提升第2型糖尿病病人胰島素注射率之改善方案

The Improvement Program to Increase Insulin Injection Proportion on Type 2 Diabetes

呂佩珍(Pei-Chien Lu) ； 何正(Cheng Ho) ； 葉曉芸(Hsiao-Yun Yeh) ； 邱微淇(Wei-Chi Chiu) ； 陳嘉珮(Chia-Pei Chen)

《新臺北護理期刊》 16卷1期 (2014/03) Pp. 51-61

https://doi.org/10.6540/NTJN.2014.1.006

摘要

Insulin injection is an effective treatment for Type 2 diabetes management. In Taiwan, the insulin injection proportion was 16.9% among patients with Type 2 diabetes. The proportion was only 14.4% (362/2511) in our hospital. Present status investigation found that the patient's knowledge, skills, and psycho-social factors were the factors leading to the lower insulin injection proportion. The aim of this project was to increase the insulin injection proportion to 16.9% for Type 2 diabetes patients. We invited Type 2 diabetes patients who were with A1C＞7% in two successive measurements in the last 6 months and did not use insulin as their diabetes treatment from the outpatient department of metabolism to join our programme. From 2011/11/01 to 2012/04/30, we held symposium biweekly. The contents included written and video teaching materials, role play, skill demonstration, and discussion. Caring telephone calls were also provided several times during the programme period. The results showed that the number of patients received insulin injection increased from 362 to 432, with an injection proportion 17.2%. This project successfully enhanced the injection proportion. It demonstrated the unique features of the nursing.

關鍵字

第2型糖尿病 ； 胰島素 ； 注射率

並列摘要

Insulin injection is an effective treatment for Type 2 diabetes management. In Taiwan, the insulin injection proportion was 16.9% among patients with Type 2 diabetes. The proportion was only 14.4% (362/2511) in our hospital. Present status investigation found that the patient's knowledge, skills, and psycho-social factors were the factors leading to the lower insulin injection proportion. The aim of this project was to increase the insulin injection proportion to 16.9% for Type 2 diabetes patients. We invited Type 2 diabetes patients who were with A1C＞7% in two successive measurements in the last 6 months and did not use insulin as their diabetes treatment from the outpatient department of metabolism to join our programme. From 2011/11/01 to 2012/04/30, we held symposium biweekly. The contents included written and video teaching materials, role play, skill demonstration, and discussion. Caring telephone calls were also provided several times during the programme period. The results showed that the number of patients received insulin injection increased from 362 to 432, with an injection proportion 17.2%. This project successfully enhanced the injection proportion. It demonstrated the unique features of the nursing.

並列關鍵字

Type 2 diabetes ； Insulin ； Injection proportion