以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (4): 53-57.doi: 10.16460/j.issn1008-9969.2019.04.053

Previous Articles     Next Articles

Role of Interactive Network Television and Teach-back Method in Insulin Injection of Elderly Type 2 Diabetes Mellitus Patients

CUI Qing-qing, GONG Hao-ling, JIA Yue, DAI Li-min   

  1. Dept. of Endocrinology, the First People's Hospital of Zhenjiang, Zhengjiang 212001, China
  • Received:2018-11-24 Online:2019-02-25 Published:2020-07-08

PDF (PC)

181

Like

Abstract: Objective To introduce the role of interactive network television combined with teach-back method in the standardized insulin injection of elderly type 2 diabetes mellitus (T2DM) patients. Methods Forty elderly hospitalized T2DM patients were guided for insulin injection by using interactive network television combined with teach-back method. We established a health education team and made videos on insulin injection. We played the video for the patients with interactive network television then teach-back method was used to confirm whether patients truly understood the injection method or not. Results Forty elderly T2DM patients received injective guidance through interactive network television and teach-back method for (8.00±2.31) d and their insulin injection skill score was 81.56±6.91. All the patients continued injection with insulin pen after discharge. Conclusion Interactive network television and teach-back method are effective for enhancing self-management of elderly T2DM patients and ensuring the safety of insulin therapy.

Key words: type 2 diabetes mellitus, elderly patient, insulin, injection

CLC Number: 

  • R473.58
[1] 王雪菲. 糖尿病患者腹部轮换注射胰岛素定位背心的设计与应用[J].护理管理杂志,2014,14(5):374.
[2] 刘璐,刘淑梅,柏玉萍,等.自我管理健康教育在拒绝胰岛素治疗糖尿病病人中的应用[J].护理研究, 2012,26(5A):1203.DOI:10.3969/j.issn.1009-6493.2012.13.021.
[3] 王海鹏,孟庆跃.2000-2009年我国成年人诊断糖尿病流行趋势分析[J].中国预防医学杂志,2013,14(2):132-135.DOI:10.16506/j.1009-6639.2013.02.022.
[4] Yang W, Zhu D, Ge J, et al.Prevalence of Diabetes Among Men and Women in China[J]. N Engl J Med,2010,362(12):1090-1101.
[5] Xu Y, Wang L,He J,et al.Prevalence and Control of Diabetes in Chinese Adults[J].JAMA,2013,310(9):948-958.
[6] 李燕飞,刘永兵,刘柳.回授法对养老机构老年人糖尿病健康素养的影响研究[J].中华护理杂志,2015,50(11):1383-1387.DOI:10376/j.issn.0254-1796.2015.11.022.
[7] 罗娟,吕强,房良,等. 医院有线电视系统的构建设计[J].实用医药杂志,2008,25(3):366-368.DOI:10.3969/j.issn.1671-4008.2008.03.080.
[8] 黄惟清. 教学基本技能在群体健康教育中的应用[J].中华护理杂志,2010,45(2):143-145.DOI:10.3761/j.issn.0254-1769.2010.02.018.
[9] 刘芳环,石洁,孟盈,等.视频健康教育在成人心脏外科围手术期患者中的应用[J].中国实用护理杂志,2012,28(1):52-53.DOI:10.3760/cma.j.issn.1672-7088.2012.01.025.
[10] Farris C.The Teach-back Method[J]. Home Healthcare Now,2015,33(6):344-345.
[11] Agency for Healthcare Research and Quality.AHRQ Health Literacy Universal Precautions Toolkit Second Edition[M].Aurora: University of Colorado Anschutz Medical Campus,2015:18-20.
[12] White M, Garbez R, Carroll M, et al.Is “Teach-back”Associated with Knowledge Retention and Hospital Readmission in Hospitalized Heart Failure Patients[J].J Cardiovasc Nurs,2013,28(2):137-146.
[13] Agency for Healthcare Research and Quality. The SHARE Approach-using the Teach-back Technique[EB/OL].(2014-07-01)[2016-03-25].http://www.ahrq.gov/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-6/index.html.
[14] National Quality Forum. Health literacy: A Linchpin in Achieving National Goals for Health and Healthcare[EB/OL].(2011-06-07)[2012-08-03].http://www.Quality.forum.org/Publications/2009/03/Health-Literacy_A_Linchpin_in_Achieving_National_Goals_for_Health_and_Healthcare.aspx.
[15] The Joint Commission.“What Did the Doctor Say?”Improving Health Literacy to Protect Patient Safety [EB/OL].(2005-01-06)[2007-02-27].http://www.joint-commission.Org/what_did_the_doctor_say.
[16] Institute for Healthcare Improvement. Always Use Teach-back![EB/OL].(2013-08-16 )[2014-02-02].http://www.ihi.org/resources/Pages/Tools/Always Use Teach-Back.aspx.
[17] 第二次全国残疾人抽样调查办公室.第二次全国残疾人抽样调查残疾标准[J].中国残疾人,2006(5):7-8.
[18] 中华医学会糖尿病学分会.中国糖尿病药物注射技术指南2011版[M].北京:中华医学会,2011:13-50.
[19] 戴莉敏,朱莎,刘媛,等. 移动式腹部胰岛素注射部位轮换指引卡的设计与应用[J].中华护理教育,2015,12(12):953-954.
[20] Sweller J.In Academe, What Is Learned, and How Is It Learned?[J].Current Directions in Psychological Science,2015,(24):190-194.
[21] Negarandeh R, Mahmoodi H, Noktehdan H, et al.Teach Back and Pictorial Image Educational Strategies on Knowledge About Diabetes and Medication/Dietary Adherence Among Low Health Literate Patients with Type 2 Diabetes[J].Prim Care Diabetes,2013, 7(2):111-118.
[22] 黄丽,王晓霞,张娟. 回馈教学对食管癌开胸手术患者呼吸功能锻炼依从性的研究[J].中华护理杂志,2016,51(1):26-28.DOI:10.3761/j.issn.0254-1769.2016.01.005.
[23] Caplin M, Saunders T.Utilizing Teach-back to Reinforce Patient Education: A Step-by-step Approach[J]. Orthop Nurs,2015,34(6):365-368.DOI:10.1097/NOR.0000000000000197.
[24] 潘翠柳,张双,张志茹.回授法在护理健康教育中的应用现状[J].护理学杂志,2016,31(14):110-112.
[25] 黄丽,王晓霞,张娟.回馈教学对食管癌开胸手术患者呼吸功能锻炼依从性的研究[J].中华护理杂志,2016,51(1):26-28.DOI:10.3761/j.issn.0254-1769.2016.01.005.
[26] Kripalani S, Weiss B D.Teaching about Health Literacy and Clear Communication[J].J Gen Intern Med,2006,21(8):888-890.
[1] JIN Yu, DOU Li-ya, MA Hui-zhen. Effects of Resistance Exercise on Elderly Patients with Type 2 Diabetes Mellitus and Frailty [J]. Journal of Nursing, 2019, 26(3): 51-55.
[2] YANG Cun-mei,MA Yan-lan,KANG Jun,MA Hong-ying,YU Xiao-ying,WANG Jie,WANG Ying. Characteristics of Stress Hyperglycemia of Elderly Patients with Non-diabetic Cerebral Infarction in Acute Stage [J]. Journal of Nursing, 2018, 25(4): 54-57.
[3] HU Peng ,XU Rong . Effect of Changing Diet Order on Blood Glucose of Patients with Type 2 Diabetes Mellitus in Community [J]. Journal of Nursing, 2017, 24(7): 46-48.
[4] YE Rui,MIAO Xiu-xin,CHEN Han-wen ,HU Xin-lin,GUO Hui-li,MAN Xiao-yun,LIN Hui-ling. Establishment of Assessment System of Nursing Problems for Elderly Patients ' with Type 2 Diabetes [J]. Journal of Nursing, 2017, 24(4): 6-10.
[5] HOU Ming-xiang,LU Gui-zhi,WANG Jing-bo,LI Jing,ZHANG Hui-lin. Development of KAP Questionnaire of Safety Injection in Nursing Students and Its Reliability and Validity [J]. Journal of Nursing, 2017, 24(22): 7-11.
[6] HUANG Qiao,LU Shao-ping,XU Yong-neng,REN Xiao-xiao,ZHAO Xue-qin,MA Hui-xin. Construction of Evaluation Index System of Falls in Elderly Hospitalized Patients Based on Nursing-sensitive Outcomes [J]. Journal of Nursing, 2017, 24(22): 63-66.
[7] YAO Li-chun,CHEN Gui-lan. De-escalation Thinking in Triage of Seniors with Non-traumatic Chest Pain [J]. , 2017, 24(2): 51-53.
[8] HUO Xiao-peng,DU Hong-di,LIU Xiao-xuan,YAN Li,LU Jing,PEI Li. Application of CATCH Fall Management Model in Elderly Patients [J]. Journal of Nursing, 2017, 24(18): 13-16.
[9] WANG Xiao-yuan,YONG Qin-ge,SHI Hai-yan,Guo Jia-yu,ZHAO Nuo,Geng Lin. Nursing Experience of Elderly Patients Preparing Painless Gastrointestinal Endoscopy:A 139-case Study [J]. Journal of Nursing, 2017, 24(15): 48-50.
[10] HOU Sai-ning,ZHAO Qiu-li,LIANG Yan,ZHAO Jing,WANG Li-min. Development of Influence Factors of Dietary Behavior Compliance Scale for Patients with Type 2 Diabetes Mellitus and Its Reliability and Validity [J]. Journal of Nursing, 2017, 24(13): 19-22.
[11] SU Zhi-hong,ZHU Li-yong,SUN lin-li,CAO Hai-mei,LI Peng-zhou. Nursing Strategies in Hyperinsulinemic-euglycemic Clamp Technique [J]. , 2017, 24(1): 57-60.
[12] TIAN Yi-hua,ZHAO Qing-hua,XIAO Ming-zhao,CHEN Jie,TANG Yong-li. Reliability and Validity of Risk Assessment Scale for Elderly Hospitalized Patient 's Safety [J]. Journal of Nursing, 2016, 23(7): 54-56.
[13] LEI Fang,CHEN Yuan-qing,LUO Hong,ZHENG Ying,YE Yi-gen. Effect of King’s Theory-based Home-visiting on Elderly Patients with Chronic Disease [J]. , 2016, 23(3): 19-22.
[14] HUNAG Sheng-yan,CHEN Feng-ying,JIANG Xi-yuan,CHEN Ji-wei. Influence of Solution-focused Brief Therapy on Blood Glucose of Patients with Type 2 Diabetes Mellitus:A Meta-analysis [J]. , 2016, 23(3): 62-67.
[15] LIU Hua-long,ZHANG Pei-lu,GE Xue-di. Knowledge, Attitude and Practice of Aspiration Prevention among Primary Caregivers of Elderly Hospitalized Patients [J]. , 2016, 23(21): 14-18.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2013, 20(11): 25 -27 .
[2] WANG Xin,LI Gui-you,DENG Mei-lian. Influencing Factors of Pelvic Organ Prolapse during Pregnancy[J]. Journal of Nursing, 2013, 20(11): 28 -30 .
[3] . [J]. Journal of Nursing, 2015, 22(23): 30 -33 .
[4] . [J]. Journal of Nursing, 2016, 23(8): 61 -63 .
[5] MA Xiang,ZHANG Mei-fen,ZHANG Li-feng. Relationship between Self-management Behaviors and Disease Knowledge in Patients with Chronic Low Back Pain[J]. , 2016, 23(15): 42 -45,46 .
[6] . [J]. Journal of Nursing, 2018, 25(2): 7 -9 .
[7] XIE Ya-nan,MA Tao-hong,HAN Xiao-juan,SONG Xin-hua. Duties of Nurses in Anesthesia Department in Anesthesia[J]. Journal of Nursing, 2018, 25(12): 1 -5 .
[8] . [J]. Journal of Nursing, 2018, 25(12): 6 -10 .
[9] YUAN Xiu-yin,REN Jun-cui,WANG Fang. Effects of Management Mode of Nursing Talent Pools on Nurse's Professional Identity and Turnover Rate[J]. Journal of Nursing, 2018, 25(12): 11 -13 .
[10] BAO Yue. Development of Nursing Information Data Element in Neonatal Intensive Care Unit[J]. Journal of Nursing, 2018, 25(12): 14 -17 .