Analysis on correlation among insulin injection willingness and glycated hemoglobin,insulin injection skills for type 2 diabetes patients

doi:10.3969/j.issn.10096493.2015.10.010

Abstract：Objective:To study the correlation among insulin injection willingness and glycated hemoglobin ,insu‐lin injection skills of type 2 diabetes patients ,so as to provide a theoretical basis for the development of insulin injection skills education .Methods:A total of 200 cases of patients with type 2 diabetes were selected by using convenient sampling method .After standardized insulin injection skills education for them ,the HbA1 c of pa‐tients during hospitalization and after 3 months after discharge were measured .The insulin injection skills of the patients were scored when discharged and after 3 months after discharged by using insulin injection skills evalu‐ation form .Results:A total of 200 cases of patients with type 2 diabetes were divided into 4 groups according to the insulin injections willingness of patients after 3 months after discharge by using four percentile methods . The patients in group(9 points and above) accounted for 40% of them ;there was statistically significant differ‐ence in HbA1c difference value when discharging and after 3 months after discharging among Q2 group ,Q4 group and Q1 group(P<0 .05) ,and the difference was statistically significant between Q3 group and Q1 group (P<0 .01);there were statistically significant differences in insulin injection skills score of patients when dis‐charging and after 3 months after discharge among 4 groups(P<0 .01);Spearman correlation analysis showed :insulin injection skills score of type 2 diabetes patients when discharging was negatively correlated with willing‐ness to continue insulin injection(r= -0 .595 ,P<0 .01) ,the patients’ insulin injection skills score was positive‐ly correlated with willingness to continue insulin injection after 3 months after discharging(r=0 .233 ,P<0 .01) ,the patients'insulin injection skills score was positively correlated with the willingness to continue insulin injection when discharging and after 3 months after discharge(r=0 .846 ,P<0 .01);multiple linear stepwise regression a‐nalysis showed that the patients'insulin injection skills score when discharging and after 3 months after dis‐charged was an independent factor of affecting type 2 diabetes mellitus patients'willingness to continue insulin injections .Conclusion:The willingness of patients for continuing to use insulin injections is not high after dis‐charge for 3 months ,and diabetes specialist nurses can give full consideration to the related influencing factors in the formulation and implementation of skills education for patients ,so as to establish a more effective means of education ,to improve the willingness of type 2 diabetic patients on insulin therapy .