PDF(Pubmed)
Abstract：
While several studies have shown that insulin pens are more convenient and accurate than conventional administration with syringes and vials (syringes/vials), there is a frequent need for low-dose insulin injections administered by nurses using syringes/vials in hospital settings, particularly for critically ill patients. However, there is a lack of research investigating factors related to the accuracy of low-dose insulin administration using syringes/vials, particularly in hospital settings. We therefore performed a cross-sectional study to assess the accuracy of low-dose insulin administration by registered nurses using syringes/vials and to determine whether time of day, years of experience and adherence to proper injection procedures (vertical insertion/drawing and air bubble checking) affected the accuracy. The participants were 33 registered nurses working in the diabetes ward, and a total of 198 trials were analyzed. Using syringes/vials, the median errors converted to insulin units were found to be 0.6 units for the 2- and 6-unit target doses, and 0.7 units for the 10-unit target dose. In cases with the largest error, errors for the 2-, 6-, and 10-unit target doses were observed to be 2.3, 4.0, and 3.3 units, respectively. In our study, time of day, years of experience and vertical insertion/drawing did not correlate with errors, but errors were significant in the participants who did not check for air bubbles. Nurses can make non-negligible dosage errors when administering low-dose insulin using syringes/vials, and this is particularly likely when air bubble checks are missed.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s13340-024-00726-5.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s13340-024-00726-5.
摘要：
虽然一些研究表明，胰岛素笔比传统的注射器和小瓶（注射器/小瓶）给药更方便和准确，在医院环境中，护士经常需要使用注射器/小瓶进行低剂量胰岛素注射，特别是对于危重病人。然而,缺乏研究与使用注射器/小瓶进行低剂量胰岛素给药的准确性相关的因素，特别是在医院环境中。因此，我们进行了一项横断面研究，以评估注册护士使用注射器/小瓶进行低剂量胰岛素给药的准确性，并确定一天中的时间，多年的经验和坚持正确的注射程序（垂直插入/绘图和气泡检查）影响的准确性。参与者是在糖尿病病房工作的33名注册护士，共分析了198项试验.使用注射器/小瓶，对于2-和6-单位的目标剂量，转化为胰岛素单位的中值误差为0.6单位，10单位目标剂量为0.7单位。在误差最大的情况下，2-的错误，6-，观察到10个单位的目标剂量为2.3、4.0和3.3个单位，分别。在我们的研究中,一天的时间,多年的经验和垂直插入/绘图与错误无关，但在未检查气泡的参与者中，错误是显著的。护士在使用注射器/小瓶施用低剂量胰岛素时可能会出现不可忽视的剂量错误，当气泡检查被遗漏时，这尤其有可能。
■在线版本包含补充材料，可在10.1007/s13340-024-00726-5获得。
■在线版本包含补充材料，可在10.1007/s13340-024-00726-5获得。
