关键词: 糖尿病, 胰岛素, 注射, 医院, 护理管理研究

Abstract:

Objective To investigate the status of insulin injection management in hospitals at all levels in 31 provinces and autonomous regions,so as to provide references for promoting standardized and homogenized management of insulin injection in hospitals. Methods Nursing managers in 1 075 hospitals in 31 provinces,municipalities and autonomous regions were surveyed by stratified random cluster sampling from January to February 2019 with a self-designed questionnaire. Results A total of 1 075 valid questionnaires for nursing managers from nursing departments,and 1 5794 valid questionnaires for nursing managers from clinical departments were collected. 976（90.79%） surveyed hospitals manage insulin as a high-risk drug. More than 80% surveyed hospitals formulated insulin injection specifications at the hospital level or department level,provided regular training and assessment,and organized insulin injection training for new nurses. 828 hospitals（77.02%） regularly carried out insulin management quality control. More than 80% of the departments are equipped with multiple types of cardinal insulin and placed in special places,stored insulin in use in special places,stored opened insulin at room temperature. 90.53% of the doctors in the department prescribed injection orders for patients with self-provided insulin;insulin management institution and insulin management status of departments in different levels of hospitals,and insulin management status in different departments showed statistically significant differences （P<0.001）. Insulin management was more standardized in hospitals with regular quality control of insulin management（P<0.001）. Conclusion Insulin management institution in hospitals at different levels in China needs to be improved,and the quality of insulin management in departments needs to be improved. Insulin management in different hospitals and departments needs to be homogenized. It is necessary to strengthen the insulin injection management in primary hospitals and non-endocrinology departments. Relevant academic organizations should issue the standard of insulin injection management in hospital to promote the standardized management of insulin injection in hospitals.

Key words: Diabetes Mellitus, Insulin, Injections, Hospital, Nursing Administration Research