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Factors Affecting Insulin Self-injection Procedure by Elderly Outpatients with Diabetes Yuka Fujii 1 , Tokiko Isowa 2 , Mayuko Hiramatsu 2 1Mie University Hospital 2Department of Nursing, Graduate School of Medicine, Mie University Keyword: 高齢者 , 糖尿病 , インスリン自己注射 , 外来看護 , elderly , diabetes , insulin self-injection , outpatient nursing pp.179-188
Published Date 2016/12/31
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Objective: This study was designed to identify the factors that affect the proper use of the insulin self-injection procedure by elderly outpatients with diabetes.

Methods: The current study included patients with diabetes aged 65 years or older who self-injected insulin at home. A logistic regression analysis was carried out to examine the 15 factors that could affect the proper use of the self-injection procedure as independent variables and the ability to self-inject insulin properly as a dependent variable.

Results: A total of 105 subjects with a mean age of 74.0 ± 5.4 years were included in the study. Based on the logistic regression analysis, high cognitive function as measured by Hasegawa's Dementia Scale-Revised (odds ratio: 1.16, 95% confidence interval: 1.01 to 1.33) and the presence of support from medical staff, mainly nurses (odds ratio: 6.35, 95% confidence interval: 1.43 to 28.28), were considered the factors associated with the proper use of the self-injection procedure.

Conclusion: Impaired cognitive function increases the likelihood of difficulty in self-injecting insulin. However, this study suggested that support from medical staff increased the likelihood of the proper use of the self-injection procedure.


Copyright © 2016, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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