Knowledge, attitude and practice towards insulin self-administration and associated factors among diabetic patients at Zewditu Memorial Hospital, Ethiopia

Autor: Miftah Shafi Buseir, Beshir Bedru Nasir, Oumer Sada Muhammed
Rok vydání: 2021
Předmět:
Male
Health Knowledge
Attitudes
Practice
Physiology
medicine.medical_treatment
Social Sciences
Self Administration
Logistic regression
Biochemistry
Endocrinology
Medical Conditions
Electronics Engineering
0302 clinical medicine
Psychological Attitudes
Surveys and Questionnaires
Medicine and Health Sciences
Insulin
Psychology
030212 general & internal medicine
Routes of Administration
Multidisciplinary
NEVER MARRIED
Middle Aged
Blood Sugar
Hospitals
Body Fluids
Blood
Comparators
Engineering and Technology
Medicine
Female
Anatomy
Self-administration
Research Article
Adult
medicine.medical_specialty
Patients
Endocrine Disorders
Science
Blood sugar
030209 endocrinology & metabolism
03 medical and health sciences
Diabetes mellitus
Internal medicine
Diabetes Mellitus
medicine
Humans
Angle of inclination
Nutrition
Diabetic Endocrinology
Pharmacology
business.industry
Biology and Life Sciences
medicine.disease
Hormones
Diet
Health Care
Subcutaneous Injections
Food
Metabolic Disorders
Ethiopia
Electronics
business
Patient education
Zdroj: PLoS ONE, Vol 16, Iss 2, p e0246741 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundDiabetes mellitus is a common health problem worldwide. Proper insulin administration plays an important role in long term optimal blood sugar control. Adequate knowledge and attitude about insulin self-administration could also improve the management of diabetes and eventually improve the quality of life. This study aimed to assess knowledge, attitude and practice towards insulin self-administration and associated factors among diabetic patients at Zewditu Memorial Hospital (ZMH), Ethiopia.MethodsAn institution-based cross-sectional study was conducted among 245 diabetic patients who were selected by systematic random sampling during follow-up at ZMH. The data was collected using an interviewer-administered structured questionnaire and analyzed by SPSS v.20. Binary logistic regression was used to identify associated factors of patients’ knowledge andP < 0.05was used to declare the association.ResultsAmong 245 patients enrolled, 53.9% were male with a mean age of 53.26 ±13.43 years and more than 84% of the patients can read and write. The overall patients’ knowledge was 63.4%. Better knowledge was observed concerning timing (78.4%) and site of insulin injection (89.4%), while knowledge on the angle of inclination during insulin administration (43.3%) and complications of insulin therapy (49%) were low. Patients who were male gender, never married, government or NGO employees, urban residents, who completed elementary and higher education had a higher knowledge than their comparators. The majority (62%) of the study patients had a favorable attitude on insulin self-administration. Although the majority 177(72.2%) of the study patients have administered insulin themselves, only 120(49.0%) of the patients injected insulin appropriately at 450. Frequent repetition of the injection site was practiced among 176(71.8%) patients and 139(56.7%) injected insulin before or immediately after food intake.ConclusionPatients’ knowledge and attitude seem suboptimal and malpractice of insulin self-administration was reported. Therefore, the gaps should be addressed through patient education and demonstration of insulin injection during each hospital visit.
Databáze: OpenAIRE
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