Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

Stacciarini, Thaís Santos Guerra; Pace, Ana Emília; Haas, Vanderlei José

doi:10.1590/s0104-11692009000400007

Cited by 17 publications

(19 citation statements)

References 9 publications

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“…The amount of information given to a patient when initiating insulin likely results in an inability to retain all of the information taught. A cross-sectional study that aimed to identify the most common incorrect self-administration techniques for insulin found that 21% of participants reported a lack of knowledge of the steps involved in insulin administration: on average, 61% of the steps were performed correctly [17]. Additionally, the Insulin Injection Technique Questionnaire developed by De Coninck et al was used to query patients on how they inject insulin.…”

Section: Discussionmentioning

confidence: 99%

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

et al. 2017

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Insulin is a high-alert medication in both inpatient and outpatient settings. Insulin can cause significant harm when administered in error. Despite advancements in insulin pen technology, errors in the administration technique remain an issue. Although various factors can contribute to administration errors, lack of education on how to operate these devices is one of the most common reasons they occur. As such, the mechanical technique used by the patient needs to be continually assessed in order to reinforce education where needed. We describe three unique patient cases that depict incorrect administration techniques when using pen devices and the consequences that could have resulted from these errors. These cases involve the use of a syringe instead of a pen needle, injecting without removing the inner cap, and dialing the pen back down instead of pushing the plunger. Although pen devices are relatively simple to use, this article reinforces the need for continual assessment of and education about insulin administration. The teach-back method is an approach that can be used to assess a patient’s technique and re-educate them at every available opportunity to reduce the risk of administration errors, which can result in complications and hospitalizations.

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Section: Discussionmentioning

confidence: 99%

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

et al. 2017

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“…(3,4,15,16) In this sense, the process undertaken resulted in a valid, reliable, replicable, comprehensible, brief and easily applicable scale. Thus, the present study contributes towards the Brazilian Unified Health System's proposals for primary health care and health promotion, especially among DM patients.…”

Section: Discussionmentioning

confidence: 99%

Tradução, adaptação e validação de uma escala para o autocuidado de portadores de diabetes mellitus tipo 2 em uso de insulina

Stacciarini

Pace

2014

Acta paul. enferm.

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Objective: Translate, adapt and validate the Appraisal of Self-care Agency Scale-Revised (ASAS-R) for Brazil. Methods: A descriptive method for adapting measurement instruments was used with 150 diabetes mellitus patients. The instrument underwent translation, synthesis of independent translations, evaluation by a committee of judges, back-translation and submittal of back-translation to original authors, semantic validation, submittal of the adapted version to original authors, and pretesting. Results: The ASAS-R maintained semantic, cultural and conceptual equivalence. Cronbach's alpha was 0.74; the intraclass correlation coefficient for test-retest reliability was 0.81; and interobserver agreement was 0.84. Conclusion: The Brazilian-Portuguese version maintained conceptual, semantic and cultural validity, as compared to the original version. In the discriminant validity, there was correlation between capacity for selfcare, depression and perceived health, but not social support. There were significant differences between groups regarding age, education levels and insulin self-application. ResumoObjetivo: Traduzir, adaptar e validar a escala Appraisal of Self Care Agency Scale-Revised (ASAS-R) para o Brasil. Métodos: Utilizou-se o método descritivo de adaptação de instrumentos de medidas, em 150 portadores de diabetes mellitus. As etapas foram: tradução, síntese das traduções independentes, avaliação pelo Comitê de Juízes, retrotradução, submissão das versões retrotraduzidas aos autores da versão original, validação semântica, submissão da versão adaptada aos autores da versão original e pré-teste. Resultados: ASAS-R manteve as equivalências semântica, cultural e conceitual. O alfa de Cronbach foi de 0,74, e o coeficiente de correlação intraclasse, no teste e reteste, foi de 0,81, e na análise interobservadores, de 0,84. Conclusão: A versão manteve as equivalências conceitual, semântica e cultural. Confirmou-se a correlação entre os construtos capacidade de autocuidado, depressão e percepção do estado de saúde, exceto apoio social. Na validade discriminante, observaram-se diferenças significantes entre grupos, quanto à idade, escolaridade e autoaplicação de insulina.

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“…This understanding is important to assessing the self-care ability of people with chronic diseases, especially diabetes mellitus , which is a condition that requires great responsibility and commitment, especially from those taking insulin 2 - 4 , to carry on with the therapeutic regimen that includes behavioral modification of daily activities 5 . From this perspective, assessing an individual’s personal ability to perform self-care has been widely studied to highlight the individual’s performance in preventing and managing diabetes mellitus 4 , 6 - 8 .…”

Section: Introductionmentioning

confidence: 99%

Confirmatory factor analysis of the Appraisal of Self-Care Agency Scale - Revised

Stacciarini

Pace

2017

Rev. Latino-Am. Enfermagem

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Objective:to analyze the factor structure of the Appraisal of Self-Care Agency Scale-Revised (ASAS-R), adapted for Brazil. Method:methodological study conducted with 150 individuals with diabetes mellitus cared for by the Family Health Strategy, most of whom are elderly with low educational levels. The test of the hypothesis concerning the confirmatory factor composition of the ASAS-R was performed using latent variables structural equations. Results:the model’s goodness-of-fit indexes were satisfactory (χ2 = 259.19; χ2/g.l = 2.97, p < 0.001; GFI = 0.85; RMR = 0.07; RMSEA = 0.09); the factor loads were greater than 0.40; and most item-to-factor-correlations presented moderate to strong magnitude (0.34 to 0.58); total alpha value was 0.74, while the alpha of the three factors were 0.69, 0.38 and 0.69, respectively. Conclusion:the scale’s factor structure presented satisfactory validity and reliability results, with the exception of one factor. Application of this scale to samples of the general population is desirable in order to strengthen analyses of internal consistency and the dimensionality of the factor structure. This study is expected to contribute to further studies addressing the self-care agency construct and the development of the ASAS-R.

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Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

Cited by 17 publications

References 9 publications

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

Errors in the Administration Technique of Insulin Pen Devices: A Result of Insufficient Education

Tradução, adaptação e validação de uma escala para o autocuidado de portadores de diabetes mellitus tipo 2 em uso de insulina

Confirmatory factor analysis of the Appraisal of Self-Care Agency Scale - Revised

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