Impact of pharmacist insulin injection re-education on glycemic control among type II diabetic patients in primary health clinics

Selvadurai, Sivapalan; Cheah, Kit Yee; Ching, Min Wei; Kamaruddin, Hanisah; Lee, Xiao You; Ngajidin, Radhiatul Mardhiyah; Lee, Xian Hui; Ali, Lina Mariana Mohd

doi:10.1016/j.jsps.2021.04.028

Cited by 11 publications

(4 citation statements)

References 25 publications

(27 reference statements)

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“…Some of the studies in the systematic reviews showed that better outcome could be achieved by manage the patients' adherence [12]. Counselling and re-education for insulin injection can be provided to the T2DM patients to increase their adherence and improving the HbA1C [13]. The other systematic review and meta-analysis also stated that psychological intervention may be provided to the T2DM patients to improve patients' adherence and to lower HbA1C, beside telecare and educational interventions [14].…”

Section: Resultsmentioning

confidence: 99%

Impact of Adherence on Treatment Outcomes in Diabetic Patients

Perwitasari

Dania

Faridah

et al. 2022

Kme

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Diabetes mellitus is still a burden in Indonesia. Failure of treatment may cause the worsening of this disease. This study aimed to define the association between patient adherence and treatment outcomes. We used a cross-sectional design with data from a public hospital in Java. We collected the patients’ characteristics, medical treatments and treatment outcomes from their medical records. The inclusion criteria were adult diabetes mellitus patients without any comorbidities or complications and using antidiabetic medicine (oral and/or injection). The patients’ adherence was assessed using the MARS questionnaire. We recruited 167 subjects from the hospital. Most of the subjects were male (60.0%), the average age was 60.47 (SD: 10.80), 43.7% had single treatment and 50.3% did not adhere. 58.7% subjects had uncontrolled fasting blood glucose (FBG) and 86.6% subjects had uncontrolled HbA1C. After adjusting for subjects’ characteristics, there was a significant association between FBG and adherence. Adherence may increase FBG by as much as 1.95 times (95% CI: 1.04- 3.65). We also found a significant association between adherence and the treatment outcome. Thus, we recommend that health care for diabetes mellitus patients must be complemented with education to increase adherence and improve outcomes. Keywords: diabetes, adherence, treatment outcomes

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Section: Resultsmentioning

confidence: 99%

Impact of Adherence on Treatment Outcomes in Diabetic Patients

Perwitasari

Dania

Faridah

et al. 2022

Kme

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“…According to the results of our study, illiterate participants had a higher negative risk perception of insulin therapy ( p < .001; Table 3). Some studies in the literature have indicated that education affects negative attitudes and perceptions of insulin therapy (Batais & Schantter, 2016; Brod et al, 2009; Saleem et al, 2016; Sürücü et al, 2017; Wong et al, 2011), whereas others have stated the opposite (Ayanoğlu, 2020; Chen et al, 2011; Polat et al, 2017; Selvadurai et al, 2021). In our study, it was determined that housewives had a higher negative risk perception of insulin therapy ( p < .001; Table 3).…”

Section: Discussionmentioning

confidence: 99%

Risk perceptions of patients with type 2 diabetes mellitus regarding insulin therapy and diabetes complications: A cross‐sectional study

Sağlam

Bektaş

2023

Journal of Clinical Nursing

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Aims: This study was conducted to determine the risk perceptions of patients with type 2 diabetes mellitus (T2DM) regarding insulin therapy and diabetes complications.Background: Self-care behaviour is an important requirement for managing T2DM, and risk perceptions are thought to play a key role in this behavioural process. It is predicted that an accurate risk perception will contribute to diabetes management and the reduction in diabetes-related complications.Design: This study was conducted as cross-sectional and a descriptive study. The STROBE checklist was used. Methods:The study was conducted with 330 patients with T2DM who presented to the endocrinology outpatient clinic of the Eskisehir City Hospital between October 2020 and May 2021. A personal information form, the Insulin Treatment Appraisal Scale and the Risk Perception Survey-Diabetes Mellitus were used to collect data. The SAS 9.4 software package was used for the statistical analysis. Data were evaluated using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test and the Spearman correlation analysis.Results: It was determined that 62.4% of the patients with T2DM participating in the study were female, the mean age was 56.7 ± 9.1 years, 50.6% were primary school graduates, 31% used oral antidiabetic medications, and 58.7% used insulin together with oral antidiabetic drugs. The mean score of participants on the total Insulin Treatment Appraisal Scale was 75.1 ± 11.5, and the level of negative perceptions towards insulin use was found to be high. The participants' mean score on the total Risk Perception Survey-Diabetes Mellitus was 3.9 ± 0.8, and it was found that they had high levels of risk perceptions of diabetes complications. There was a moderate, statistically significant negative correlation between the Insulin Treatment Appraisal Scale and the Risk Perception Survey-Diabetes Mellitus. Conclusion:Patients with perceptions of a lower risk for diabetes complications had more negative attitudes towards insulin therapy. It is recommended to determine the risk perceptions of patients with T2DM and to plan appropriate nursing interventions that can increase their positive perceptions and change their negative perceptions so that they can make healthy behaviour changes. Additionally, it is recommended

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“…However, providing education and feedback to patients can significantly improve their injection technique and diabetes management [ 9 – 12 ]. Better access to education resources is necessary to enhance diabetes control and outcomes [ 13 – 16 ]. For instance, the latest Forum for Injection Technique (FIT) recommendations were developed in Canada in 2020 as a blueprint for best practice in injection technique for all diabetes care providers [ 6 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes

Bari,

Corbeil,

MacNeill

et al. 2023

Diabetes Ther

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Introduction Proper insulin injection technique is important for optimal glycaemic control, yet patients with diabetes often inject insulin incorrectly. Previous studies identified common errors in insulin injection in Canada, and this article seeks to evaluate the current insulin injection technique practices among patients and explore the effectiveness of feedback and education in improving their technique. Methods The study recruited 147 patients and 16 physicians across Canada to gather insights into current insulin injection practices and education gaps. Eligible patients were people living with diabetes who inject insulin using an insulin pen and pen needles. Eligible physicians, who were unsupported by diabetes educators, completed a practice assessment survey and selected 10 eligible patients to complete a baseline assessment survey. During the patient visit, if an error in the patient’s technique was identified, a pop-up knowledge transfer (KT) prompt would appear, providing feedback and information on best practices at the point of care. Follow-up surveys were completed 1–3 months later. Results Physicians reported facing barriers to providing education and feedback, including lack of time and personnel, and lack of effective educational material. Patients demonstrated modest improvements in some injection technique domains at their follow-up visit, including injection force factors, time the needle was held in the skin, pen needle reuse, injection area size, and injection angle. The most common initial mistakes by patients were selecting an area smaller than recommended and not paying attention to the injection force. At the second visit, patients reduced an average of one error in their injection technique. Conclusion Results showed that basic feedback by their physician during one visit could exert moderate improvements on patients’ injection technique. Proper injection technique is critical for diabetes management, and incorporating targeted ongoing education and support can significantly enhance physician practices, ultimately reducing risks and improving outcomes. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-023-01479-1.

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Impact of pharmacist insulin injection re-education on glycemic control among type II diabetic patients in primary health clinics

Cited by 11 publications

References 25 publications

Impact of Adherence on Treatment Outcomes in Diabetic Patients

Impact of Adherence on Treatment Outcomes in Diabetic Patients

Risk perceptions of patients with type 2 diabetes mellitus regarding insulin therapy and diabetes complications: A cross‐sectional study

Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes

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