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Insulin Therapy from A Nursing Perspective
JELÍNKOVÁ, Kateřina
Diabetes mellitus is a serious and incurable disease prone to specific complications, known since 1550 BC. Recent international studies have shown that approximately 347 million people suffer from diabetes and the number is still increasing. Diabetes is treated by taking dietary measures; in addition to diet and oral antidiabetic medication, exogenous insulin intake is the ultimate treatment option. It was the exogenous insulin administration in 1922 that brought up a revolution in the treatment of diabetes mellitus. Since then safer and user-friendlier insulins have been and still are developed. Insulin is stored in liquid form in vials or cartridges and is only administered intravenously; however, it is assumed that an equally effective application method will be found in the future. The aim of the thesis is to map out the specifics of nursing care of insulin therapy clients and to answer the following research question: ?What are the specific needs of clients with insulin therapy?? ?How is the nurse involved in the education of the client in terms of insulin therapy?? ?Do insulin therapy patients have enough information about diabetes mellitus and insulin therapy?? The thesis consists of a theoretical and research part. The theoretical part deals with information about diabetes mellitus, insulin, insulin therapy and the role of nurses in care of diabetic patients. The research part encompasses an inquiry carried out as an anonymous interview where ten diabetic patients with insulin therapy were asked semi-open and open questions. The acquired data were transformed into case studies and categorization tables. The research questions were answered and the objective was achieved. In conclusion, the research suggests that patients do not have enough information about diabetes and insulin therapy. Specifics of the nursing care of diabetic patients with insulin therapy depends on the patient's needs. Most patients mentioned the need for contact with other diabetic patients. Nurses are involved in the education of patients with insulin therapy primarily as teachers of application and handling the insulin pen. This thesis served as the basis for the creation of an educational material for nurses. This material may prove helpful for nurses as a guide in the process of training diabetic patients to use the insulin pen. Alternatively, it can be used by medical care students as a learning resource.
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