Effect of Individualized Nursing Instruction with Health Educational Handbook on Diabetics

Tuesday, July 12, 2011: 10:50 AM

Ruo-Nan Jueng, RN, MS
Kuei-Hsia Hsueh, RN, MS
Nursing Department, National Yang-Ming University Hospital, I-Lan, Taiwan

Learning Objective 1: The learner will be able to know how to use the health educational handbook to instruct the diabetic inpatients.

Learning Objective 2: The learner will be able to know the instructional effect of the health educational handbook on the cognition, attitude, and behavior of diabetic inpatients.

Purpose: To investigate the impact on diabetic inpatients’ disease knowledge, attitude and self-care
behavior after the individualized intervention with heath educational hand book by nursing staff.

Methods:  Convenient sampling, descriptive and inferential designs were adopted. A total of 127 qualified inpatients were
recruited in a district teaching hospital. According to the literature and clinical experience, we developed a structural
questionary, in 5-point Likert scale format, directed to disease knowledge, attitude and self-care behavior. Pre-tests were
performed on the 2nd day after admission. Post-tests were done on the day of discharge (cognition & attitude), and
1month later (behavior). Data analysis included descriptive statistics and inferential statistics (pair t test, ANOVA, the
pearson correlation, linear regression, Chi square test, and Mc Nemar’s test). 

Results: After the health educational intervention, the mean scores in post-test regarding cognition & behavior were
significantly higher than those in pre-tests by 2 & 1.9 points, respectively (p<0.001). The mean score of attitudes was also
improved, though without statistical significance. The mean score of cognition was positively correlated with that of
attitude in post-test (r=0.3, p<0.001). 

Conclusion: Our research shows the importance of individualized nursing intervention with health educational
handbook. With these procedures, we can enhance inpatients’ disease knowledge, improve their altitudes of self-care;
furthermore, help them practice well in the daily life.