Self-care competence in the administration of insulin in older people aged 70 or over

Abstract

Objective:to analyze the self-care competence in the administration of insulin performed by older people aged 70 or over. Method:cross-sectional study carried out with 148 older people aged 70 or over, who performed self-administration of insulin. Data collection was carried out using a structured questionnaire and an adapted guide for the application of the Scale to Identify Self-Care Competence of Patients with Diabetes, at the participants’ home. Data analysis included descriptive and inferential statistical tests, with forward logistic regression. Results:the prevalence of self-care competence in the administration of insulin was 35.1%. Handwashing error was the most frequent in self-administration of insulin. Self-care competence was negatively associated with retirees and positively associated with senior patients who performed capillary blood glucose monitoring and skin pinching during insulin application. Conclusion:there was low self-care competence and it was associated with both the sociodemographic and the clinical characteristics with regard to self-application of insulin by the older people.

Evaluation of Antidiabetic Injectable Technique: Is There an Association Between Accuracy and Health Literacy or Duration of Diabetes?

“…In the Vianna et al study, 100% of patients appropriately used a 90-degree angle for insulin injection. 26 Whereas, a study by Partanen et. al.…”

“…However, the finding that patients routinely fail to rotate the injection site is an error commonly noted in the literature -with reported prevalence of this error ranging from 16-70%. 23,26,27,31 Injectable diabetes medications may be difficult to use if patients are not appropriately educated regarding use. In July 2018, the U.S. Food and Drug Administration (FDA) reported the addition of thirteen insulin pen products to its watch list due to failure to remove the inner needle cover prior to administration.…”

“…al – evaluating an elderly population >70 years of age – found that 87.2% of patients inappropriately washed their hands. 26 Studies evaluating injection with 90-degree angle and needle placement time has conflicting findings. In the Vianna et al study, 100% of patients appropriately used a 90-degree angle for insulin injection.…”

Insulin Injection Technique Questionnaire: results of an international study comparing Brazil, Latin America and World data

“…The insulin Injection Technique Questionnaire (ITQ) survey consisted of an initial patient section (applied by an experienced nurse) followed by a second section, performed by the patient’s diabetes educator, nurse or physician, when they observed patient injection technique and carefully examined the injection sites. The technique was considered correct when executed as follows: first gently lift a skinfold, then inject the insulin slowly at a 90° angle to the surface of the skinfold, let the needle remain in the skin for a count of 10 after the plunger is pressed down (when using a pen), withdraw the needle from the skin at the same angle it was inserted, only when the needle is completely removed release the skinfold, and at last dispose of the used needle safely [ 12 , 15 ]. Detailed information about the development of the survey can be found in the original article [ 12 ].…”

Desempenho De Pessoas Com Diabetes Mellitus Na Insulinoterapia

“…No Brasil, nos últimos cinco anos, alguns estudos (7)(8)(9)(10)(11) avaliaram a técnica de aplicação de insulina, porém ressalta-se que apenas um avaliou a técnica realizada por pacientes, no caso idosos septuagenários (7) , com observação do processo em seus domicílios. Os demais foram realizados em ambulatórios de serviços de saúde (8)(9)(10)(11) , utilizando informações autorreferidas sobre a técnica, as quais podem estar em desacordo com a realizada no cotidiano.…”