Insulin therapy: the reuse of disposable syringes by diabetic patients

Wisnesky, Uirá Duarte; Azevedo, Suely Lopes de; Braga, André Luiz de Souza; Carvalho, Cristiane Albuquerque de; Cunha, Maria Amália de Lima Cury

doi:10.6006/perspectmed.20140201.2051128868

Cited by 1 publication

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“…(10) This dependence, which is frequently observed in clinical practices, means a lack of competence for self-care, represented by factors like reduced visual acuity, commitment of motor function, lack of compliance with medication treatment and particularities of the insulin syringe. (1,(10)(11)(12) The percentage of patients and caregivers who prepared insulin doses and revealed reduced near visual acuity in this study was similar to the findings in a study involving a population of elderly diabetes mellitus patients. (7,13) A study has shown that patients on insulin aspire a dose different from the prescription due to difficulties to see the quantity of the drug in the syringe.…”

Section: Discussionsupporting

confidence: 86%

Acuidade visual no manejo do diabetes mellitus: preparo da dose de insulina

et al. 2017

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Objective: To assess the near visual acuity of people who prepare insulin doses. Methods: Cross-sectional study developed at 20 Primary Health Care services between April 2013 and January 2015. The convenience sample consisted of 65 diabetes mellitus patients and 35 caregivers responsible for preparing the insulin dose. A form was used with sociodemographic and clinical variables and the Jaeger eye chart. Results: The near visual acuity in the preparation of insulin doses was 40% lower in the patients and 20% in the caregivers. A statistically significant association was found between reduced near visual acuity and economic class (p=0.032) and age range (p=0.024) for patients, and reduced near visual acuity and age (p=0.024) for caregivers. Conclusion: The near visual acuity was compromised and specific protocols need to be constructed for use in Primary Health Care. ResumoObjetivo: Avaliar a acuidade visual para perto das pessoas que preparam doses de insulina. Método: Estudo transversal, realizado em 20 Unidades Básicas de Saúde, no período de abril de 2013 a janeiro de 2015. A amostra por conveniência foi constituída por 65 pacientes com diabetes mellitus e 35 cuidadores responsáveis pelo preparo da dose de insulina. Utilizou-se um formulário contendo variáveis sociodemográficas e clínicas, e o cartão de Jaeger. Resultados: A acuidade visual para perto no preparo de doses de insulina estava diminuída em 40% nos pacientes e 20% nos cuidadores. Houve associação estatisticamente significante entre acuidade visual para perto diminuída e classe econômica (p=0,032) e faixa etária (p=0,024) para pacientes, e acuidade visual para perto diminuída e idade (p=0,024) para os cuidadores. Conclusão: A acuidade visual para perto esteve comprometida e há necessidade de construção de protocolos específicos que possam ser utilizados na Atenção Primária.

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