交互式网络电视系统联合回授法在2型糖尿病老年患者胰岛素注射中的应用
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摘要
目的介绍交互式网络电视系统联合回授法在2型糖尿病老年患者笔型胰岛素规范注射中的应用效果。方法选择我院内分泌科住院期间首次遵医嘱使用胰岛素的40例2型糖尿病老年患者,采取交互式网络电视系统联合回授法指导患者胰岛素注射。交互式网络电视系统平台联合回授法应用具体内容包括:成立健康教育小组,制订视频内容,视频制作及导入相关事宜,交互式网络电视系统平台联合回授法中解释、评估、澄清、理解4步骤有效实施。结果 40例2型糖尿病老年患者参与交互式网络电视系统平台联合回授法治疗周期为(8.00±2.31)d,胰岛素注射技能考核得分(81.56±6.91)分,40例患者在出院后均继续接受笔型胰岛素治疗。结论交互式网络电视系统平台联合回授法可提高了2型糖尿病老年患者胰岛素治疗的自我管理能力,确保了胰岛素治疗的安全性。
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.
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.
引文
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[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.
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[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.
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[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.
[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.0254-17692010.02.018.
[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 SHAREApproach-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 Teachback![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.