Effectiveness of nursing intervention regarding self insulin administration among diabetic patients

Abstract

Objective: the study was carried out to assess effectiveness of nursing intervention regarding self insulin administration among diabetic patients. Methods: Research design: A quazi experimental design was utilized. Setting: Medical Clinic at Health Insurance Hospital, at Shebein El-Kom, Menofia Governorate, Egypt. Subjects: Convenient sample of 200 diabetic patients who were self insulin administered. Tools for data collection: Interviewing questionnaire includes socio demographic date, knowledge questionnaire sheet regarding self-administration of insulin, and observational checklist. Results: Majority of studied sample was married female that have negative family history of diabetes, and are insulin injected for more than 1 year. Majority of studied sample have poor knowledge and incorrect practice their barriers to continuing insulin were pain, too expensive, and weight gain, the main points that improved by nursing intervention were as follows: air bubbles removing before injecting using the insulin syringe, frequently change site of injections, before injection keep insulin vial at room temperature at least for 15 minutes, and disposal of used needles in a safety box at home, the only statistical difference between knowledge and practice was after one week of intervention among study group. Conclusions: The study concluded that the knowledge regarding insulin injection and self-administration of insulin practice after the nursing intervention were increased which is related to the effectiveness of the nursing intervention.

Reducing potential errors associated with insulin administration: An integrative review

“…Each of these studies used an intensive training intervention that included: (a) proper injection technique, (b) accurate site rotation to non‐LH sites to enable safer correct rotation and (c) switching to a 4 mm pen needle to reduce the size of LH. Reduction in the frequency of injections into LH sites, performing the ideal injection technique, not reusing needle and using 4 mm pen needle were reported among the patients following an educational/training intervention 28,29,33,34 . Moreover, by correctly rotating their injection sites, patients reduced their total daily insulin dosage and average A1C 28,33 .…”

“…Moreover, 100% of participants in the intervention group reported changing to 4 mm pen needles after exposure to an instructional video about insulin self‐administration 33 . Effective insulin self‐administration was guided by the demonstration and redemonstration of correct procedures 34 . The teach‐back method was effective in improving the knowledge and skills of participants in the interventional group.…”

“…33 Effective insulin self-administration was guided by the demonstration and redemonstration of correct procedures. 34 The teach-back method was effective in improving the knowledge and skills of participants in the interventional group. These intervention group participants reported rotating their injection sites and disposing of their used needles in an appropriate receptacle.…”

“…Reduction in the frequency of injections into LH sites, performing the ideal injection technique, not reusing needle and using 4 mm pen needle were reported among the patients following an educational/training intervention. 28,29,33,34 Moreover, by correctly rotating their injection sites, patients reduced their total daily insulin dosage and average A1C. 28,33 Moreover, 100% of participants in the intervention group reported changing to 4 mm pen needles after exposure to an instructional video about insulin self-administration.…”

Effectiveness of Diabetes Community Sharp Disposal Education Module in Primary Care: An Experimental Study in North-East Peninsular Malaysia

“…This locally adapted module with user-friendly instruments helped diabetic patients to absorb the information and thus resulted in a better understanding of it [14,40,41]. On top of that, the intervention session was conducted face-to-face between the researcher and the patients, which further enhanced the two-way communication [14,21,42]. This would explain the increment in the knowledge level of participants in this study.…”