DİYABETİK HASTALARDA İNSÜLİN KORKUSU ÜZERİNE HEMŞİRELİK UYGULAMALARININ ETKİSİ: SİSTEMATİK BİR DERLEME

Öz

Enjeksiyon korkusu, belirlenen çeşitli faktörlerle ilişkilidir. Bu faktörler iki ana endişeye dayandırılabilir: geçmiş deneyimler ve bilgi eksikliği. Bireylerin enjeksiyon süreci, gereklilikleri ve insülin tedavisinin faydaları hakkında yeterli bilgiye sahip olmamaları, insülin enjeksiyonu yapma konusunda isteksizlik göstermeleriyle ilişkilendirilmiştir. Bu sistematik derleme, insülin tedavisi gören diyabet hastalarında enjeksiyon korkusu olarak tanımlanan ‘’psikolojik insülin direncini’’ kırmaya yönelik girişimsel uygulamaların etkinliğini analiz etmeyi amaçlamaktadır. Literatür taraması sırasında PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) akış şeması kullanılmıştır. Tarama, 2002-2023 yılları arasında İngilizce yayınlanmış çalışmalarla sınırlı tutulmuş ve 15 Kasım - 30 Mayıs 2024 tarihleri arasında Scopus, PubMed, Science Direct, Web of Science, Medline, Ebscohost ve Cochrane Library veri tabanlarından yapılmıştır. Derlemeye 13 randomize kontrollü çalışma ve 1 yarı deneysel çalışma olmak üzere toplam 14 çalışma dahil edilmiştir. Enjeksiyon uygulamalarının etkinliği, diyabet eğitim programları, daha dar veya daha kısa iğnelerin kullanımı, iğnesiz enjeksiyonlar, stres yönetimi stratejileri (örneğin stres aşılamaya dayalı teknikler, lavanta yağı) ve insülin tedavisi gören diyabetli bireyler için eğitim desteğinin etkinliği doğrulanmıştır. Özellikle kendi kendine yönetim müdahalesine ihtiyaç duyan hastalar için pratik uygulamalar önemlidir. Bu derleme, diyabetli hastaların öz yeterliliğini sürdürmeye yönelik yeni programların daha fazla araştırılması gerektiğini ve bu sayede tedavi sonuçlarının iyileştirilerek hastaneye yatış oranlarının ve genel sağlık maliyetlerinin azaltılabileceğini önermektedir. PROSPERO: CRD42024546430

Anahtar Kelimeler

• Diabetes Mellitus
• İnsülin
• Hemşirelik
• Sistematik Derleme

EFFECT OF NURSİNG PRACTİCES ON INSULİN FEAR İN DİABETİC PATİENTS: A SYSTEMATİC REVİEW

Öz

Fear of injection is associated with several identified factors. These factors can be attributed to two main concerns: past experiences and a lack of knowledge. This systematic review aims to analyze the effectiveness of interventional practices to break 'psychological resistance to insulin,' defined as the fear of self-injection in diabetic patients undergoing insulin treatment. While searching the literature, the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) flowchart was used. The search was limited to studies published in English between 2002 and 2023, from 15 November to 30 May 2024, in the databases “ Scopus, PubMed, Science Direct, Web of Science, Medline, Ebscohost, and Cochrane Library Fourteen studies, including 13 randomized controlled trials and one quasi-experimental study, were included in the review. The effectiveness of injection administration, , diabetes education programs, use of narrower or shorter needles; needle-free injections; stress management strategies (for example, stress inoculation-based techniques, lavender oil). and training support for individuals with diabetes undergoing insulin treatment was confirmed. Practical demonstrations are important, especially for patients who require self-management intervention. This review suggests that new programs to maintain the self-efficacy of diabetic patients should be further investigated to improve outcomes and reduce hospitalizations and overall costs. PROSPERO: CRD42024546430

Anahtar Kelimeler

• Diabetes Mellitus
• Insulin
• Nursing
• Systematic Review

Kaynakça

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