The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1402
7
1
gregorian
2023
10
1
31
7
online
1
fulltext
fa
تأثیر آموزش مجدد تزریق انسولین برکاهش خطاهای تزریق بیماران مبتلا به دیابت نوع2
Effect of Insulin Injection Re-Education on Reducing Injection Errors in Patients with Type 2 Diabetes
غدد و متابولیسم
Endocrinology and Metabolism
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">آموزش تکنیک تزریق انسولین منجر به بهبود کنترل گلوکز و رضایت بیشتر از درمان خواهد شد. هدف این مطالعه تعیین تأثیر آموزش مجدد تزریق انسولین بر خطاهای تزریق و کنترل قند خون در بیماران مبتلا به دیابت نوع 2 میباشد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">پژوهش نیمه تجربی حاضر بر روی 108 بیمار مبتلا به دیابت نوع 2 مراجعهکننده به مرکز دیابت یزد با استفاده از نمونهگیری تصادفی ساده، انجام گرفت. پرسشنامهای محقق ساخته قبل و سه ماه پس از اجرای مداخله برای بیماران تکمیل شد. محتوای آموزشی بهصورت فیلم پنج دقیقهای و از طریق تلفن همراه برای شرکتکنندگان ارسال شد. دادهها با استفاده از آزمون </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">t</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> زوجی در نرمافزار </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">SPSS version 16</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مورد تجزیه و تحلیل قرار گرفت.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین سنی شرکتکنندگان 8/94</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">61/44 سال بود. عملکرد صحیح شرکتکنندگان بعد از مداخله در رابطه با استفاده مکرر از سرسوزن (0/013</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">, p=</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">39/7% </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">vs</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 20/4%)، زمان نگهداری سوزن در پوست پس از تزریق (0/001</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">, p=</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">70/5% </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">vs</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 47/2%)، تزریق در محدوده توصیه شده (0/001</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">, p=</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">75/3% </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">vs</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 52/8%) ، تزریق چرخشی(0/02</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">, p=</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">37/2% </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">vs</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 28/7%) و زمان تزریق انسولین (0/04</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">, p=</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">75/6% </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">vs</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 65/7%)، افزایش معناداری را نشان داد.</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">آموزش مجدد تکنیک صحیح تزریق انسولین به بیماران میتواند منجر به کاهش خطاهای آنها در رابطه با تزریق شود و کیفیت درمان را ارتقاء دهد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <b> </b><span new="" roman="" style="font-family:" times="">Insulin injection training will lead to improved glucose control and greater satisfaction with treatment. The purpose of this study was to determine the impact of insulin injection re-education on injection errors and blood glucose control in the patients with type 2 diabetes.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">This semi-experimental study was performed on 108 patients with type 2 diabetes referred to Yazd Diabetes Center using simple random sampling. The data collection tool was a researcher-made questionnaire that was completed for the patients before and three months after the intervention. The educational content was sent to the participants in the form of a five-minute video and via mobile phone. Data were analyzed using Pair t-test</span> <span new="" roman="" style="font-family:" times="">in SPSS 16.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The mean age of the participants was 61.44 ±8.94 years. The appropriate injection before and after the intervention in terms of the frequency of reused needle (20.4% vs 39.7% , p=0.013), keep pressing (47.2% vs 70.5%, p=0.001), size of the injection area (52.8% vs 75.3%, p=0.001), injection rotation (28.7% vs 37.2%, p=0.02 ) and insulin injection time (65.7%% vs 75.6%, p=0.04), showed a significant increase.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">Insulin injection re-education can lead to reducing patients' errors related to the injection. Therefore, teaching patients at regular intervals can improve their performance in the field of insulin injection and improve the quality of treatment.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
</div>
آموزش, انسولین, تزریق, دیابت
Education, Insulin, Injections, Diabetes.
6864
6872
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-5078-2&slc_lang=fa&sid=1
Akram
Mehrabbeik
اکرم
محراب بیک
mehrabbeyk@gmail.com