翻转课堂在中青年2型糖尿病胰岛素宣教中的效果探究  

Effect of Flipped Classroom in Insulin Education for Middle-Aged and Young Patients with Type 2 Diabetes

作　　者：张园春 王文珺 ZHANG Yuanchun;WANG Wenjun(Department of Endocrinology,Putuo District Central Hospital,Shanghai 200062,China)

机构地区：[1]上海市普陀区中心医院内分泌科,上海200062

出　　处：《中国医药指南》2024年第20期116-118,共3页Guide of China Medicine

摘　　要：目的探讨翻转课堂对中青年2型糖尿病患者胰岛素注射教学效果和血糖达标的影响。方法2022年1月至2023年1月上海市普陀区中心医院收治的128例首次接受预混胰岛素治疗的中青年2型糖尿病患者,按照随机抽签法分为对照组和观察组,每组64例;对照组接受传统宣教、观察组采用翻转课堂宣教。宣教结束进行胰岛素注射操作评分、满意度调查,3月后问卷评估两组学习胰岛素注射规范性和血糖达标情况。结果宣教结束后,观察组与对照组胰岛素注射测试总分、宣教满意度高于对照组;90%护士认为翻转课堂宣教方式在培训阶段花费的时间更短。3个月后观察组胰岛素注射规范性评估和糖化血红蛋白达标率高于对照组。结论翻转课堂应用在胰岛素注射宣教中能增加中青年患者主动学习、满足个体化学习需求,提高患者操作规范性,节约专科护士宣教时间且有助于血糖达标,具有一定后续效应。Objective To investigate the impact of flipped classroom on the insulin injection teaching effect and blood sugar control of middleaged and young patients with type 2 diabetes.Methods From January 2022 to January 2023,128 patients with type 2 diabetes aged between 18 and 60 years who were admitted to Shanghai Putuo District Central Hospital and receiving the first time treated with premixed insulin were randomly divided into a control group and an intervention group,with 64 patients in each group.The control group received traditional education,while the intervention group received flipped classroom education.After the education,insulin injection operation scores and satisfaction surveys were conducted,and after 3 months,a questionnaire was used to evaluate the two groups'learning of insulin injection standardization and blood sugar control.Results After the education,the total score of insulin injection test and satisfaction survey in the intervention group were significantly higher than those in the control group;90% of the nurses considered that the flipped classroom education method was less time-consuming during the training stage.After 3 months,the intervention group had higher insulin injection standardization assessment scores and glycated hemoglobin target rates than the control group.Conclusions The application of flipped classroom in insulin injection education can improve patient standardization and save nurse time and assist blood sugar control with some subsequent effect.

关 键 词：翻转课堂 糖尿病 胰岛素 自我注射 

分 类 号：R587.1[医药卫生—内分泌]