"A Nationwide Cross-sectional Survey of Knowledge and Practices of Diabetes Drug Injection Techniques of Patients, Nurses, and Physicians: The China IT Improve Study"

作者全名："Guo, Lixin; Zhang, Qiu; Xue, Yaoming; Ran, Xingwu; Chen, Liming; Jiang, Sheng; Liu, Dongfang; Ji, Qiuhe; Liu, Jing"

作者地址："[Guo, Lixin] Chinese Acad Med Sci, Dept Endocrinol, Beijing Hosp, Natl Ctr Gerontol,Inst Geriatr Med, 1 Dongdan Dahua Rd, Beijing 100730, Peoples R China; [Zhang, Qiu] Anhui Med Univ, Dept Endocrinol, Affiliated Hosp 1, Hefei 230000, Peoples R China; [Xue, Yaoming] Southern Med Univ, Dept Endocrinol, Nanfang Hosp, Guangzhou, Peoples R China; [Ran, Xingwu] Sichuan Univ, West China Hosp, Innovat Ctr Wound Repair, Diabet Foot Care Ctr,Dept Endocrin & Metab, Chengdu, Peoples R China; [Chen, Liming] Tianjin Med Univ, Chu Hsien I Mem Hosp, Dept Endocrinol, Tianjin, Peoples R China; [Jiang, Sheng] Xinjiang Med Univ, Dept Endocrinol, Affiliated Hosp 1, Urumqi, Peoples R China; [Liu, Dongfang] Chongqing Med Univ, Dept Endocrinol, Affiliated Hosp 2, Chongqing, Peoples R China; [Ji, Qiuhe] Air Force Mil Med Univ, Dept Endocrinol, Xijing Hosp, Xian, Peoples R China; [Liu, Jing] Gansu Prov Hosp, Clin Res Ctr Metab Dis, Dept Endocrinol, Lanzhou, Peoples R China"

通信作者："Guo, LX (通讯作者)，Chinese Acad Med Sci, Dept Endocrinol, Beijing Hosp, Natl Ctr Gerontol,Inst Geriatr Med, 1 Dongdan Dahua Rd, Beijing 100730, Peoples R China."

来源：MAYO CLINIC PROCEEDINGS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001089881900001

JCR分区：Q1

影响因子：8.9

年份：2023

卷号：98

期号：10

开始页：1482

结束页：1500

文献类型：Article

关键词：　

摘要："Objective: To investigate the knowledge and practices of diabetes drug injection techniques of diabetes patients, nurses, and physicians to support formulating national guidelines for standardized diabetes drug injection techniques.Patients and Methods: In this nationwide multicenter cross-sectional survey conducted between November and December 2020, patients, nurses, and physicians were randomly chosen from 250 primary, 150 secondary, and 100 tertiary care hospitals using the stratified cluster sampling method. Their knowledge and/or practices of diabetes drug injection techniques were surveyed using the Diabetes Drug Injection Knowledge and Practice Questionnaire for Physicians, Nurses, and Patients.Results: In total, 10,694, 2643, and 2816 eligible questionnaires were collected from patients, physicians, and nurses, respectively. Overall, 78.2% (7588/9709) type 2 diabetes patients failed to attain the target hemoglobin A1c. Hypoglycemic episodes and lipohypertrophy occurred in 19.8% and 34.7% of the patients, respectively. Needle reuse (odds ratio, 1.19; 95% CI, 1.07 to 1.33) and incorrect injection site rotation (odds ratio, 1.32; 95% CI, 1.16 to 1.51) were associated with failure to attain the target hemoglobin A1c. Overall, 48.9% physicians and 20.4% nurses had a poor knowledge domain score. Care setting and training, diabetes care experience, and regions were significant determinants of diabetes drug injection knowledge domain scores in both physicians and nurses.Conclusion: Poor glycemic control, occurrences of injection-associated complications in diabetes patients, and poor knowledge domain scores of a subset of physicians and nurses highlight the importance of regular assessment and education regarding diabetes drug injection techniques for physicians and nurses and development of national guidelines for diabetes drug injection. Trial Registration: Chictr.org.cn (ChiCTR2100045302)."

基金机构：Beijing Li Ze Charity Foundation

基金资助正文：Grant Support: The study was sponsored by Beijing Li Ze Charity Foundation.