The effectiveness of multimedia-based education on hypoglycemic events and associated factors in elderly individuals with type 2 diabetes

IF 1.7 4区医学 Q2 NURSING Japan Journal of Nursing Science Pub Date : 2025-02-23 DOI:10.1111/jjns.70004

Mei-Chuan Huang, Hsiu-Ling Liang, Mei-Yueh Lee, Hua-Tsen Hsiao

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Abstract

Aim

To investigate the effectiveness of multimedia-based hypoglycemia education compared to conventional hypoglycemia education on knowledge, self-care behavior, fear of hypoglycemia, social support, quality of life, nursing hours, education satisfaction, and the recurrence rate of hypoglycemic events among elderly individuals with type 2 diabetes who have experienced hypoglycemic events.

Methods

A randomized controlled trial with a repeated-measures design was conducted on 82 elderly patients with type 2 diabetes who had experienced hypoglycemic events. Participants in the experimental group received multimedia-based hypoglycemia education, while those in the contrast group received lecture-based hypoglycemia education. Data were analyzed using descriptive statistics, chi-square tests, t-tests, and Generalized Estimating Equations (GEE).

Results

The experimental group showed significantly higher mean scores in hypoglycemia knowledge (p < .001), hypoglycemia self-care behavior (p = .034), and education satisfaction (p < .001). The nursing hours spent by the experimental group were significantly lower than those of the contrast group (p < .001). Within 6 months after receiving hypoglycemia education, the recurrence rate of hypoglycemic events decreased by 61% in the experimental group and 53.70% in the contrast group.

Conclusions

Multimedia-based hypoglycemia education can enhance knowledge and self-care behavior and reduce the recurrence rate of hypoglycemia among elderly patients with type 2 diabetes. Healthcare professionals can utilize multimedia education for hypoglycemia in elderly individuals with diabetes to improve their ability for home hypoglycemia care, thereby reducing the recurrence rate of hypoglycemic events.

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.