DİYABETİK HASTALARDA İNSÜLİN KORKUSU ÜZERİNE HEMŞİRELİK UYGULAMALARININ ETKİSİ: SİSTEMATİK BİR DERLEME

Fear of injection is associated with several identified factors. These factors can be attributed to two main concerns: past experiences and a lack of knowledge. This systematic review aims to analyze the effectiveness of interventional practices to break 'psychological resistance to insulin,' defined as the fear of self-injection in diabetic patients undergoing insulin treatment. While searching the literature, the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) flowchart was used. The search was limited to studies published in English between 2002 and 2023, from 15 November to 30 May 2024, in the databases “ Scopus, PubMed, Science Direct, Web of Science, Medline, Ebscohost, and Cochrane Library Fourteen studies, including 13 randomized controlled trials and one quasi-experimental study, were included in the review. The effectiveness of injection administration, , diabetes education programs, use of narrower or shorter needles; needle-free injections; stress management strategies (for example, stress inoculation-based techniques, lavender oil). and training support for individuals with diabetes undergoing insulin treatment was confirmed. Practical demonstrations are important, especially for patients who require self-management intervention. This review suggests that new programs to maintain the self-efficacy of diabetic patients should be further investigated to improve outcomes and reduce hospitalizations and overall costs. PROSPERO: CRD42024546430