Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study

Poudel, RS; Shrestha, S; Piryani, RM; Basyal, B; Kaucha, K; Adhikari, S

Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study

Poudel, RS

Shrestha, S Piryani, RM Basyal, B Kaucha, K Adhikari, S

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Publication Type:: Journal Article
Citation:: Journal of Diabetes Research, 2017, 2017
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Poudel, RS https://orcid.org/0000-0002-1617-7885	en_US
dc.contributor.author	Shrestha, S	en_US
dc.contributor.author	Piryani, RM	en_US
dc.contributor.author	Basyal, B	en_US
dc.contributor.author	Kaucha, K	en_US
dc.contributor.author	Adhikari, S	en_US
dc.date.available	2017-11-01	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Journal of Diabetes Research, 2017, 2017	en_US
dc.identifier.issn	2314-6745	en_US
dc.identifier.uri	http://hdl.handle.net/10453/126666
dc.description.abstract	© 2017 Ramesh Sharma Poudel et al. Introduction. Proper insulin injection practice is essential for better diabetic control. This study aims to assess the insulin injection practice of patients with diabetes. Materials and Methods. A cross-sectional study was conducted at Chitwan Medical College Teaching Hospital, Bharatpur, Nepal, from February 2017 to May 2017. Patients injecting insulin through insulin pens (n=43) for a minimum of 4 weeks were consecutively recruited. Patients' baseline characteristics, current insulin injection technique, insulin transportation practice, complications of insulin injection, disposal practice of used needle, and acceptability of insulin were recorded. Descriptive statistics were performed using IBM-SPSS 20.0. Results. The insulin injection technique of patients and their relatives was inadequate. The majority of patients and their relatives (25, 58.1%) mentioned that they transport their insulin cartridge without maintaining cold chain. Thirteen patients (30.2%, n=43) reported complications of insulin injection and the most common complication among those patients was bruising (10, 76.9%, n=13). Almost all patients disposed the used needle improperly, and the common method was disposing the needle in a dustbin and then transferring to municipal waste disposal vehicle. Insulin was accepted by just 16 (37.2%) patients. Conclusion. There was a significant gap between the insulin delivery recommendation through insulin pen and current insulin injection practice.	en_US
dc.relation.ispartof	Journal of Diabetes Research	en_US
dc.relation.isbasedon	10.1155/2017/8648316	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 1	en_US
dc.subject.mesh	Diabetes Mellitus, Type 2	en_US
dc.subject.mesh	Insulin	en_US
dc.subject.mesh	Insulin Infusion Systems	en_US
dc.subject.mesh	Injections, Subcutaneous	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Nepal	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Tertiary Care Centers	en_US
dc.subject.mesh	Tertiary Healthcare	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.title	Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study	en_US
dc.type	Journal Article
utslib.citation.volume	2017	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
utslib.for	1116 Medical Physiology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	2017	en_US

Abstract:

© 2017 Ramesh Sharma Poudel et al. Introduction. Proper insulin injection practice is essential for better diabetic control. This study aims to assess the insulin injection practice of patients with diabetes. Materials and Methods. A cross-sectional study was conducted at Chitwan Medical College Teaching Hospital, Bharatpur, Nepal, from February 2017 to May 2017. Patients injecting insulin through insulin pens (n=43) for a minimum of 4 weeks were consecutively recruited. Patients' baseline characteristics, current insulin injection technique, insulin transportation practice, complications of insulin injection, disposal practice of used needle, and acceptability of insulin were recorded. Descriptive statistics were performed using IBM-SPSS 20.0. Results. The insulin injection technique of patients and their relatives was inadequate. The majority of patients and their relatives (25, 58.1%) mentioned that they transport their insulin cartridge without maintaining cold chain. Thirteen patients (30.2%, n=43) reported complications of insulin injection and the most common complication among those patients was bruising (10, 76.9%, n=13). Almost all patients disposed the used needle improperly, and the common method was disposing the needle in a dustbin and then transferring to municipal waste disposal vehicle. Insulin was accepted by just 16 (37.2%) patients. Conclusion. There was a significant gap between the insulin delivery recommendation through insulin pen and current insulin injection practice.

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http://hdl.handle.net/10453/126666