Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Survey of the technique of subcutaneous injection of insulin in some operating units of University Hospital Policlinico of Modena |
|---|---|
| Name | Rollo Chiara |
| Supervisor(s) | Ottani Alessandra, Maffei Francesca |
| Academic Year | 2018/19 |
| Thesis type | Research thesis |
Abstract
Background. Consequently the publication of many guidelines and consensus document, worldwide awareness about the importance of a correct method of subcutaneous administration of insulin, is increasingly spreading in order to ensure an optimal control of diabetes In the hospital setting, nurses are responsible for the execution of this procedure, but do they follow recent scientific evidence in carrying out this procedure?
Aim. The aim of the research is to assess if nurses carry out the technique of subcutaneous injection of insulin in accordance with scientific evidences and if their knowledge regarding some aspects of insulin therapy are sufficient.
Materials and Methods. A transverse observational and single study was carried out in some operating units of University Hospital Policlinico of Modena using a semi- structured tool that includes a social registry form, a questionnaire and an observation form.
Results. All nurses reported the absence of a rotation scheme for subcutaneous insulin injection. Regarding the rotation method, only 34,4 % of the sample declared that it was “completely agree” in advising patients to divide sites into quadrants and leave behind each injection at least 1 cm from the previous one. Only 6,25% are aware that the human regular insulin should be preferentially injected into the abdomen. The needle used was in all observation 8 mm X 30 G. The injection technique, considering only the introduction of the needle in the skin and its removal, was accurately carry out in the observation only in 31%. In no examination the procedure was totally performed in the right way
Conclusion. The results show the need to elaborate nursing protocols on subcutaneous insulin administration, to promote the use of rotation’s grid, to train nurses regarding the correct management of subcutaneous insulin therapy with particular reference to the injection technique.