Data on insulin therapy refusal among type II diabetes mellitus patients in Mashhad, Iran

Mostafavian, Zahra; Ghareh, Sahar; Torabian, Farnaz; Yazdi, Mohammad Sarafraz; Khazaei, Mahmood Reza

doi:10.1016/j.dib.2018.04.136

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…The fear of insulin injection and puncturing for glucose measurement leads to a problem in starting diabetes treatment [30][31][32][33][34]. In the study of Rubin et al [35] investigating the problems in insulin treatment, 20% of the patients were found to experience anxiety due to injection, 37% were found to have injectionrelated pain.…”

Section: Discussionmentioning

confidence: 99%

Association between accepting the illness and effective insulin administration in patients with type 2 Diabetes Mellitus

BİNAY¹,

Aştı²

2021

Preprint

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Purpose To investigate the association between individual, disease-related and care-related properties of the individuals and their accepting the disease, and effective insulin administration. Methods 103 diabetic patients were included in the study. The Acceptance of Illness Scale (AIS) and the Diabetes Fear of Injecting and Self-Testing Questionnaire (D-FISQ) were used for the data collection. The data were analyzed using the descriptive statistics. Results The Cronbach alpha was 0.96 for AIS, 0.95 for fear of self-injecting (FSI), 0.80 for fear of self-testing (FST) and 0.85 for total D-FISQ. A negative association was determined between the AIS score, and FSI, FST, total D-FISQ; a positive statistically significant association was found between the FSI score and FST, total D-FISQ scores and between FST and the total D-FISQ scores. The FSI score was found to be higher among females; the AIS scores of the patients who were not measuring the plasma glucose before insulin injection were found to be higher; the FSI scores of the patients who received help for insulin injection were found to be higher. Conclusion Accepting the disease affects an effective insulin administration behavior. Hence, nursing care and education of the individuals should be planned and implemented so as to improve the acceptance level of diabetes.

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Section: Discussionmentioning

confidence: 99%

Association between accepting the illness and effective insulin administration in patients with type 2 Diabetes Mellitus

BİNAY¹,

Aştı²

2021

Preprint

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“…Numerous studies have explored potential factors associated with insulin refusal in patients with diabetes prior to insulin therapy 11,14–16. Mostafavian et al11 showed lower rates of adherence among females, patients with lower educational level, single patients, and patients with more than 1 year of diabetes duration . Similarly, our findings revealed that education level had a significant association with willingness to use insulin.…”

Section: Discussionmentioning

confidence: 99%

“…One of the main barriers against initiating insulin therapy is psychological insulin resistance among patients 10. In Mostafavian et al's study,11 the most prevalent challenges against insulin therapy in poorly controlled T2DM patients were the pain of insulin injection (78.2%) and fear of injecting oneself with a needle (74.5%) . Mirahmadizadeh et al12 revealed that the patients’ main concerns about insulin therapy were insurance coverage, illiteracy, nondiabetic regimens, misconceptions about insulin therapy, and fear of insulin injection…”

Section: Introductionmentioning

confidence: 99%

<p>The barriers against initiating insulin therapy among patients with diabetes living in Yazd, Iran</p>

Pour¹,

Sadeghiyeh²,

Hadavi³

et al. 2019

DMSO

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Introduction The decision to start insulin therapy is often difficult. Determining the barriers against insulin therapy initiation can facilitate care and treatment strategies. The aim of this study was to evaluate the barriers against initiating insulin therapy among patients with diabetes living in Yazd, Iran. Methods This descriptive study was conducted on 214 patients referred to the Diabetes Center of Yazd University of Medical Sciences in 2015. Participants were randomly selected, and then they completed the insulin noncompliance questionnaire (20 questions). The percentage of adherence and the factors contributing to nonadherence to insulin therapy were analyzed using descriptive statistics, the Kruskal–Wallis test, and the Mann–Whitney test. Results The most prevalent reason for insulin therapy refusal was expecting a new method of diabetes treatment (54.7%), followed by requiring someone else to administer the injection (19.2%), fear of needles, cost, traveling (18.7%), and stress/emotional problems (18.2%). Lack of trust in the physician was the least restrictive reason for nonadherence to insulin therapy. Conclusion The most common reason given for insulin therapy refusal was the lack of adequate education. Therefore, specialized educational interventions can help minimize barriers and improve patients’ outcomes.

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“…When the scale is scored, positive items are scored in reverse. The sum of the four positively expressed items (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) provides the positive evaluation sub-dimension while the sum of 16 negatively expressed items (16-80) provides the negative evaluation sub-dimension. Total scale score is obtained by adding the 16 items with negative expressions and the four items with positive expressions after they are reversed.…”

Section: Data Collectionmentioning

confidence: 99%

“…[12,13] Patients may be resistant to insulin use due to reasons such as pain, hypoglycemia, accelerated weight gain, feelings of inadequacy and ineffectiveness in individuals as a result of decreased independence, and feelings of embarrassment in the community related to using insülin. [14][15][16] The sooner diabetes management training is initiated, the lower will be the rate of complications and associated mortality. It has been observed that diabetic patients spend their lives more comfortably, acquire self-efficacy and enjoy a higher quality of life with successful symptom management.…”

Section: Introductionmentioning

confidence: 99%

Yoğun Bakima Yatan Ti̇p 2 Di̇yabetli̇ Hastalarin İnsüli̇ne Karşi Algilari İle Di̇yabet Öz Yöneti̇mleri̇ Arasindaki̇ İli̇şki̇ni̇n İncelenmesi̇

İSMAİLOĞLU

TİMUÇİN²

2022

Journal of Contemporary Medicine

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This study aimed to determine the level of perception of insulin and diabetes symptom management of patients with Type 2 diabetes who received inpatient treatment in intensive care. Material and Method:This descriptive study was conducted in the Internal Medicine and Anesthesia Intensive Care units of a state hospital during the period of December 01, 2020 and March 31, 2021. The sample of the study was composed of 100 voluntary patients who used insulin. Research data were collected via the Patient Introduction Form, Diabetes Self-Management Questionnaire and the Insulin Treatment Appraisal Scale. Written permission was obtained from ethics committee and patients. The data analysis consisted of arithmetic mean, number, percentage, Spearman's Correlation, Mann Whitney U and Kruskal Wallis tests. Results:The average age of the patients was 44.57±14.8, 52% were female, 72% were single. The mean duration of insulin use was 2.8±1.17 years. Patients' Insulin Treatment Appraisal positive and negative item subscale mean scores were 12.56±3.43 and 48.18±12.09, respectively. Patients' mean Diabetes Self-Management Questionnaire total score was 4.07±1.74 (range: 0.62-8.75). There was a significant difference between the marital status, education level, existence of chronic disease and complications, regular use of insulin and Diabetes Self-Management Questionnaire and Insulin Treatment Appraisal Scale scores. Conclusion:Patients have a high negative perception towards insulin use and their diabetes self-management is below the average. There was a high level of negative correlation between patients' negative insulin perception and glucose management and diet control sub-dimensions of their diabetes self-management. Accordingly, it is recommended to plan individual or group trainings in order to raise awareness about diabetes self management and patients' insulin treatment.

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Data on insulin therapy refusal among type II diabetes mellitus patients in Mashhad, Iran

Cited by 5 publications

References 2 publications

Association between accepting the illness and effective insulin administration in patients with type 2 Diabetes Mellitus

Association between accepting the illness and effective insulin administration in patients with type 2 Diabetes Mellitus

<p>The barriers against initiating insulin therapy among patients with diabetes living in Yazd, Iran</p>

Yoğun Bakima Yatan Ti̇p 2 Di̇yabetli̇ Hastalarin İnsüli̇ne Karşi Algilari İle Di̇yabet Öz Yöneti̇mleri̇ Arasindaki̇ İli̇şki̇ni̇n İncelenmesi̇

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