【摘要】：背景:糖尿病是21世紀全球最大的公共衛(wèi)生緊急事件之一,對于工業(yè)化國家和發(fā)展中國家來說是一個重大的公共醫(yī)療挑戰(zhàn)。近來,隨著新型胰島素制劑的引入和對血糖控制的重視,住院治療胰島素變得越來越復雜。如何正確使用胰島素以及避免不正當使用胰島素所引發(fā)的潛在危險對我們來說也是一個挑戰(zhàn)。缺乏正確胰島素的知識將引發(fā)本可避免的并發(fā)癥,加重的患者病情,違反治療方案,無法達到控制血糖的目的。目標:調(diào)查收集新鄉(xiāng)某醫(yī)院的護理人員對胰島素治療的相關(guān)知識。明確調(diào)查對象的個人資料:目前的工作職位,管理糖尿病患者的舒適程度,胰島素治療信息的來源。衡量調(diào)查對象的胰島素治療知識水平。并測試調(diào)查對象的胰島素治療知識水平是否與他們的目前所擔任的職務有一定關(guān)系。調(diào)查方法:調(diào)查對象為新鄉(xiāng)某醫(yī)院內(nèi)科及其下屬部門(重癥監(jiān)護室,心臟科加護病房,急診科和病房重癥監(jiān)護室)的護士(n=50人),問卷調(diào)查采取匿名方式進行,共有25個單項選擇題。這些問題涉及以下三個方面:調(diào)查對象的專業(yè)及職務,胰島素特征和使用方法以及胰島素的制備和管理。數(shù)據(jù)分析結(jié)果以平均值和標準值的偏差指示數(shù)據(jù)頻率和百分比表示。在研究分類數(shù)據(jù)的相關(guān)性時,運用了卡方檢驗的獨立性研究方法。結(jié)果:根據(jù)本實驗所采用的評分系統(tǒng)和對調(diào)查對象的回答進行分析研究,得出以下結(jié)論,66%的調(diào)查對象被歸類為具有較低的胰島素知識水平,在22個與胰島素相關(guān)的問題中,他們答案的正確率為27%-54%不等。32%的調(diào)查對象具有一般的胰島素知識水平,正確率為55%-81%不等。沒有一個調(diào)查對象能夠很高的分數(shù),但是有一個調(diào)查對象得分極其差。所有病房護士的平均得分(即22個知識問題的平均得分)為11.95,是在以職務為分組標準的對比研究中得分最高的一組。而ER護士(9.8)和ICU護士(9.7)的平均得分大致持平。心臟科加護病房護士平均得分為8.4。在CCU護士中存在2.4分的最低分,最高分出現(xiàn)在病房護士中,為5.5分。ICU護士和ER護士得分分別為3.8和3.4。就胰島素制劑和管理的問題,各分組內(nèi)的調(diào)查對象水平差別不大。結(jié)論:本研究的結(jié)論是,調(diào)查對象所掌握的有關(guān)胰島素的知識存在相當大的差距,并且水平較低。因此,本研究建議要進行有條理,持續(xù)和實時舉行會議和研討會并且要設(shè)計和定期更新標準化的醫(yī)療方案和治療方案。
[Abstract]:Background: diabetes is one of the largest public health emergencies in the world in the 21st century. It is a major public health challenge for both industrialized and developing countries. Recently, with the introduction of new insulin preparations and the importance of blood glucose control, insulin hospitalization has become more and more complex. How to use insulin correctly and avoid the potential danger caused by improper use of insulin is also a challenge. Lack of proper knowledge of insulin can lead to avoidable complications, exacerbation of the patient's condition, violation of the treatment plan, and can not achieve the purpose of blood sugar control. Objective: to investigate the knowledge of insulin therapy among nurses in a hospital in Xinxiang. Identify the subjects' personal data: current job positions, management of diabetic comfort, and sources of insulin therapy information. The knowledge level of insulin therapy was measured. The subjects' knowledge of insulin therapy was also tested to determine whether it was related to their current position. Methods: a total of 50 nurses in the Department of Internal Medicine and its subordinate departments (intensive Care Unit, Cardiac intensive Care Unit, Emergency Department and intensive Care Unit) in a hospital in Xinxiang were investigated. The questionnaire was conducted anonymously. There are 25 multiple choice questions. These questions relate to the following three aspects: the subject's profession and position, insulin characteristics and methods of use, and the preparation and management of insulin. The results of the data analysis are expressed as deviations of the mean and standard values indicating the frequency and percentage of the data. The independence method of chi-square test is used to study the correlation of classified data. Results: according to the scoring system used in this study and the responses of the subjects, the following conclusions were drawn: 66% of the subjects were classified as having low level of insulin knowledge, out of 22 questions related to insulin, 66% of the subjects were classified as having a low level of insulin knowledge. The correct rate of their answers ranged from 27% to 54%. 32% of the respondents had general knowledge of insulin, and the correct rate ranged from 55% to 81%. None of the respondents scored well, but one scored badly. The average score of nurses in all wards (i.e. the average score of 22 knowledge questions) was 11.95, which was the highest in a comparative study based on position. The average scores of ER nurses (9.8) and ICU nurses (9.7) were roughly the same. The average score of nurses in cardiac intensive care unit was 8.4. The lowest score of 2.4 was found in CCU nurses, and the highest score was 5.5 in ward nurses. The scores of ICU nurses and ER nurses were 3.8 and 3.4 respectively. As for insulin preparation and management, there was little difference in the level of subjects in each subgroup. Conclusion: there is a wide gap and low level of knowledge about insulin. Therefore, this study recommends structured, continuous and real-time meetings and seminars and the design and regular updating of standardized medical and treatment protocols.
【學位授予單位】：新鄉(xiāng)醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R47

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