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

IF 1.6 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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多媒体教育对老年2型糖尿病患者低血糖事件及相关因素的影响

目的探讨多媒体降糖教育与传统降糖教育在老年2型糖尿病患者降糖知识、自我护理行为、对降糖的恐惧、社会支持、生活质量、护理时间、教育满意度及降糖事件复发率等方面的效果。方法对82例发生过低血糖事件的老年2型糖尿病患者进行随机对照试验，采用重复测量设计。实验组接受多媒体降糖教育，对照组接受授课式降糖教育。数据分析采用描述性统计、卡方检验、t检验和广义估计方程（GEE）。结果实验组在低血糖知识（p < 0.001）、低血糖自我护理行为（p = 0.034）、教育满意度（p < 0.001）得分均显著高于对照组。实验组护理时数显著低于对照组（p < .001）。接受降糖教育后6个月内，实验组低血糖事件复发率下降61%，对照组下降53.70%。结论多媒体低血糖教育可提高老年2型糖尿病患者的低血糖知识和自我护理行为，降低低血糖复发率。医护人员可以利用多媒体对老年糖尿病患者进行低血糖教育，提高其家庭低血糖护理能力，从而降低低血糖事件的复发率。

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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.