The Influencing Factors of Type 2 Diabetes Patients Switching to Insulin Injection

• Main Authors: shwu-hwa wu, 吳淑華
• Other Authors: ching-huey chen
• Format: Others
• Language: zh-TW
• Published: 2004
• Online Access: http://ndltd.ncl.edu.tw/handle/24437508261302294714

碩士 === 國立成功大學 === 護理學系碩博士班 === 92 === 　　Based on Currie, Amos & Hunt’s (1991) dynamic model, the purpose of this is to explore the predisposing factors, triggers, facilitating factors and inhibiting factors in the process of type 2 diabetes patients switching to insulin injection. The design of this research is retrospective study. Using purposive sampling method, 24 subjects receiving insulin injection 1 to 12 months from one of the teaching hospital at Tainan were recruited. We used semi-structure questionnaires and face-to-face interview to collect quantitative data that were analyzed by the descriptive statistics. Moreover, qualitative data was analyzed by content analysis. 　　The result shows that most of the patients hesitated in switching to insulin injection. Switching to insulin injection is a dynamic decision making process that may be influenced by the internal and external environment of the individual continuously. The predisposing factors include understanding the importance of blood sugar control, trust in professionalism and, acceptance of fate. Triggers include three styles, self-determinant, others-determinant and combined with both. Self-determinant may be induced by accepting professional suggestions, excessive high blood sugar, and perception of the symptoms of hyperglycemia. Others-determinants that may come from the insistence of the patients’ significant others and the intervention of professionals. Inhibiting factors include the barriers in cognition, attitude, operating ability, psychosocial and the interference of other chronic diseases. Facilitating factors include self-awareness of the necessity of injection, without any difficulty in injection and doctor-patient trust relationship. In the process of switching to insulin injection, several relative behaviors also changed that include social activity, diet, physical exercise, and self-monitoring of blood sugar. 　　To help the patients in switching to insulin injection, primary health care providers should assess both their cognitive reasoning and emotional sensation of the injection treatment. By removing all the obstacles inside and outside of the patients and reorganizing of the supporting resources, a friendly environment with no little obstacles in injection must be arranged. Finally, switching to injection is not a one time job, constantly evaluation of all the relative situations mentioned above is necessary to ensure the success of insulin injection.