Enhance the Use of Creative Teaching Diabetic Patients the Correct Rate of Insulin

Monday, 30 July 2012

Yumin Hsu, RN
Metabolic ward, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan

Learning Objective 1: The learner will be able to insulin injection for traditional medical model and portable training pad is 41% and 92%

Learning Objective 2: The learner will be able to proficiency in these two groups is 47% and 95%

Purpose:

 Insulin therapy can control blood sugar and prevent glucose toxicity. we educate patient about the insulin injection by using a medical model fixed on table. It’s cheap and easy to use. However, patient usually complaint about the medical model is unreal and hard to pinch, which make them fear of insulin injection and do it incorrect, causing bruising on injection site, painful injection, or insulin dripping. Then, they refused insulin injection and cause poor blood glucose control. So, we want to improve the medical model for better patient education.

Methods:

 We designed a portable training pad, which can fix on patient’s arms, abdomen and thigh. Before inpatient starts their first time insulin injection, we use the portable training pad, which make them feel they are injecting on their own body. We also use educating video and increase the education times. Then, we will compare the traditional medical model and portable training pad in patient’s satisfaction (score 1-5), accuracy rate and technical proficiency.

Results:

 The satisfaction in patient using portable training pad is 4.8 points, between satisfied and very satisfied. The accuracy rate of insulin injection for traditional medical model and portable training pad is 41% and 92%, respectively. The technical proficiency in these two groups is 47% and 95%, respectively.

Conclusion:

By using a creative tool, such as portable training pad, increase the accuracy rate and technical proficiency of insulin injection in diabetic inpatient. It is satisfied and may reduce the fear of insulin administration, which infers better blood glucose control and better patient’s self-care.