Abstract

EFFECTIVENESS OF INSULIN PEN INJECTION PRACTICE AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL OF NEPAL

Roshan Kumar Mehta*, Pooja Chaudhary, Mukesh Kumar Chaudhary and Anita Yadav

ABSTRACT

Introduction: Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. The incorrect administration of insulin and inappropriate technique result in adverse health outcomes. Therefore, sound knowledge and good practice on insulin injection technique among patients on insulin therapy are essential. Material and Methods: A prospective interventional study was conducted at the outpatient as well as in-patient department in a Universal College of Medical Sciences and Teaching Hospital from April 2019 to September 2019. A total of 65 patients who met the inclusion criteria and agreed to give written consent were enrolled in this study. Insulin Injection Technique Questionnaire (IITQ) was used to assess the insulin administration technique. Patients who failed to demonstrate the correct technique were educated and their technique was reassessed after 2 weeks of intervention. Data were entered and analyzed using Statistical Package for Social Sciences (SPSS) software version 20. Result: The results showed that 52 (86.7%) participants had inappropriate insulin injection technique before intervention and it was reduced to 27(45%) after educational intervention. Association between before and after intervention on insulin injection technique was found statistically significant (p=0.01). Association of socio demographic variables with insulin injection technique after intervention was found to be statistically insignificant. Conclusion: The study concluded that educational intervention has influence on the inappropriateness and inadequate knowledge of insulin injection technique. Knowledge regarding insulin injection and self-administration of insulin practice after the intervention was increased.

Keywords: Diabetes, Hyperglycaemia, Insulin, Injection Techniques.