| 中文摘要 |
胰島素能有效使糖尿病人血糖控制達治療目標。在臺灣有16.9%的胰島素注射率，但本院僅達14.4%（362/2511）。現況調查發現，注射率偏低導因於病人認知、技能與社會心理等礙。為導正胰島素概念，擬定改善方案以提升注射率達16.9%以上。收案以新陳代謝科門診，近6個月A1C連續2次>7%且未使用胰島素治療之第2型糖病人為對象。從2011年11月1日至2012年4月30日，每2週常規舉辦1次座談會，內容涵蓋：書面及視為教材、角色扮演、示範教學、討論法及電話關懷。結果呈現，接受注射胰島素治療的病人由362位增加至432位，注射率提升達17.2%。顯示改善略確實使病人願意接受胰島素治療，不僅改善血糖控制，更提升護理專業獨特性功能之貢獻。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. |
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