17.54%,处理针头不规范率为27.85%,注射部位处理正确率为48.25%,胰岛素专用注射器抽吸胰岛素错误率为49.56%;42.32%的护士认为自己需要参加胰岛素规范注射相关培训,39.04%的护士有信心正确指导糖尿病患者进行胰岛素注射;护士在执行胰岛素注射相关操作方面的执行率存在差异,如提前30分钟从冰箱取出胰岛素回暖的执行率为67.76%,关注患者血糖情况的执行率为83.33%等。培训后,基层护士在胰岛素注射知信行试卷得分及操作得分上均有提高(P<0.05)。结论 对医共体区域内基层护士进行胰岛素注射知信行调查与培训,能规范操作,保障糖尿病病人疗效及安全性。制定规范操作流程、管理细则及考核标准,可为基层医院提供学习参考,并培养胰岛素注射培训导师,以提升基层护士的服务能力及质量。
关键词: 基层护士;胰岛素注射;知识;信念;行为
Abstract
Objective To investigate the current status of insulin injection knowledge, beliefs, and behaviors (knowledge, beliefs, and actions) among grassroots nurses in the medical community region, and evaluate the training effectiveness.
Methods Convenience sampling was used to select 456 clinical nurses from all medical institutions in the local medical community as the research subjects. According to the Technical Guidelines for diabetes Drug Injection in China and the related questionnaires of the diabetes Nursing Special Committee of the Chinese Nursing Society, a questionnaire was designed for investigation.
Results The accuracy rate of nurses in classifying insulin and injection timing was less than 55.48%. The accuracy rate of not reusing the same injection site was 17.54%, the rate of non-standard handling of needles was 27.85%, the accuracy rate of handling injection sites was 48.25%, and the error rate of insulin specific syringes for suctioning insulin was 49.56%; 42.32% of the nurses believed that they needed to participate in the training related to standardized insulin injection, and 39.04% of the nurses were confident to correctly guide diabetes patients to conduct insulin injection; There are differences in the execution rate of nurses in performing insulin injection related operations, such as 67.76% in retrieving insulin from the refrigerator 30 minutes in advance and warming it up, and 83.33% in monitoring patients' blood sugar levels. After the training, the scores of grassroots nurses in the insulin injection knowledge, belief and practice test paper and operation test were both improved (P<0.05).
Conclusion The investigation and training on the knowledge, belief and practice of insulin injection among primary nurses in the medical community area can standardize the operation and ensure the efficacy and safety of diabetes patients. Developing standardized operating procedures, management rules, and assessment standards can provide learning references for grassroots hospitals and cultivate insulin injection training instructors to enhance the service capabilities and quality of grassroots nurses.
Key words: Grassroots nurses; Insulin injection; Knowledge; Belief; behavior
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引用本文
陈月柳, 张翠雁, 梁晓清, 马玉姗, 胡静仪, 冯绮玲, 医共体区域内基层护士胰岛素注射知信行现状调查与培训效果评价[J]. 国际护理学研究, 2024; 6: (10) : 135-138.