Comparison of the hospitalized patients with diabetes for insulin injection between endocrinology and non-endocrinology department nurse

Abstract

Objective To investigate the differences of the hospitalized patients with diabetes for insulin injection between endocri -nology and non-endocrinology department in the general hospital.Methods In general hospital from January 2012 to December 2013 , 323 hospitalized patients with diabetes for insulin injection were included ..According to the source of patients , all patients were divided into pa-tients from endocrinology （n=213） and patients from non-endocrinology （n=110） .The management of insulin for all patients was inves-tigated with questionnaire and interview , including the injection method of insulin , the acknowledge about insulin injection device , the ad-verse reactions of injection and the education of accepting injection.The differences of management of insulin were compared between the two groups.Results The valid questionnaires collected from endocrinology and non -endocrinology department were 181 and 99, respective-ly.The using time of insulin at baseline was the same between the two groups.Compared with the patients from non -endocrinology depart-ment , the proportion of regulate injections with insulin of patients in endocrine department is higher , including skin disinfection before injec-tion, the large rotation of injection site , subcutaneous , stay longer and so on.Most of patients were not obvious pain and bleeding , and the common reason for pain was reuse of needles.35.91%of patients with endocrinology and 46.46%of patients without endocrine had been o-mitted from insulin injection , and the most common reason was forgetting , but also included not eating , discomfort for low blood sugar or sta-ying in public places.The both groups accepted the education from doctors and nurses.In the following-up, the patients in non-endocrinol-ogy department pay more attention with the sites of injection , but 65.75%of patients in endocrinology department had never checked the in-jection sites.Conclusions The education of regulate treatment with insulin in endocrinology department was more fully than that in non -en-docrinology department , and the proportion of mastering was also higher in endocrinology department than in non -endocrinology depart-ment.But the guidance was insufficient following -up after injection in endocrinology department.At the same time , not paying enough atten-tion and the barrier of medical costs were contributed to the non -standardized injection of insulin for patients with diabetes. Key words: Diabetes Injection of insulin Management