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KMID : 0355019660050010038
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Korean Nurse
1966 Volume.5 No. 1 p.38 ~ p.71
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TEACHING OF THE PATIENT WITH DIABETES MELLITUS
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Abstract
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This study was designed to identify and find out the scope and content of -clinical teaching of patients with diabetes mellitus by graduate. and student nurses.
A questionnaire was constructed and data was obtained from 55 graduate nurses who work on medical wards at seven general hospitals and 51 senior student nurses of five schools -of fnursing in the capital city of Seoul making a total of 106 nurses.
Summary of the findings indicates that :
1. Sixteen of the 106 nurses (15%) replied that they did not do any clinical teaching of diabetic patients.
The reason most frequently indicated was that "although they had had lectures on diabetes mellitus, the teaching aspects were not included."
2. Every respondent used the oral method in teaching the concepts of diabetes mellitus.
3. Written material was relatively well used in teaching the testing of urine for sugar.
4. A large number of nurses (63 %) did not teach the patient ragarding self administration of insulin injection. The reason given most frequently (21 % ) was "the patient wants to have his insulin given by a general practitioner after his discharge." Although more demonstration, explanation and practice are required for the effective teaching of self administration of insulin injection in relation. to the other teaching aspects, the majority of nurses used only the oral method in teaching
the patient self administration of insulin injection.
5. Written material using a diet me-nu and introducing various food stuffs was well used in the teaching of diet
control.
6. In teaching about complications of diabetes mellitus, more teaching was done in relation to diabetic coma (84.9 %) than in relation to insulin reaction (56.2%).
7. The main things taught regarding personal hygiene were avoidance of over weight, proper sleep and rest and care of the skin.
8. Concerning the time when clinical teaching was began the most frequent answer given was "teach when the patient asks" (43.3%).
9. In relation to the order in which clinical teaching was done, teaching of self administration of insulin injection was done last.
10. In relation to the various aspects of teaching diabetic patients the use of the oral method was exceedingly high and a small number of responde-
nts used´ written materials and visual aides which they possessed.
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