Effect of solution focused approach combined with two-part, five-zone and five-finger rotation in diabetic insulin injection patients
10.3760/cma.j.cn115682-20220215-00685
- VernacularTitle:聚焦解决模式联合两部五区五指轮换法在糖尿病胰岛素注射患者中的应用效果
- Author:
Yingmei XIANG
1
;
Minhua CHEN
Author Information
1. 丽水市人民医院创伤骨科，丽水 323000
- Keywords:
Diabetes mellitus;
Anxiety;
Solution focused approach;
Rotation;
Illness uncertainty;
Positivity
- From:
Chinese Journal of Modern Nursing
2022;28(17):2302-2307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the solution focused approach combined with the two-part, five-zone and five-finger rotation in diabetic insulin injection patients.Methods:From August 2019 to October 2021, convenience sampling was used to select 108 diabetic insulin injection patients admitted to Lishui People 's Hospital as the research object. The patients were divided into the control group and the experimental group by random number table method, with 54 cases in each group. The control group was given routine nursing, while the experimental group received the solution focused approach combined with the two-part, five-zone, and five-finger rotation on the basis of the control group. The scores of the Insulin Injection Position Rotation Knowledge Questionnaire, State-Trait Anxiety Inventory (STAI) , Patient Activation Measure (PAM) and the Chinese version of the Mishel 's Uncertainty in Illness Scale (MUIS) and the total incidence of adverse reactions at insulin injection sites were compared between the two groups before nursing and after four weeks of nursing. Results:After four weeks of nursing, the scores of the Insulin Injection Position Rotation Knowledge Questionnaire in the experimental group were higher than those in the control group, the scores of State Anxiety Inventory, Trait Anxiety Inventory in STAI and MUIS score were lower than those in the control group, and the PAM score was higher than that in the control group. All were statistically significant ( P<0.05) . The total incidence of adverse reactions at the insulin injection site in the experimental group was 1.85% (1/54) , which was lower than 12.96% (7/54) in the control group, but there was no significant difference between the two groups ( P>0.05) . Conclusions:The solution focused approach combined with the two-part, five-zone and five-finger rotation is beneficial to improve the knowledge of insulin injection in diabetic patients, relieve their anxiety, and increase patients ' enthusiasm for disease treatment.
