International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 10, Issue 2, pp: (115-120), Month: October 2022 - March 2023, Available at: www.researchpublish.com
A STUDY TO EVALUATE THE SELF CARE PRACTICE ON INSULIN USAGE & ADMINISTRATION TECHNIQUES AMONG DIABETIC PATIENTS 1
*Cecyli.C, 2A. Atchaya,3P. Aravindhan
1*
M.Sc. Nursing, Clinical Instructor, Department of Medical and Surgical Nursing,
2,3
B.Sc.(N) Final year student, Saveetha College of Nursing, SIMATS, Chennai, India. Saveetha College of Nursing, SIMATS, Thandalam, Chennai, Tamil Nadu, India. DOI: https://doi.org/10.5281/zenodo.7270515
Published Date: 01-November-2022
Abstract: Introduction: Diabetes poses long-term risks to individuals and their families. In both inpatient and outpatient settings, insulin is a high-alert drug. When given incorrectly, insulin can have serious negative effects. Objectives: The goal of this study was to assess the selfcare practice on insulin usage and administration techniques among diabetic patients. Methods: Diabetic individuals from the village of Kondancherry who matched the inclusion criteria and were recruited using an appropriate Convenient sampling method. Data were gathered utilising self-structured checklist and observation (demonstration) method. Result: Consequently, 57 (57%) of the 100 diabetics studied did not practice appropriate insulin self-care. Regarding the use of insulin, 59 (59%) of users had not taken note of the substance's physical characteristics, and 75 (75%) had not cleansed the injection site. 82 (82%) had not frequently changed the skin site for insulin injection. 75 (75%) had not disposed of the used needles or syringe in a safety box. 68% had not checked the insulin expiry date before using insulin. Only two demographic factors, education and residence had statistically significant relationships with selfcare practice on administration (p<0.001 level, respectively). Conclusion: It is crucial to administer insulin correctly since using the wrong approach might result in hyperglycaemic crisis or severe hypoglycaemia, both of which require trips to the emergency department (ED). Despite these advancements, it is still necessary to evaluate how patients use them in order to pinpoint areas where education needs to be strengthened. Keywords: Self-care practice, Insulin Usage, Insulin Administration techniques, Diabetic Patients.
1. INTRODUCTION Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both.[1] Hyperglycemia occurs when fasting blood glucose is greater than 125 mg/dL or greater than 180 mg/dL 2 hours after a meal[2]. Type 1 diabetes is caused by a complete lack of insulin secretion. Serological evidence and genetic markers of pathological autoimmune processes occurring in pancreatic islets are often used to identify individuals who are likely to develop this type of diabetes. Type 2 diabetes, which is more common, is caused by both resistance to insulin action and an inadequate compensatory insulin secretory response[3]. Type 1 diabetes, which usually has a childhood onset, and type 2 diabetes, which often has an adult onset but gradually develops in childhood and adolescence. Both types of diabetes can damage the heart, blood vessels, eyes, kidneys and nerves, increasing the overall risk of disability and earlydeath[4].Globally, between the ages of 20 and 79 of people (463 million) had diabetes in 2019. The number of people with diabetes is projected to increase by 10.2% (578 million people) by 2030, with more than threequarters (79.4%) living in lower and middle-income countries[5]. Each year, diabetes is reported to be the cause[6].An
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