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Verfasst von:Bahrmann, Anke [VerfasserIn]   i
 Abel, Amelie [VerfasserIn]   i
 Zeyfang, Andrej [VerfasserIn]   i
 Petrak, Frank [VerfasserIn]   i
 Kubiak, Thomas [VerfasserIn]   i
 Hummel, Jana [VerfasserIn]   i
 Oster, Peter [VerfasserIn]   i
 Bahrmann, Philipp [VerfasserIn]   i
Titel:Psychological insulin resistance in geriatric patients with diabetes mellitus
Verf.angabe:Anke Bahrmann, Amelie Abel, Andrej Zeyfang, Frank Petrak, Thomas Kubiak, Jana Hummel, Peter Oster, Philipp Bahrmann
Jahr:2014
Jahr des Originals:2013
Umfang:6 S.
Fussnoten:Online 1 December 2013 ; Gesehen am 21.09.2020
Titel Quelle:Enthalten in: Patient education and counseling
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1983
Jahr Quelle:2014
Band/Heft Quelle:94(2014), 3, Seite 417-422
ISSN Quelle:1873-5134
Abstract:Objective - To determine the extent to which geriatric patients with diabetes mellitus experience psychological insulin resistance (PIR). - Methods - A total of 67 unselected geriatric patients with diabetes (mean age 82.8±6.7 years, diabetes duration 12.2 [0.04-47.2] years, 70.1% female) were recruited in a geriatric care center of a university hospital. A comprehensive geriatric assessment (CGA) was performed including WHO-5, Hospital Anxiety and Depression Scale (HADS), Mini Mental State Examination (MMSE) and Barthel-Index. We assessed PIR using the Barriers of Insulin Treatment Questionnaire (BIT) and the Insulin Treatment Appraisal Scale in a face-to-face interview. - Results - Insulin-naïve patients (INP) showed higher PIR scores than patients already on insulin therapy (BIT-sum score: 4.3±1.4 vs. 3.2±1.0; p<0.001). INP reported in the BIT increased fear of injection and self-testing (2.4±2.4 vs. 1.3±0.8; p=0.016), expect disadvantages from insulin treatment (2.7±1.6 vs. 1.9±1.4; p=0.04), and fear of stigmatization by insulin injection (5.2±2.3 vs. 3.6±2.6; p=0.008). Fear of hypoglycemia, however, did not differ significantly (6.3±2.8 vs. 5.1±3.1; p=0.11). Depression was not shown to be a barrier to insulin therapy. - Conclusion - INP with diabetes have a significantly more negative attitude toward insulin therapy in comparison to patients already on insulin. - Practice implications - Systematic assessment of barriers of insulin therapy, individualized diabetes treatment plans and information of patients may help to overcome such negative attitudes, leading to quicker initiation of therapy, improved adherence to treatment and a better quality of life.
DOI:doi:10.1016/j.pec.2013.11.010
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.pec.2013.11.010
 Volltext: http://www.sciencedirect.com/science/article/pii/S0738399113005090
 DOI: https://doi.org/10.1016/j.pec.2013.11.010
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Depression
 Diabetes
 Fear of injection
 Insulin
 Psychological insulin resistance
K10plus-PPN:1733456902
Verknüpfungen:→ Zeitschrift

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