Effects of hospital-community-family trinity health education model on household disposal of insulin waste needles
10.3760/cma.j.issn.1672-7088.2020.02.003
- VernacularTitle: 医院-社区-家庭三位一体健康教育模式对胰岛素废弃针头居家处置的影响
- Author:
Cuiling WANG
1
;
Lei QUAN
2
;
Linnan LI
3
;
Xia CUI
4
;
Jiaxiang ZHANG
5
;
Lin SHENG
6
;
Juan XIAO
7
;
Yunling JIN
1
Author Information
1. Internal Medicine Department, the Second Hospital of Shandong University, Jinan 250033, China
2. Obstetric Clinic, the Second Hospital of Shandong University, Jinan 250033, China
3. Hand foot surgery, the Second Hospital of Shandong University, Jinan 250033, China
4. Neurosurgery Department, the Second Hospital of Shandong University, Jinan 250033, China
5. Community, the Second Hospital of Shandong University, Jinan 250033, China
6. Pain Clinic, the Second Hospital of Shandong University, Jinan 250033, China
7. Evidence Based Medicine, the Second Hospital of Shandong University, Jinan 250033, China
- Publication Type:Journal Article
- Keywords:
Health education;
Medical waste;
Standard disposal
- From:
Chinese Journal of Practical Nursing
2020;36(2):92-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct the integrated management of hospital, community and family for patients with insulin injection at home, in order to explore the influence of this trinity health education model on the knowledge of medical waste and the standard disposal of discarded needles.
Methods:The self-designed questionnaire was used to investigate the knowledge and disposal of medical waste in outpatients, and the causes were analyzed carefully after the problems were found. The hospital, community and family were timely communicated and fed back to the ward and community. After 1, 3 and 6 months of educational intervention, the disposal of insulin needles, the knowledge of medical waste and the recovery of sharp instrument boxes were observed.
Results:After 1, 3 and 6 months of health education, the final rate of insulin needles mixed into domestic waste was 51.8% (144/278), 15.1% (42/278) and 4.7% (13/278), respectively. Compared with the first result of 99.6% (277/278), the difference was statistically significant (χ2=173.046, 406.136, 502.346, P<0.01); The first survey found that the correct rate of responding to medical waste knowledge items was low. After health education for 1, 3 and 6 months, the correct rate of medical waste related knowledge items was significantly higher than that of the first survey, and the difference was statistically significant (OR=3.016-3 548.810; 95%CI 2.108-917.869, 4.315-19 777.062; χ2=25.180-524.895; P<0.01) ; After 1, 3 and 6 months of health education, the qualified rate of medical waste knowledge was 82.4% (229/278),75.9% (211/278) and 97.1% (270/278), respectively, which was significantly higher than the first result of 6.5% (18/278). The difference was statistically significant (χ2=324.328, 273.712, 453.832, P<0.01). The sharp box recovery of hepatitis B patients was relatively good.
Conclusion:Hospital-community-family Trinity health education model can improve the breadth and depth of education objects, not only can improve the knowledge of medical waste related to insulin injection patients at home, but also can improve the standardized disposal ability of insulin waste needles. With the passage of time, the effect of health education continues to be good. This integrated health education model is worth popularizing in clinic.
