Investigation of the barriers about insulin therapy in patients with type 2 diabetes

Soylar, Pınar; Kadioğlu, Bircan Ulaş; Kılıç, Korhan

doi:10.4103/njcp.njcp_138_19

Cited by 13 publications

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“…On the negative side, around half of the patients reported that they believe that regular use of insulin leads to addiction as they associate needles with drug abuse, and when they stop using insulin, they experience discomfort. This was similar to a Turkish study [ 35 ] and higher than a study conducted in Ethiopia [ 36 ], where half of the patients and only 7.3% reported that they believe that regular use of insulin leads to addiction respectively. On the other hand, only 14.5% of the pharmacists believed that insulin could cause addiction.…”

Section: Discussionsupporting

confidence: 88%

Knowledge, attitude, and practice of insulin among diabetic patients and pharmacists in Egypt: “cross-sectional observational study”

Mohamed,

Abbassi,

Sabry

2024

BMC Med Educ

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Background Diabetes recently has been identified as a growing epidemic. Although insulin’s vital role in both types of diabetes, it is considered one of the harmful medications if used incorrectly. In Egypt, effective usage of insulin remains a challenge due to insufficient knowledge of insulin and diabetes management, leading to errors in insulin therapy. As pharmacists are experts in pharmacological knowledge, they are uniquely situated to assess adherence to treatment regimens, the effect of drug therapy, or potential alterations in drug therapy to meet patient goals. To provide effective patient education and counseling, community pharmacists in Egypt should be efficiently knowledgeable about diabetes and insulin. Objective To identify the knowledge, attitude, and practice of pharmacists and patients about insulin. To identify pharmacists’ educational preparedness and confidence in counseling diabetic patients. Methods A descriptive, cross-sectional study was conducted with two knowledge, attitude, and practice surveys. This study was carried out from September 2016 to February 2023. Face-to-face interviews were conducted with patients, and a paper-based questionnaire was administered to pharmacists. The two questionnaires were adapted from previous studies. Results A total of 492 patients and 465 pharmacists participated in this study. The mean knowledge score of correct answers among patients and pharmacists was 10.67 ± 1.9 and 15 ± 3.6. Most of the patients and pharmacists had a positive attitude regarding insulin’s role in improving health and to better control blood glucose. On the negative side, around half of the patients reported that they believe that regular use of insulin leads to addiction, while only 14.5% of the pharmacists believed that insulin could cause addiction. Self-confidence scores for pharmacists differed statistically with sex, years of experience, and pharmacist’s direct exposure to diabetic patients. Conclusions This study uncovers considerable deficiencies in patients’ and pharmacists’ knowledge about insulin therapy. This study also strongly recommends higher education and a more structured pharmacist training schedule.

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Section: Discussionsupporting

confidence: 88%

Knowledge, attitude, and practice of insulin among diabetic patients and pharmacists in Egypt: “cross-sectional observational study”

Mohamed,

Abbassi,

Sabry

2024

BMC Med Educ

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“…MB can seriously affect patient medication adherence, adverse event rates, readmission rates, prolonged hospital stays and reduced physical function ( 38 , 39 ), as well as increasing the risk of falls, frailty, and patient mortality ( 40 ). At the same time, older patients with diabetes or chronic co-morbidities are more likely to develop various psychological problems during long-term multiple medication use ( 41 ), such as negative emotions such as anxiety, distress, worry and depression ( 42 ).…”

Section: Introductionmentioning

confidence: 99%

The relationship between psychological resilience and depression among the diabetes patients under the background of “dynamic zero COVID-19”: the mediating role of stigma and the moderating role of medication burden

Mei,

Yang,

Gui

et al. 2023

Front. Public Health

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ObjectiveDepression in diabetes patients is caused by their own disease or the surrounding social environment. How to cope with changes in mentality and adjust psychological stress responses, especially under China’s dynamic zero COVID-19 policy, is worth further discussion. The researchers constructed a moderated mediation model to test the effect of psychological resilience during dynamic zero COVID-19 on depression in diabetes patients and the mediating role of stigma and the moderating effect of medication burden.MethodFrom June to September, 2022, data were collected in Jinghu District, Wuhu City, Anhui Province, by multi-stage stratified sampling. Firstly, we selected a tertiary hospital randomly in Jinghu District. Secondly, departments are randomly chosen from the hospital. Finally, we set up survey points in each department and randomly select diabetes patients. In addition, we used the Connor-Davidson Elasticity Scale (CD-RISC) to measure psychological resilience of patients, and used the Stigma Scale for Chronic Illness (SSCI) to measure stigma, medication burden was measured by the Diabetes Treatment Burden Scale (DTBQ), and depression was assessed by the Patient Health Questionnaire-9 (PHQ-9). We used SPSS (version 23.0) and PROCESS (version 4.1) for data analysis.Results(1) Psychological resilience was negatively correlated with stigma, medication burden, and depression. Stigma was positively associated with medication burden and depression. Medication burden and depression are positively correlated, (2) The mediation analysis showed that psychological resilience had a direct predictive effect on depression, and stigma partially mediated the relationship, and (3) Medication burden moderates the direct pathway by which psychological resilience predicts depression; Medication burden moderates the first half of “psychological resilience → stigma → depression.”ConclusionUnder the mediating effect of stigma, psychological resilience can improve depression. Medication burden has a moderating effect on the relationship between psychological resilience and depression, and it also has a moderating effect on the relationship between psychological resilience and stigma. These results facilitate the understanding of the relationship mechanisms between psychological resilience and depression.

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Relationship between perceived social stigma and diabetes self-care activities in Iranian participants with type 1 diabetes

Mahdilouy

Ziaeirad

2021

J Diabetes Metab Disord

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Investigation of the barriers about insulin therapy in patients with type 2 diabetes

Cited by 13 publications

References 0 publications

Knowledge, attitude, and practice of insulin among diabetic patients and pharmacists in Egypt: “cross-sectional observational study”

Knowledge, attitude, and practice of insulin among diabetic patients and pharmacists in Egypt: “cross-sectional observational study”

The relationship between psychological resilience and depression among the diabetes patients under the background of “dynamic zero COVID-19”: the mediating role of stigma and the moderating role of medication burden

Relationship between perceived social stigma and diabetes self-care activities in Iranian participants with type 1 diabetes

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