原创研究:探索被动与被动的使用 儿童群体中的活性胰岛素安全笔针装置:可行性研究
Brenna Frankish1, Kristina Amplo, Rachael Townsend
1Brenna Frankish is the clinical learning programs coordinator at Children's Healthcare of Atlanta, where Kristina Amplo is the campus education coordinator and Christina Calamaro is the director of nursing research and evidence-based practice for nursing and allied health. Rachael Townsend is the pediatric program manager at Wellstar Health System in Marietta, GA. Tonya Miller-Roberts is a clinical psychologist at the Atlanta VA Medical Center in Decatur, GA. Akane Fujimoto Wakabayashi is a graduate research assistant at the Georgia Institute of Technology in Atlanta. This study was supported through funding from Owen Mumford, Ltd, which also supplied the active safety pen needle devices used. Contact author: Brenna Frankish, brenna.frankish@gmail.com . The authors have disclosed no potential conflicts of interest, financial or otherwise.
护士们更喜欢主动安全笔针 (SPNs) 而不是被动的SPNs用于儿科胰岛素输送,因为使用方便和对准确剂量的信心提高了. 这表明活跃的SPNs是儿科糖尿病护理的宝贵进步.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗器械技术 医疗器械技术
- 护理实践 护理实践
背景情况:
- 胰岛素笔对于儿童糖尿病管理至关重要,特别是对于那些不使用胰岛素的人来说.
- 安全笔针 (SPN) 装置可以减少针刺伤害和病原体暴露.
- 传统的被动性SPN在确认精确和完整的胰岛素剂量管理方面存在挑战.
研究的目的:
- 评估护士对主动SPN装置的看法,与用于小儿皮下胰岛素注射的被动SPN装置相比.
- 评估在儿科环境中实施Unifine SafeControl活性SPN设备的可行性.
主要方法:
- 一项可行性研究涉及49名注册护士 (RN) 在儿科住院病房.
- 在设备更换之前和之后,RN完成了对被动和主动SPN设备进行比较的调查.
- 每天的评估评估了向儿科患者和护理人员教导活跃SPN设备使用的容易性.
- 获得了132名患有糖尿病的儿科患者的知情同意.
主要成果:
- 与被动SPN设备 (52.7%) 相比,对主动SPN设备 (87.8%) 报告的整体满意度很高.
- 几乎所有RN都发现活跃的SPN设备易于使用 (98.6%) 并对提供全剂量 (93.9%) 感到有信心.
- 报告说,教导患者 (98.2%) 和护理人员 (96.4%) 如何使用活跃SPN设备很容易或非常容易.
结论:
- 护士对活跃SPN设备的积极看法突出了其提高患者安全和护理的潜力.
- 与被动设备相比,主动SPN设备显示出更高的易用性,剂量管理信心和教学效率.
- 这些发现支持在医院环境中更广泛地采用活跃SPN设备,并建议进一步研究.
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