周艳

[摘要] 目的 探讨健康教育干预对社区糖尿病患者胰岛素笔正确使用情况的影响。方法 选取2019年1—2月在东营现河社区卫生服务中心辖区使用胰岛素笔自行注射的糖尿病患者96例作为研究对象。随机分为对照组（n=48）和观察组（n=48），对照组进行日常护理干预，观察组健康教育干预，对比使用胰岛素笔自行注射的两组糖尿病患者血糖控制水平及患者满意率。结果 实施健康教育干预后，观察组血糖水平明显低于对照组，实施前后差异有统计学意义（P<0.05）。观察组满意度为97.92%，明显高于对照组，实施前后差异有统计学意义（P<0.05）。结论 健康教育干预可以使医护人员真正了解糖尿病患者当前疾病发展的需求，有效解决了社区糖尿病患者胰岛素笔使用问题， 加深了医护人员与社区糖尿病患者之间的沟通交流，使患者的血糖值控制在满意水平，满意度显著提高。健康教育干预在社区糖尿病患者胰岛素笔使用中应用效果明显。

[关键词] 健康教育;社区糖尿病;胰岛素笔使用;影响

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0117-03

[Abstract] Objective To explore the effect of health education intervention on the correct use of insulin pen in diabetic patients in the community. Methods From January to February 2019， 96 diabetic patients self-injected with insulin pens in Dongying Xianhe Community Health Service Center were selected as the research subjects. Randomly divided into a control group （n=48） and an observation group （n=48）， the control group underwent daily nursing intervention， observation group health education intervention， and compared the blood glucose control level and patient satisfaction rate of two groups of diabetic patients who were injected with insulin pen. Results After implementing health education intervention， the blood glucose level of the observation group was significantly lower than that of the control group， and the difference before and after implementation was statistically significant（P<0.05）. The satisfaction rate of the observation group was 97.92%， which was significantly higher than that of the control group. The difference before and after the implementation was statistically significant （P<0.05）. Conclusion Health education interventions can enable medical staff to truly understand the current disease development needs of diabetic patients， effectively solve the problem of using insulin pens in diabetic patients in the community， deepen the communication between medical staff and diabetic patients in the community， and control the blood glucose to the satisfaction level， satisfaction increased significantly. The application of health education intervention in the use of insulin pens in diabetic patients in the community is obvious.

[Key words] Health education; Community diabetes; Use of insulin pen; Influence

目前社區大部分糖尿病患者未能规范地掌握胰岛素注射方法，而胰岛素笔注射规范又直接影响患者的治疗效果。把糖尿病的治疗与健康教育，作为医护人员工作的重点工作[1]。为了使糖尿病患者得到完善的社区卫生服务，提高胰岛素注射规范，控制血糖浓度，关注胰岛素笔的使用，减少操作过程中的使用不规范，满足病患的真正需求，提高患者满意度[2]。2019年1—2月该社区服务中心对98例使用胰岛素笔自行注射的患者进行了健康教育干预，指导患者胰岛素笔的操作规范，提高胰岛素笔的使用正确率，取得了很好的临床效果，现报道如下。

1  资料与方法

1.1  一般资料

对象选择在东营现河社区卫生服务中心使用胰岛素笔自行注射的糖尿病患者96例，随机分成两组，每组48例，分别为对照组和观察组。对照组患者中，男性24例、女性24例;年龄45～89岁，平均年龄62.8岁。……