Journal of International Psychiatry

[Abstract] Objective To analyze the changes in the mental state and blood glucose levels of patients with type 2 diabetes who were treated with insulin for the first time after they were given self-practice-led teaching method combined with psychological intervention. Methods According to the coin toss method, 200 patients with type 2 diabetes who were treated with insulin for the first time were divided into psychological intervention group of 100 cases and joint teaching group of 100 cases. Patients in both groups were given health education and injection demonstration, based on psychological intervention Psychological intervention treatment was added to the combined teaching group, and the self-practice-led teaching method was added to the psychological intervention group to intervene in the combined teaching group. After the intervention, the insulin injection, blood sugar level and psychological status of the two groups were compared. Results After the intervention, the combined education groups SAS, SDS score, fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin level, and the incidence of adverse reactions at the injection site were lower than those in the psychological intervention group. The insulin injection rotation site rate, injection standard rate, and injection skill score It was higher than that of the psychological intervention group (P<0.05); the disposable needle use rate in the two groups was not statistically significant (P>0.05). Conclusion Self-practice-led teaching method combined with psychological intervention can effectively improve the injection skills of patients with type 2 diabetes who are treated with insulin for the first time, relieve anxiety and depression, and control blood sugar levels.

[Keywords] self-practice teaching method; psychological intervention; insulin; type 2 diabetes; mental state