Treatise
Effects of hospital-community-family trinity health education model on household disposal of insulin waste needles
Wang Cuiling, Quan Lei, Li Linnan, Cui Xia, Zhang Jiaxiang, Sheng Lin, Xiao Juan, Jin Yunling
Published 2020-01-11
Cite as Chin J Prac Nurs, 2020, 36(2): 92-99. DOI: 10.3760/cma.j.issn.1672-7088.2020.02.003
Abstract
ObjectiveTo conduct the integrated management of hospital, community and family for patients with insulin injection at home, in order to explore the influence of this trinity health education model on the knowledge of medical waste and the standard disposal of discarded needles.
MethodsThe self-designed questionnaire was used to investigate the knowledge and disposal of medical waste in outpatients, and the causes were analyzed carefully after the problems were found. The hospital, community and family were timely communicated and fed back to the ward and community. After 1, 3 and 6 months of educational intervention, the disposal of insulin needles, the knowledge of medical waste and the recovery of sharp instrument boxes were observed.
ResultsAfter 1, 3 and 6 months of health education, the final rate of insulin needles mixed into domestic waste was 51.8% (144/278), 15.1% (42/278) and 4.7% (13/278), respectively. Compared with the first result of 99.6% (277/278), the difference was statistically significant (χ2=173.046, 406.136, 502.346, P<0.01); The first survey found that the correct rate of responding to medical waste knowledge items was low. After health education for 1, 3 and 6 months, the correct rate of medical waste related knowledge items was significantly higher than that of the first survey, and the difference was statistically significant (OR=3.016-3 548.810; 95%CI 2.108-917.869, 4.315-19 777.062; χ2=25.180-524.895; P<0.01) ; After 1, 3 and 6 months of health education, the qualified rate of medical waste knowledge was 82.4% (229/278),75.9% (211/278) and 97.1% (270/278), respectively, which was significantly higher than the first result of 6.5% (18/278). The difference was statistically significant (χ2=324.328, 273.712, 453.832, P<0.01). The sharp box recovery of hepatitis B patients was relatively good.
ConclusionHospital-community-family Trinity health education model can improve the breadth and depth of education objects, not only can improve the knowledge of medical waste related to insulin injection patients at home, but also can improve the standardized disposal ability of insulin waste needles. With the passage of time, the effect of health education continues to be good. This integrated health education model is worth popularizing in clinic.
Key words:
Health education; Medical waste; Standard disposal
Contributor Information
Wang Cuiling
Internal Medicine Department, the Second Hospital of Shandong University, Jinan 250033, China
Quan Lei
Obstetric Clinic, the Second Hospital of Shandong University, Jinan 250033, China
Li Linnan
Hand foot surgery, the Second Hospital of Shandong University, Jinan 250033, China
Cui Xia
Neurosurgery Department, the Second Hospital of Shandong University, Jinan 250033, China
Zhang Jiaxiang
Community, the Second Hospital of Shandong University, Jinan 250033, China
Sheng Lin
Pain Clinic, the Second Hospital of Shandong University, Jinan 250033, China
Xiao Juan
Evidence Based Medicine, the Second Hospital of Shandong University, Jinan 250033, China
Jin Yunling
Internal Medicine Department, the Second Hospital of Shandong University, Jinan 250033, China
