Multimedia Education on Knowledge, Injection Skill, Insulin Injection Self-efficacy, Injection Performance Rate, Educational Satisfaction, Nursing Hours, and Biophysical Indicators
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 主要终点
- nursing hours
研究概览
简要总结
A total of 72 type 2 diabetes who began insulin therapy using a pen injector participated in this study. The experimental (n = 36) and control (n = 36) groups received multimedia and regular health education program. Four structured questionnaires were used, and videotapes were applied to demonstrate injection skills.
详细描述
To explore the effectiveness of two types health education on knowledge in diabetes and insulin injection, skills in insulin injection, self-efficacy in insulin injection, injection performance rate, satisfaction with health education,nursing hours, and biophysical indicators among the type 2 diabetes who began insulin therapy using a pen injector.With a repeated measures experimental study design, a total of 72 type 2 diabetes who began insulin therapy using a pen injector participated in this study. The experimental (n = 36) and control (n = 36) groups received multimedia and regular health education program. Four structured questionnaires were used, and videotapes were applied to demonstrate injection skills.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of type 2 diabetes.
- •First received insulin injection with Lantus, Levemir or Novomix.
- •Ability to communicate in Mandarin or Taiwanese.
- •Ability to self-inject insulin.
排除标准
- •Cognitive impairment or dementia, inability to manage self-care.
- •Severe or unstable medical conditions.
研究组 & 干预措施
multimedia health education
The program (flat touch computer) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, complications, and experience sharing of insulin injection by a patient group. Technology: steps of insulin injection skills and complete technology demonstration . The program contents were organized using a unit-based piecemeal teaching approach. Participants could adjust their learning pace according to individual situations and could practice injection skills using an injection mold during hospitalization. A diabetes educator has assessed the learning outcome of each participant after intervention. At the day of discharge from hospital, each participant would acquire a copy of the multimedia health education compact disc.
干预措施: multimedia health education (Behavioral)
regular health education
The regular (traditional) education program (a diabetes educator) consisted of knowledge and technology levels. Knowledge: diabetic introduction, treatment, management of hyper- and hypoglycemia, and complications. Technology: steps of insulin injection skills and complete technology demonstration.
干预措施: regular health education (Behavioral)
结局指标
主要结局
nursing hours
时间窗: Through intervention to the day prior to discharge from hospital, an average of 1 week
The nursing hours were calculated by adding up the total time spent by the diabetes educator instructing each participant to perform insulin injection.
diabetes and insulin injection related knowledge scale
时间窗: Change from Baseline diabetes and insulin injection related knowledge to the thirteenth week after discharge from hospital
The 20-item diabetes and insulin injection related knowledge scale consists of 4 domains: brief introduction to diabetes, precautions for diabetes medications and insulin injection, management of hyper- and hypoglycemia, and complications of diabetes. Total scores ranged from 0 to 20. Higher scores represent a better outcome.
self-efficacy in insulin injection scale
时间窗: Change from Baseline self-efficacy in insulin injection to the thirteenth week after discharge from hospital
The 10-item self-efficacy in insulin injection scale was modified based on the General Self-Efficacy Scale. Total scores ranged from 10 to 50. Higher scores represent a better outcome.
The health education satisfaction scale
时间窗: Change from the day prior to discharge satisfaction with health education to the thirteenth week after discharge from hospital
The 10 items health education satisfaction scale consisted of 10 items, with total scores ranging from 10 to 50. Higher scores represent a better outcome.
insulin injection skills scale
时间窗: Change from Baseline insulin injection skills to the thirteenth week after discharge from hospital
The insulin injection skills scale was rated by a certified diabetes educator according to each participant's performance on the 12 steps of operating a prefilled pen injector (12 items; scores ranged from 0 to 12) and the 10 steps of operating a disposable pen injector (10 items; scores ranged from 0 to 10 ). Participants scored 1 point for each correct operation and 0 points for each incorrect operation. Higher scores represent a better outcome.
次要结局
- glycated hemoglobin(HbA1C)(Change from Baseline HbA1C to the thirteenth week after discharge from hospital)
- blood creatinine(Change from Baseline blood creatinine to the thirteenth week after discharge from hospital)
- insulin performance rate(Change from the first week after discharge insulin performance rate from hospital to the thirteenth week after discharge)