Optimization methods and effect evaluation of insulin injection pain management
胰岛素注射疼痛管理的优化方法与效果评价

摘要

目的 构建“生理干预-心理疏导-技能赋能”三维胰岛素注射疼痛管理模式，探究其对糖尿病患者注射疼痛程度、注射依从性及血糖控制效果的影响，为优化胰岛素治疗护理提供依据。方法 从2025年1月至2025年10月本院内分泌科收治的1800例需长期胰岛素注射的糖尿病患者中随机选取60例分对照组与实验组，各30例。对照组采用常规注射指导，实验组实施三维优化管理。对比两组注射疼痛VAS评分、注射依从性及糖化血红蛋白（HbA1c）水平。结果 实验组注射疼痛VAS评分低于对照组（t=11.568，P＜0.001）；实验组注射依从性高于对照组（χ2=6.667，P=0.010）；实验组HbA1c低于对照组（t=6.842，P＜0.001）。结论 三维优化管理可减轻注射疼痛，提升依从性与血糖控制效果，值得推广。

Abstract

Objective To establish a “physiological intervention-psychological counseling-skill empowerment” three-dimensional management model for insulin injection pain, and investigate its effects on injection pain severity, medication adherence, and glycemic control in diabetic patients, providing evidence-based support for optimizing insulin therapy nursing.
Methods A total of 1,800 long-term insulin-dependent diabetic patients admitted to the Endocrinology Department from January to October 2025 were randomly divided into a control group (60 cases) and an experimental group (60 cases). The control group received routine injection guidance, while the experimental group underwent three-dimensional optimized management. Comparative analysis was conducted on VAS scores for injection pain, medication adherence, and glycated hemoglobin (HbA1c) levels.
Results The experimental group demonstrated significantly lower VAS scores for injection pain (t=11.568, P<0.001), higher medication adherence (χ²=6.667, P=0.010), and lower HbA1c levels (t=6.842, P<0.001) compared to the control group.
Conclusion   The three-dimensional optimized management effectively alleviates injection pain, enhances medication adherence, and improves glycemic control, making it worthy of clinical promotion.