{"id":3656,"date":"2024-04-17T19:23:34","date_gmt":"2024-04-17T19:23:34","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3656"},"modified":"2025-09-02T22:13:45","modified_gmt":"2025-09-02T20:13:45","slug":"valg-af-insulinpen-naale-til-voksne-patienter-med-diabetes","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/17\/valg-af-insulinpen-naale-til-voksne-patienter-med-diabetes\/","title":{"rendered":"Valg af insulinpen n\u00e5le til voksne patienter med diabetes"},"content":{"rendered":"

 <\/p>\n

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Download BA-projektet her<\/a><\/p>\n

Jonathan Jung Johansen. BA projekt afleveret 04.01.2024 Sygeplejerskeuddannelsen KP K\u00f8benhavn. Vejleder Pernille Fastholm<\/span><\/p>\n

Resum\u00e9<\/span><\/h3>\n

Introduktion: <\/span><\/strong>“4, 5 eller 6 mm?” Studier og praksiserfaringer viser, at sygeplejersker er i tvivl om, hvilken insulinn\u00e5l der skal anvendes hos patienter, og valget bliver ofte truffet p\u00e5 baggrund af tilg\u00e6ngelighed frem for klinisk beslutningstagen p\u00e5 baggrund af videnskabelig evidens. Litteraturstudiet unders\u00f8ger patientpr\u00e6ferencer, komfort under injektion og forekomst af smerter ved brug af forskellige insulinpen-n\u00e5le til diabetespatienter. Form\u00e5let er at unders\u00f8ge, hvilken n\u00e5letype der giver mindst smerte og bedst patientoplevelse, samt at forst\u00e5 patienternes holdninger til og accept af insulinbehandling.<\/span><\/p>\n

Metode: <\/span><\/strong>Gennem et litteraturstudie baseret p\u00e5 systematisk s\u00f8gning i PubMed og CINAHL, blev relevante studier udvalgt og analyseret ved brug af narrativ syntese.<\/span><\/p>\n

Resultater: <\/span><\/strong>To randomiserede kontrollerede non-inferioritetsstudier blev identificeret, der hhv. unders\u00f8gte en redesignet 4-mm insulinn\u00e5l og en kortere og tyndere 3,5-mm insulinn\u00e5l, sammenlignet med konventionelle n\u00e5le 4-, 5- og 6-mm insulinn\u00e5le. Den redesignede 4-mm n\u00e5l viste sig at have en positiv effekt p\u00e5 alle parametre, hvor den kortere og tyndere n\u00e5l havde sammenlignelig effekt som konventionelle n\u00e5le.<\/span><\/p>\n

Diskussion\/Konklusion: <\/span><\/strong>Studiets viser, at fremtiden inden for n\u00e5ledesign ved insulininjektioner b\u00f8r fokusere p\u00e5 design af n\u00e5len frem for kun at reducere l\u00e6ngden og tykkelsen af n\u00e5len. Den korte 3,5-mm n\u00e5l viste sig non-inferior til en konventionel 4-mm n\u00e5l, ift. patientpr\u00e6ferencer, smerter og introducerede yderligere risiko for komplikationer relateret til selve injektionen. Den redesignede 4-mm n\u00e5l viste sig, p\u00e5 trods af at have samme dimensioner som en konventionel 4-mm n\u00e5l, at v\u00e6re signifikant superior p\u00e5 alle unders\u00f8gte effektm\u00e5l. Ydermere antages det, at de ergonomiske forbedringer ved den redesignede n\u00e5l vil kunne forbedre injektionsoplevelsen for \u00e6ldre medicinske patienter med diabetes.<\/span><\/p>\n

Implikationer for praksis:<\/span><\/strong> Resultaterne fra dette studie kan give sygeplejersker mulighed for at nuancere og personligg\u00f8re anbefalinger til patienter, hvilket vil forbedre patientinddragelsen og kvaliteten af behandlingen. Den systematiske s\u00f8gning viser ogs\u00e5, at der p\u00e5 trods af et internationalt fokus p\u00e5 diabetes mangler forskning p\u00e5 omr\u00e5det.<\/span><\/p>\n

Kontaktoplysninger:
\n<\/span><\/strong>Jonathan Jung Johansen, sygeplejerske. Mail: <\/span>Jonathan-7910@hotmail.com<\/a><\/p>\n

Copenhagen Honours College \u2013 sygeplejerske<\/span><\/strong> (CHC-S)
\n<\/span>Helle Mathar,<\/span> lektor.<\/span> Mail: <\/span>chcsygepleje@kp.dk<\/a>
\nProjektet er st\u00f8ttet af Novo Nordisk Fonden<\/span><\/p>\n

Selection of Insulin Pen Needles for Adult Patients with Diabetes<\/span><\/h1>\n

Download abstract as PDF<\/a><\/p>\n

Clinical dissertation by Jonathan Jung Johansen . Uploaded 04.01.2024 . KP University College.
\n<\/span>Tutor Pernille Fastholm<\/span><\/p>\n

Abstract<\/span><\/h3>\n

Introduction: <\/span><\/strong>“4, 5, or 6 mm?” Studies and practical experiences indicate that nurses are uncertain about which insulin needle size to use for patients, and the choice is often based on availability rather than clinical decision-making rooted in evidence-based knowledge. This litteraturestudy investigates patient preferences, comfort during injection, and the occurrence of pain using different sizes of insulin pen needles for diabetic patients as well as glycemic control. The aim is to assess which needle type causes the least pain and provides the best patient experience, as well as to understand patients’ attitudes towards and acceptance of insulin treatment.<\/span><\/p>\n

Method: <\/span><\/strong>Through a literature study based on systematic searches in PubMed and CINAHL, relevant studies were selected and analyzed using narrative synthesis.<\/span><\/p>\n

Results: <\/span><\/strong>Two randomized controlled non-inferiority studies were identified, one examining a redesigned 4-mm insulin needle and the other a shorter and thinner 3.5-mm insulin needle, compared with conventional needles of 4-, 5-, and 6-mm. The redesigned 4-mm needle was found to have a positive effect on all outcomes, where the shorter and thinner needle had a comparable effect to conventional needles.<\/span><\/p>\n

Discussion\/Conclusion: <\/span><\/strong>The findings of the study suggest that the future of needle design for insulin injections should focus on the design of the needle rather than merely reducing its length and thickness. The short 3.5-mm needle proved to be non-inferior to a conventional 4-mm needle regarding patient preferences, pain, and introduced additional risk for complications related to the injection itself. The redesigned 4-mm needle, despite having the same dimensions as a conventional 4-mm needle, was significantly superior on all studied outcomes. Moreover, it is assumed that the ergonomic improvements of the redesigned needle could enhance the injection experience for older medical patients with diabetes.<\/span><\/p>\n

Relevance to clinical practice: <\/span><\/strong>The results of this study can enable nurses to nuance and personalize recommendations to patients, which will improve patient involvement and the quality of treatment. The systematic search also shows that despite a global focus on diabetes, there is a lack of research in the area.<\/span><\/p>\n

Contact information:<\/span><\/h3>\n

Jonathan Jung Johansen , RN. Mail: <\/span>Jonathan-7910@hotmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

“4, 5 eller 6 mm?” Studier og praksiserfaringer viser, at sygeplejersker er i tvivl om, hvilken insulinn\u00e5l der skal anvendes hos 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