指尖与手掌取样对糖尿病患者疼痛感知及毛细血管血糖水平变化的影响。

Anupama Anitha Pavithran, Lakshmi Ramamoorthy, Suryanarayana Bs, Rajeswari Murugesan, Kumari Mj
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引用次数: 5

摘要

导读:患者的血糖状态通常采用毛细管血糖试验监测,这是相当准确的。传统的手指棒取样是为了获得样本,这可能是痛苦的,并可能成为重复测试的障碍。本研究比较了指尖和手掌部位取样对疼痛感知和毛细血管血糖水平变化的影响。方法:采用方便抽样法对284例糖尿病患者进行研究。使用标准血糖仪每隔10分钟测量一次左手指尖和手掌的毛细血管血糖水平。疼痛感知水平用数值评定疼痛量表测量。数据分析采用描述性分析、Mann-Whitney U检验和Kruskal- Wallis检验。结果:手掌部位(2)痛觉水平低于指尖(3),差异有统计学意义(P < 0.001)。223名(78.52%)参与者指尖比手掌部位疼痛,指尖[均值(SD): 226.65(87.86)]与手掌部位[均值(SD): 225.65(92.13)]测量的毛细血管血糖水平差异最小。手掌部位单次测量的一致性为90.7%,平均测量的一致性为95.1%。结论:本研究得出的结论是,大多数参与者在手掌部位取样(替代部位取样)比指尖取样感受到的疼痛感更小,血糖水平变化非常小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Comparison of Fingertip vs Palm Site Sampling on Pain Perception, and Variation in Capillary Blood Glucose Level among Patients with Diabetes Mellitus.

Introduction: Glycaemic status of the patient is often monitored using capillary blood glucose test which is fairly accurate. Traditional finger stick sampling is done to obtain sample, which can be painful and may be a barrier for repeated testing. The current study was conducted to compare fingertip and palm site sampling on pain perception, and variation in capillary blood glucose level. Methods: This study was conducted among 284 diabetic patients, who were selected by convenience sampling method. The data was collected by measuring capillary blood glucose levels from fingertip and palm site of the left hand at an interval of 10 minutes using a standard glucometer. The level of pain perceptions was measured with a numerical rating pain scale. Data analysis was accomplished using descriptive analysis, Mann-Whitney U test and Kruskal- Wallis test. Results: The level of pain perception at the palm site (2) was lesser than fingertip (3) which was significant at P < 0.001. 223 (78.52%) of the participants experienced more pain at fingertip than palm site, the difference in the measured capillary blood glucose level between fingertip [mean (SD): 226.65 (87.86)] and palm site [mean (SD): 225.65(92.13)] was minimum. The agreement of palm site was 90.7% in single measurement and 95.1% in average measurement. Conclusion: The present study concludes that, majority of the participants experienced less pain perception at the palm site sampling (alternate site sampling) than fingertip sampling with very minimal variation in the blood glucose level.

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