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

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, f...

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Main Authors: Ramesh Sharma Poudel, Shakti Shrestha, Rano Mal Piryani, Bijaya Basyal, Kalpana Kaucha, Shital Adhikari
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2017/8648316
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author Ramesh Sharma Poudel
Shakti Shrestha
Rano Mal Piryani
Bijaya Basyal
Kalpana Kaucha
Shital Adhikari
author_facet Ramesh Sharma Poudel
Shakti Shrestha
Rano Mal Piryani
Bijaya Basyal
Kalpana Kaucha
Shital Adhikari
author_sort Ramesh Sharma Poudel
collection DOAJ
description 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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spelling doaj-art-3234e6980e8d4dc49f8042f30de935152025-08-20T02:07:41ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/86483168648316Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary StudyRamesh Sharma Poudel0Shakti Shrestha1Rano Mal Piryani2Bijaya Basyal3Kalpana Kaucha4Shital Adhikari5Hospital Pharmacy, Chitwan Medical College Teaching Hospital, Chitwan, NepalDepartment of Pharmacy, Shree Medical and Technical College, Chitwan, NepalDepartment of Internal Medicine, Chitwan Medical College Teaching Hospital, Chitwan, NepalHospital Pharmacy, Chitwan Medical College Teaching Hospital, Chitwan, NepalHospital Pharmacy, Chitwan Medical College Teaching Hospital, Chitwan, NepalDepartment of Internal Medicine, Chitwan Medical College Teaching Hospital, Chitwan, NepalIntroduction. 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.http://dx.doi.org/10.1155/2017/8648316
spellingShingle Ramesh Sharma Poudel
Shakti Shrestha
Rano Mal Piryani
Bijaya Basyal
Kalpana Kaucha
Shital Adhikari
Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
Journal of Diabetes Research
title Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
title_full Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
title_fullStr Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
title_full_unstemmed Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
title_short Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study
title_sort assessment of insulin injection practice among diabetes patients in a tertiary healthcare centre in nepal a preliminary study
url http://dx.doi.org/10.1155/2017/8648316
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