Değer Tahsin Barış, Gönderen Çakmak Huri Seval, Cihan Erdoğan Banu, Değer Mustafa Özgür
Department of Gerontology, Faculty of Health Sciences, Çankırı Karatekin University, 18100 Çankırı, Türkiye.
Department of Geriatric Care Services, Çerkeş Vocational School, Çankırı Karatekin University, 18600 Çankırı, Türkiye.
Healthcare (Basel). 2024 Sep 14;12(18):1854. doi: 10.3390/healthcare12181854.
The purpose of the study was to determine the effect of insulin pen training using the Teach-Back method in older patients with type 2 diabetes (T2D) on their self-management of insulin treatment, quality of life (QoL), and glycated hemoglobin (HbA1c) levels.
Participants included 25 patients in the intervention group, with a mean age of 80.76 ± 6.132 years, and 24 patients in the control group, with a mean age of 81.29 ± 4.920 years. All participants were older people who had previously been diagnosed with T2D, had been using insulin for at least 6 months, and lived in rural areas. Teach-Back pen training was provided to the intervention group, while general diabetes education was provided to the control group. One-way variance analysis, paired-samples -test and independent sample -test were used. The self-management of insulin treatment, QoL and HbA1c levels were determined before training and after 3 months. The study was conducted between December 2022 and April 2023.
A significant difference was found in the mean scale scores between the intervention group and control group after training. The mean self-management of insulin treatment and QoL scale scores of the intervention group were significantly higher than those of the control group after training. The post-training HbA1c levels in the intervention group were lower than the pre-training levels.
Teach-Back training improved diabetes self-management and QoL and decreased HbA1c levels in older patients with T2D living in a rural community.
本研究旨在确定采用反馈教学法对老年2型糖尿病（T2D）患者进行胰岛素笔培训，对其胰岛素治疗自我管理、生活质量（QoL）和糖化血红蛋白（HbA1c）水平的影响。
参与者包括干预组的25名患者，平均年龄为80.76±6.132岁，以及对照组的24名患者，平均年龄为81.29±4.920岁。所有参与者均为先前被诊断为T2D、已使用胰岛素至少6个月且居住在农村地区的老年人。对干预组进行反馈教学笔培训，而对对照组进行一般糖尿病教育。采用单因素方差分析、配对样本t检验和独立样本t检验。在培训前和3个月后测定胰岛素治疗的自我管理、生活质量和HbA1c水平。该研究于2022年12月至2023年4月进行。
培训后，干预组和对照组之间的平均量表得分存在显著差异。培训后，干预组胰岛素治疗的自我管理和生活质量量表平均得分显著高于对照组。干预组培训后的HbA1c水平低于培训前水平。
反馈教学培训改善了农村社区老年T2D患者的糖尿病自我管理和生活质量，并降低了HbA1c水平。
