胰岛素注射技术与2型糖尿病患者血糖控制关系的研究。

IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM International Journal of Endocrinology and Metabolism Pub Date : 2022-10-01 DOI:10.5812/ijem-128392
Akram Mehrabbeik, Nasim Namiranian, Reyhaneh Azizi, Mohammadreza Aghaee Meybody, Mahbobeh Shariati, Hassan Ali Mahmoudi Kohani
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引用次数: 1

摘要

背景:适当的胰岛素注射技巧是糖尿病患者血糖控制的关键。然而,在许多医疗中心,胰岛素注射的技术仍然没有得到很好的理解。目的:本研究旨在确定伊朗亚兹德2型糖尿病患者适当胰岛素注射与血糖控制之间的关系。方法:对2020年8月至2021年2月期间在亚兹德糖尿病研究中心转诊的301例2型糖尿病患者进行横断面研究。采用简单随机抽样的方法,选取年龄>18岁、使用胰岛素笔至少3个月、自行注射等符合纳入标准的受试者。胰岛素注射技术通过一份由研究者制作的13项问卷进行评估。问卷总分为26分,对问卷的效度和信度进行了验证。采用SPSS软件(version 20)对数据进行分析。结果:参与者平均年龄59.83±10.26岁,小学及以下文化程度占60.1%。大多数参与者(87%)使用针头超过5次,其中近一半(53.5%)没有正确旋转注射部位。在注射过程中报告疼痛的患者的注射评分低于其他患者(17.90比19.38,P = 0.001)。胰岛素注射评分与空腹血糖(β = -0.232, P < 0.001)、餐后2小时血糖(β = -0.164, P = 0.005)、血红蛋白A1c (HbA1c)水平(β = -0.263, P < 0.001)呈显著负相关。结论:本研究中所有患者均未完全遵循适当注射原则,可能导致注射时疼痛、脂肪肥大、高血糖和HbA1c水平升高。
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Investigation of Association Between Insulin Injection Technique and Blood Glucose Control in Patients with Type 2 Diabetes.

Background: The appropriate insulin injection skill is essential for optimal blood sugar control in patients with diabetes. However, the art of insulin injection is still not well understood in numerous medical centers.

Objectives: This study was designed to determine the association between appropriate insulin injection and blood glucose control in patients with type 2 diabetes in Yazd, Iran.

Methods: This cross-sectional study was conducted on 301 patients with type 2 diabetes who referred to Diabetes Research Center in Yazd within August 2020 to February 2021. Based on simple random sampling, the subjects with inclusion criteria, such as age >18 years, using an insulin pen for at least 3 months, and self-injection, were selected. The insulin injection technique was evaluated by a 13-item researcher-made questionnaire. The total score of this questionnaire was 26, and its validity and reliability were confirmed. The data were analyzed using SPSS software (version 20).

Results: The mean age of the participants was 59.83 ± 10.26 years, and 60.1% had primary school or less education. Most participants (87%) used a needle more than five times, and almost half of them (53.5%) did not rotate the injection sites properly. The patients who reported pain during injection had statically lower injection scores than others (17.90 vs. 19.38, P = 0.001). There was a significant negative correlation between insulin injection score with fasting blood sugar (β = -0.232, P < 0.001), two-hour postprandial glucose (β = -0.164, P = 0.005), and hemoglobin A1c (HbA1c) level (β = -0.263, P < 0.001).

Conclusions: None of the patients in this study fully followed the principles of a proper injection, which can lead to pain during injection, lipohypertrophy, hyperglycemia, and increased HbA1c levels.

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来源期刊
CiteScore
3.10
自引率
4.80%
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0
期刊介绍: The aim of the International Journal of Endocrinology and Metabolism (IJEM) is to increase knowledge, stimulate research in the field of endocrinology, and promote better management of patients with endocrinological disorders. To achieve this goal, the journal publishes original research papers on human, animal and cell culture studies relevant to endocrinology.
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