首页|居家糖尿病患者胰岛素注射相关锐器废物安全处置管理方案的构建

居家糖尿病患者胰岛素注射相关锐器废物安全处置管理方案的构建

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目的 构建居家糖尿病患者的胰岛素注射相关锐器废物的安全处置管理方案,为规范管理胰岛素注射相关锐器废物提供参考.方法 以信息-动机-行为技巧模型(information-motivation-behavioural skills model,IMB)作为理论框架,检索国内外相关文献,并通过半结构式访谈整合患者的认知及需求,拟定胰岛素注射废弃相关锐器废物的安全处置管理方案初稿.采用德尔菲法开展了 2 轮专家函询,制订了胰岛素注射相关锐器废物的安全处置管理方案.结果 2 轮专家函询问卷的有效回收率分别为 88.89%和 93.75%,专家权威系数均为 0.93.第 2 轮函询中,各级条目的重要性赋值均数为 4.40～5.00 分,变异系数范围为 0～0.168.最终建立了包含 3 个一级条目、6 个二级条目和 20 个三级条目的管理方案.结论 从信息-动机-行为技巧方面构建的胰岛素注射相关锐器废物的安全处置管理方案具有良好的科学性和实用性,能够为医护人员的临床实践提供参考.
Establishment of a safe disposal management program for home used sharp wastes from insulin injection among diabetic patients
Objective To establish a safe disposal management program for home used sharps waste of insulin injection so as to provide a reference for the standardised management of sharps waste after insulin.injection.Methods Based on the model of information-motivation-behavioural skills,the safe disposal management program for insulin needles used at home was developed by literature reviews and semi-structured interviews to investigate the perceptions and requirements of patients.The program was then modified and refined by two rounds of expert consultation with Delphi method.Results The effective retrieval rates of questionnaire for two rounds of expert consultations were 88.89%and 93.75%,with an expert authority coefficient at 0.93.In the second round,the mean importance scores of the items were 4.40 to 5.00,with a coefficient of variation ranged from 0 to 0.168.The established program consisted of three primary items,six secondary items,and 20 tertiary items.Conclusion The safe disposal management program for home used sharps waste of insulin injection established from the perspectives of information,motivation and behavioural skills was scientific and practical,which offered a guidance to healthcare professionals in the clinical practices.

diabetes mellitusinsulin injectionsharps wasteinformation-motivation-behavioural skills modelDelphi method

张雯杰、诸海英、葛娟、韩玉琴、郑丽妹、黎瑞红

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南方医科大学护理学院,广东广州,510515

上海市奉贤区中心医院,上海,201499

上海中医药大学,上海,201210

上海市徐汇区中心医院,上海,200031

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糖尿病 胰岛素注射 锐器 信息-动机-行为技巧模型 德尔菲法

上海市奉贤区社会类科技发展基金医学类立项重点项目上海市奉贤区社会类科技发展基金医学类立项一般项目江苏大学医教协同创新基金一般项目

2021150120211807JDYY2023089

2024

10.3969/j.issn.1671-8283.2024.01.011

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子：1.317
ISSN：1671-8283
年,卷(期)：2024.23(1)
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