EFFECT OF NURSING PRACTICES ON FEAR OF INSULIN IN DIABETIC PATIENTS: A SYSTEMATIC REVIEW*

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 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, the use of narrower or shorter needles, needle-free injections, stress management strategies such as stress inoculation-based techniques and lavender oil, and training support for individuals with diabetes undergoing insulin treatment has been 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.

Anahtar Kelimeler

• Diabetes mellitus
• Insulin
• Nursing
• Systematic derleme.

Kaynakça

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