[Actual state of injection techniques and effect of medical treatment instructions in elderly patients with diabetes using insulin]

Autor: Rie Oka, Yusuke Wakabayashi, Miho Asahi, Chiyuki Aikawa, Masako Nakaya, Hitomi Ishida, Mariko Fukuda, Takaaki Kondoh, Hiromi Matsui, Yoko Yamaguchi
Rok vydání: 2020
Předmět:
Zdroj: Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics. 57(3)
ISSN: 0300-9173
Popis: AIM Support for elderly patients using insulin to continue self-injection safely is required for clinical settings. The aim of this study was 1) to clarify the actual state of self-injection procedures for elderly people injecting insulin and 2) to verify whether or not the injection procedures can be improved by nurses' medical treatment instructions. SUBJECTS AND METHODS The subjects were outpatients at an educational facility certified by the Japan Diabetes Society. Basic clinical characteristics, the Mini-Cog cognitive function test, basic ADL and instrumental ADL, and 24 items of the self-injection procedure were evaluated by nurses. After receiving a 30-minute face-to-face session of individual instructions from trained nurses two or more times, the injection procedure was re-evaluated. RESULTS Of the 63 study subjects, 10 were injecting insulin with the support of others (supported injection group). The median age in the self-injection group was 72 years old, while that in the supported injection group was 82 years old. The supported injection group was older, the female ratio higher, and the Mini-Cog and ADL indices lower than in the self-injection group (p
Databáze: OpenAIRE