王丽. 拼图式思维导图在教育初次使用胰岛素注射装置病人中的观察研究[J]. 蚌埠医学院学报, 2021, 46(8): 1138-1140, 1145. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.038
    引用本文: 王丽. 拼图式思维导图在教育初次使用胰岛素注射装置病人中的观察研究[J]. 蚌埠医学院学报, 2021, 46(8): 1138-1140, 1145. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.038
    WANG Li. Study on the value of the puzzle mind mapping in the education of patients using insulin injection devices for the first time[J]. Journal of Bengbu Medical College, 2021, 46(8): 1138-1140, 1145. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.038
    Citation: WANG Li. Study on the value of the puzzle mind mapping in the education of patients using insulin injection devices for the first time[J]. Journal of Bengbu Medical College, 2021, 46(8): 1138-1140, 1145. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.038

    拼图式思维导图在教育初次使用胰岛素注射装置病人中的观察研究

    Study on the value of the puzzle mind mapping in the education of patients using insulin injection devices for the first time

    • 摘要:
      目的观察拼图式思维导图教育方法在初次使用胰岛素注射装置病人中的应用效果。
      方法选择2019年6月至2020年6月初次接受胰岛素治疗,且出院后仍需自我注射的病人110例,其中对照组为2019年6-12月入院病人,采用我科常规方法进行胰岛素注射技能教育;观察组为2020年1-6月入院病人,采用拼图式思维导图进行胰岛素注射技能教育;比较2组病人在出院前1 d胰岛素注射技能规范化情况和3个月后注射相关并发症的情况。
      结果出院前对2组病人进行胰岛素笔自我注射考核,观察组得分高于对照组(P < 0.05)。在对2组病人胰岛素笔自我注射技术20项具体项目进行分析时发现,其中14项正确率2组病人差异有统计学意义(P < 0.05~P < 0.01),包括定位方法是否正确、是否检查注射部位、检查手法是否正确、消毒范围是否足够、胰岛素是否混匀、混匀方法、捏皮的手法、松开皮摺的时机、停留时间是否足够、松开按钮的时机、询问注射部位的轮换、使用中胰岛素的储存、未开封胰岛素的储存和居家针头的处置。出院后3个月,观察组病人注射部位红肿或硬结的出现、脂肪增生和疼痛情况发生率低于对照组(P < 0.05~P < 0.01)。
      结论拼图式思维导图教育应用于初次接触胰岛素的病人,能显著规范其注射技能,减少因注射而产生的并发症,可以推广应用在其他内容的病人教育中。

       

      Abstract:
      ObjectiveTo observe the application effects of puzzle mind mapping education method in patients using insulin injection device for the first time.
      MethodsA total of 110 patients treated with insulin therapy for the first time from June 2019 to June 2020, and still needed self-injection after discharge were selected.The control group was hospitalized from June to December 2019, and the insulin injection skills were taught by the routine methods of our department.The observation group was hospitalized from January to June in 2020, and the insulin injection skills were taught by puzzle mind mapping.The standardization of insulin injection skills before 1 day of discharge, and injection-related complications after 3 months of treatment were compared between two groups.
      ResultsBefore discharge, the results of the self-injection examination in two groups using insulin pen showed that the score in observation group was higher than that in control group(P < 0.05).The results of 20 specific items of insulin pen self-injection technology analysis showed that the differences of the accuracy rates of 14 items were statistically significant between two groups(P < 0.05 to P < 0.01), and which included correct positioning method, checking the injection site, right checking technique, disinfection range, insulin blending, blending method, pinch of skin, timing of the loose skin fold, residence time, enough the release timing, injection site rotation, use of insulin in store, unopened insulin storage and disposal of needles.After 3 months of discharge, the incidence rates of redness, swelling or induration at injection site, fat hyperplasia and pain in observation group were lower than those in control group(P < 0.05 to P < 0.01).
      ConclusionsThe application of puzzle mind mapping education method in patients using insulin injection device for the first time can significantly standardize their injection skills, and reduce the complications caused by injection, which can be popularized and applied in other patient education.

       

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