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Conversion to Insulin Therapy of Patients with Type 2 Diabetes - A Quasi-experimental Study of a Medical Center in Southern Taiwan
The main purpose of this study was to investigate the influence and short-term effects of the insulin treatment and health education on patients with type2 diabetes concerning their diabetes knowledge, attitudes of insulin treatment, and satisfaction degrees of diabetes treatment. The subjects were type 2 diabetic patients in a medical center in southern Taiwan, a total of 68, experimental group 37, control group 31. The experimental group received health education of insulin treatment and conversion to insulin treatment, with three months of tracking. There were six withdrawing from the study. A total of 62 completed pretest and posttest questionnaires. The results are as follows: 1. Patients of different education levels are significantly different on their awareness of diabetes treatment. Awareness of the illiteracy level is significantly lower than that of the elementary, junior high and senior high school, college / university and above education levels. Awareness of the elementary level is lower than that of the college / university and above education levels. 2. Regarding awareness of diabetes treatment, the subjects perform better in the part of prevention of diabetes complication and the hypoglycemia part, but show insufficient awareness of insulin. 3. For insulin treatment, type 2 diabetic patients show a common sense of self-failure and anxiety of self-injection. The majority of diabetic patients think that "the use of insulin indicates that my diabetes has become worse", and secondly that "the use of insulin indicates that control of my diabetes with diet and oral hypoglycemic agents has failed" and worry that "I fear injecting myself with a needle." Married people have lower psychological resistance to insulin treatment. 4. Insulin treatment and health education can improve knowledge of diabetes treatment of the subjects, and reduce their negative attitude toward insulin treatment with an obvious attitude change in their sense of failure, fear of injection, life limitation, and fear of hypoglycemia. After turning to the insulin therapy, the satisfaction degrees of diabetes treatment have been raised. The patients are more satisfied than they were in the past in their diabetes treatment and their individual condition. Insulin treatment and health education intervention can reduce the negative attitude toward insulin therapy. However, it is necessary to understand the patients’ feelings, accept their negative emotion and attitude, to reduce their psychological resistance against insulin therapy when providing related health education.
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