糖尿病患者医疗机构外锐器废物处置现状的研究进展

doi:10.3761/j.issn.0254-1769.2022.01.017

摘要/Abstract

摘要：

大部分糖尿病患者需长期进行血糖监测和胰岛素注射,由此产生的采血针和胰岛素注射针头等锐器废物数量较大,潜在危害大,规范处置十分重要。该文综述了国内外糖尿病患者在医疗机构外处置锐器废物的现状、影响因素及干预措施,为护理人员制订锐器废物安全管理措施,规范糖尿病患者医疗锐器废物的处置行为,减少针刺伤的发生提供参考。

关键词: 糖尿病, 锐器处置, 针刺伤, 医疗废物, 综述, 护理

Abstract:

Most diabetics need long-term blood glucose monitoring and insulin injections,and they produce a large amount of sharps such as lancet and insulin needle,which brings great potential harm. Therefore,the standard disposal is very important. This paper reviews the current status and the influencing factors associated with sharps waste disposal practice outside health care facilities among patients with diabetes. Meanwhile,it summarizes the interventions that can promote patients to safely dispose of sharps waste. This paper aims to provide references for nursing staff to formulate the safety management measures of sharps waste,so as to standardize the disposal of sharps waste for patients with diabetes,and to reduce the occurrence of needle stick injuries.

Key words: Diabetes Mellitus, Sharps Disposal, Needle Stick Injuries, Medical Waste, Review, Nursing Care

张雯杰, 葛娟, 韩玉琴, 黎瑞红. 糖尿病患者医疗机构外锐器废物处置现状的研究进展[J]. 中华护理杂志, 2022, 57(1): 113-117.

ZHANG Wenjie, GE Juan, HAN Yuqin, LI Ruihong. Research progress on the current situation of sharps waste disposal outside health care facilities among patients with diabetes[J]. Chinese Journal of Nursing, 2022, 57(1): 113-117.

参考文献 42

[1]	Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045:results from the International Diabetes Federation Diabetes Atlas,9^th edition[J]. Diabetes Res Clin Pract, 2019, 157:107843.
[2]	黎瑞红, 韩玉琴, 陈雪萍, 等. 糖尿病患者居家注射胰岛素废弃针头管理的研究进展[J]. 中华护理杂志, 2018, 53(9):1136-1139.
	Li RH, Han YQ, Chen XP, et al. Home-based management of discarded needles for insulin injection in patients with diabetes:a review[J]. Chin J Nurs, 2018, 53(9):1136-1139.
[3]	Villar LM, Geloneze B, Vasques ACJ, et al. Prevalence of hepatitis B and hepatitis C among diabetes mellitus type 2 individuals[J]. PLoS One, 2019, 14(2):e0211193.
[4]	Lu J, Hou X, Tu H, et al. Hepatitis B Virus Infection Status is more prevalent in patients with type 2 diabetes[J]. J Diabetes Investig, 2017, 8(4):619-625. DOI URL
[5]	Zhao F, Zhang MX, Xuan JW, et al. Burden of insulin injection-related needlestick injuries in mainland China-prevalence,incidence,and healthcare costs[J]. Int J Nurs Stud, 2019, 97:78-83. DOI URL
[6]	Udofia EA, Gulis G, Fobil J. Solid medical waste:a cross sectional study of household disposal practices and reported harm in Southern Ghana[J]. BMC Public Health, 2017, 17(1):464. DOI URL
[7]	Blenkharn JI. Sharps management and the disposal of clinical waste[J]. Br J Nurs, 2009, 18(14):860-864. DOI URL
[8]	Macalino GE, Springer KW, Rahman ZS, et al. Community-based programs for safe disposal of used needles and syringes[J]. J Acquir Immune Defic Syndr Hum Retrovirol, 1998, 18(Suppl 1):S111-S119. DOI URL
[9]	Montoya JM, Thompson BM, Boyle ME, et al. Patterns of sharps handling and disposal among insulin-using patients with diabetes mellitus[J]. J Diabetes Sci Technol, 2021, 15(1):60-66. DOI URL
[10]	Olowokure B, Duggal H, Armitage L. The disposal of used sharps by diabetic patients living at home[J]. Int J Environ Health Res, 2003, 13(2):117-123. DOI URL
[11]	Basazn Mekuria A, Melaku Gebresillassie B, Asfaw Erku D, et al. Knowledge and self-reported practice of insulin injection device disposal among diabetes patients in Gondar town,Ethiopia:a cross-sectional study[J]. J Diabetes Res, 2016, 2016:1897517.
[12]	Kalra S, Mithal A, Sahay R, et al. Indian injection technique study:population characteristics and injection practices[J]. Diabetes Ther, 2017, 8(3):637-657. DOI URL
[13]	张鹤, 高峻, 张俊蕾, 等. 糖尿病患者居家医疗废物处置现状调查及分析[J]. 中国护理管理, 2010, 10(6):54-55.
	Zhang H, Gao J, Zhang JL, et al. Current status of dealing with medical waste in home-setting[J]. Chin Nurs Manag, 2010, 10(6):54-55.
[14]	张来军. 糖尿病患者自行注射胰岛素行为现状及影响因素研究[D]. 大连:大连医科大学, 2017.
	Zhang LJ. Study on the status and influence factors of self injection of insulin in diabetic patients[D]. Dalian:Dalian Medical University, 2017.
[15]	李饶, 袁丽. 门诊糖尿病患者胰岛素注射针头使用现状调查分析[J]. 护理学报, 2014, 21(9):20-22.
	Li R, Yuan L. Current situation of insulin injection needle usage in outpatient diabetes patients[J]. J Nurs, 2014, 21(9):20-22.
[16]	中华糖尿病杂志指南与共识编写委员会. 中国糖尿病药物注射技术指南(2016年版)[J]. 中华糖尿病杂志, 2017, 9(2):79-105.
	Committee for the compilation of guidelines and consensus for Chinese journal of diabetes. Drug injection technical guide for diabetic in China[J]. Chin J Diebetes Mellitus, 2017, 9(2):79-105.
[17]	Atukorala KR, Wickramasinghe SI, Sumanasekera RDN, et al. Practices related to sharps disposal among diabetic patients in Sri Lanka[J]. Asia Pac Fam Med, 2018, 17:12. DOI PMID
[18]	Huang L, Katsnelson S, Yang J, et al. Factors contributing to appropriate sharps disposal in the community among patients with diabetes[J]. Diabetes Spectr, 2018, 31(2):155-158. DOI URL
[19]	McConville DE, Hamilton EM. Syringe disposal practices and gender differences[J]. Diabetes Educ, 2002, 28(1):91-98. DOI URL
[20]	Reyes J, Tripp-Reimer T, Parker E, et al. Factors influencing diabetes self-management among medically underserved patients with type II diabetes[J]. Glob Qual Nurs Res, 2017, 4:1-13.
[21]	陈玉凤, 杨圣楠, 楼青青. 糖尿病相关心理痛苦的研究进展[J]. 中华护理杂志, 2015, 50(3):354-359.
	Chen YF, Yang SN, Lou QQ. Research progress of diabetes related distress[J]. Chin J Nurs, 2015, 50(3):354-359.
[22]	贾文文, 赵慧楠, 戴付敏, 等. 老年糖尿病患者衰弱现状及影响因素研究[J]. 中华护理杂志, 2019, 54(2):188-193.
	Jia WW, Zhao HN, Dai FM, et al. The current situation and influential factors of frailty in elderly patients with diabetes[J]. Chin J Nurs, 2019, 54(2):188-193.
[23]	Hasan UA, Mohd Hairon S, Yaacob NM, et al. Factors contributing to sharp waste disposal at health care facility among diabetic patients in north-east peninsular Malaysia[J]. Int J Environ Res Public Health, 2019, 16(13):E2251.
[24]	Costello J, Parikh A. The sticking point:diabetic sharps disposal practices in the community[J]. J Gen Intern Med, 2013, 28(7):868-869. DOI URL
[25]	Ishtiaq O, Qadri AM, Mehar S, et al. Disposal of syringes,needles,and lancets used by diabetic patients in Pakistan[J]. J Infect Public Health, 2012, 5(2):182-188. DOI URL
[26]	Cunha GHD, Barbosa RVA, Fontenele MSM, et al. Insulin the-rapy waste produced in the households of people with diabetes monitored in primary care[J]. Rev Bras Enferm, 2017, 70(3):618-625. DOI URL
[27]	郝乐. 老年糖尿病照护者照顾负担及赋权能力的调查研究[D]. 呼和浩特:内蒙古医科大学, 2019.
	Hao L. Survey and research on care burden and empowerment ability of caregivers for the elderly diabetic[D]. Hohhot:Inner Mongolia Medical University, 2019.
[28]	樊洁婷, 朱艳秋, 李琳, 等. 糖尿病患者居家胰岛素废弃物处理的研究现状[J]. 护理学杂志, 2019, 34(15):107-110.
	Fan JT, Zhu YQ, Li L, et al. Research progress of insulin therapy waste disposal at home in diabetic patients[J]. J Nurs Sci, 2019, 34(15):107-110.
[29]	邹红, 郭续文. 护理干预对凉山彝族地区门诊糖尿病患者居家医疗废物处置情况的影响[J]. 解放军护理杂志, 2019, 36(10):78-80.
	Zou H, Guo XW. Nursing intervention on the disposal of medical waste at home for outpatients with diabetes in Liangshan yi nationality region[J]. Nurs J Chin PLA, 2019, 36(10):78-80.
[30]	The Lancet Diabetes Endocrinology. Diabetes stigma and discrimination:finding the right words[J]. Lancet Diabetes Endoc-rinol, 2018, 36(10):673.
[31]	谢欣欣, 谢虹. 社区2型糖尿病病人心理痛苦现状及影响因素[J]. 护理研究, 2020, 34(15):2645-2649.
	Xie XX, Xie H. Status quo and influencing factors of diabetes distress of patients with type 2 diabetes in communities[J]. Chin Nurs Res, 2020, 34(15):2645-2649.
[32]	Majumdar A, Sahoo J, Roy G, et al. Improper sharp disposal practices among diabetes patients in home care settings:need for concern?[J]. Indian J Endocrinol Metab, 2015, 19(3):420-425. DOI PMID
[33]	Govender D, Ross A. Sharps disposal practices among diabetic patients using insulin[J]. S Afr Med J, 2012, 102(3 pt 1):163-164. DOI URL
[34]	蓝颖茹, 余桂芳, 顾晓燕, 等. 门诊护理干预对2型糖尿病患者居家废弃胰岛素针头处置的影响[J]. 护理学报, 2016, 23(19):51-53.
	Lan YR, Yu GF, Gu XY, et al. Effect of out-patient nursing intervention on disposal of discarded insulin needles in patients with type 2 diabetes mellitus[J]. J Nurs China, 2016, 23(19):51-53.
[35]	Hasan UA, Mohd Hairon S, Yaacob NM, et al. Effectiveness of diabetes community sharp disposal education module in primary care:an experimental study in north-east peninsular Malaysia[J]. Int J Environ Res Public Health, 2019, 16(18):E3356. DOI URL
[36]	Swiatoniowska N, Sarzyńska K, Szymańska-Chabowska A, et al. The role of education in type 2 diabetes treatment[J]. Diabetes Res Clin Pract, 2019, 151:237-246. DOI URL
[37]	Ikeda Y. Importance of patient education on home medical care waste disposal in Japan[J]. Waste Manag, 2014, 34(7):1330-1334. DOI URL
[38]	Bouhanick B, Hadjadj S, Weekers L. What do the needles,syringes,lancets and reagent strips of diabetic patients become in the absence of a common attitude About 1070 questionnaires in diabetic clinics[J]. Diabetes Metab, 2000, 26(4):288-293. PMID
[39]	童冠瑛, 沈建萍, 万国燕, 等. 农村居家糖尿病患者胰岛素笔废弃针头回收管理干预[J]. 护理学杂志, 2020, 35(1):22-23.
	Tong GY, Shen JP, Wan GY, et al. Management of disposable insulin pen-injector needle for rural diabetic patients[J]. J Nurs Sci, 2020, 35(1):22-23.
[40]	FDA. Best Way to Get Rid of Used Needles and Other Sharps[EB/OL]. [2021-01-30]. https://www.fda.gov/medical-devices/sa-fely-using-sharps-needles-and-syringes-home-work-and-travel/best-way-get-rid-used-needles-and-other-sharps.
[41]	FDA. Sharps disposal containers\|FDA[EB/OL]. [2021-01-28]. https://www.fda.gov/medical-devices/safely-using-sharps-needles-and-syringes-home-work-and-travel/sharps-disposal-containers.
[42]	Ikeda Y. Current status of home medical care waste collection by nurses in Japan[J]. J Air Waste Manag Assoc, 2017, 67(2):139-143. DOI URL