scholarly journals Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of patients in Ethiopian primary hospitals

2019 ◽  
Author(s):  
Adeladlew Kassie Netere ◽  
Eyayaw Ashete ◽  
Eyob Alemayehu Gebreyohannes ◽  
Sewunet Admasu Belachew
Keyword(s):  
Insulin Therapy ◽  
Educational Status ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Knowledge ◽  
Insulin Storage ◽  
Structured Questionnaire

Abstract Background: Diabetes mellitus is a group of metabolic disorders and resulting from deficits in insulin secretion, insulin action, or both. Insulin therapy is primarily required to attain the recommended goal of blood sugar. The primary aim of this study was to evaluate the knowledge, skills and practices of insulin storage and injection technique of patients. Methods : An interview based cross-sectional study was conducted in conveniently selected participants in Northwest Ethiopian primary hospitals from March, 1, 2019 to May, 30, 2019. Knowledge and practice were measured by administering structured questionnaire with a Likert scale of 1–5 through face-to-face interviews and skills were assessed by five observational (demonstration) techniques from a total of 166 clients. Results: Of the total 166 participants, 54.8% were males and the mean age was 38.46±13.8 years . The overall knowledge (65.4%.) and practice (53.89%) rate on insulin storage and handling techniques were showed moderate knowledge and fair practices. About 94.6% of participants correctly shown insulin injection sites. One-way ANOVA showed that the level of education [F (3, 162) = 7.283, p<0.001], ways of instruction of insulin injection [F (2, 163) =3.32, p = 0.039], insulin therapy duration [F (3,162) = 3.59, p= 0.015] and assessing insulin storage [F (2,163) = 4.45, p = 0.013] had a significant effect on level of knowledge. Similarly, knowledge level [F (2,163) = 14.17, p < 0.001], educational status [F (3,162) = 10.57, p <0.001], occupation type [F (4,161) = 5.43, p <0.001], time since insulin therapy [F (3, 162) = 5.46, p = 0.001] and diagnosis [F (3,162) = 3.36, p= 0.02] had a significant effect on patients’ insulin storage and administration practices. Conclusion: Patient had marginal knowledge and practices on insulin storage and administration techniques. The patients’ skills on the important and critical steps of administrations are poor. The engagements of healthcare professionals and stakeholders should be in developments of instructions and guidelines are very crucial in addition to focusing on educating and changing their wrong perceptions, believes and attitudes towards storage and administering techniques.

scholarly journals Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of patients in Ethiopian primary hospitals

2019 ◽  
Author(s):  
Adeladlew Kassie Netere ◽  
Eyayaw Ashete ◽  
Eyob Alemayehu Gebreyohannes ◽  
Sewunet Admasu Belachew
Keyword(s):  
Insulin Therapy ◽  
Educational Status ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Knowledge ◽  
Insulin Storage ◽  
Structured Questionnaire

Abstract Background: Diabetes mellitus is a group of metabolic disorders and resulting from deficits in insulin secretion, insulin action, or both. Insulin therapy is primarily required to attain the recommended goal of blood sugar. The primary aim of this study was to evaluate the knowledge, skills and practices of insulin storage and injection technique of patients.Methods: An interview based cross-sectional study was conducted in conveniently selected participants in Northwest Ethiopian primary hospitals from March, 1, 2019 to May, 30, 2019. Knowledge and practice were measured by administering structured questionnaire with a Likert scale of 1–5 through face-to-face interviews and skills were assessed by five observational (demonstration) techniques from a total of 166 clients.Results: Of the total 166 participants, 54.8% were males and the mean age was 38.33±14 years. The overall knowledge (65.4%.) and practice (53.89%) rate on insulin storage and handling techniques were showed moderate knowledge and fair practices. About 94.6% of participants correctly shown insulin injection sites. One-way ANOVA showed that the level of education [F (3, 162) = 7.283, p<0.001], ways of instruction of insulin injection [F (2, 163) =3.32, p = 0.039], insulin therapy duration [F (3,162) = 3.59, p= 0.015] and assessing insulin storage [F (2,163) = 4.45, p = 0.013] had a significant effect on level of knowledge. Similarly, knowledge level [F (2,163) = 14.17, p < 0.001], educational status [F (3,162) = 10.57, p <0.001], occupation type [F (4,161) = 5.43, p <0.001], time since insulin therapy [F (3, 162) = 5.46, p = 0.001] and diagnosis [F (3,162) = 3.36, p= 0.02] had a significant effect on patients’ insulin storage and administration practices. Conclusion: Patient had marginal knowledge and practices on insulin storage and administration techniques. The patients’ skills on the important and critical steps of administrations are poor. The engagements of healthcare professionals and stakeholders should be in developments of instructions and guidelines are very crucial in addition to focusing on educating and changing their wrong perceptions, believes and attitudes towards storage and administering techniques.

scholarly journals Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of diabetic patients in Ethiopian primary hospitals

2020 ◽  
Author(s):  
Adeladlew Kassie Netere ◽  
Eyayaw Ashete ◽  
Eyob Alemayehu Gebreyohannes ◽  
Sewunet Admasu Belachew
Keyword(s):  
Insulin Therapy ◽  
Injection Site ◽  
Insulin Delivery ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Duration Of Diabetes ◽  
Knowledge Levels ◽  
Insulin Storage

Abstract Background: Insulin is an effective therapeutic agent in the management of diabetes but it is also sensitive to external environment. Consequently, diabetic patients’ adherence to insulin delivery recommendations is critical to its effectiveness. Lack of knowledge, skill, and irrational practices on appropriate insulin delivery techniques can result in therapeutic failure and increased costs of therapy. The aim of this study was to evaluate the knowledge, skills, and practices of insulin storage and injection technique of patients. Methods : An interview-based cross-sectional study was conducted in conveniently selected participants in Northwest Ethiopian primary hospitals from March 1 to May 30, 2019. Knowledge levels were assessed with right or wrong responses and practice was measured by administering a 4-point Likert scale structured questionnaire through face-to-face interviews. Finally, a five-point observational (demonstration) techniques checklist assessed patients’ skills. Results: Among 194 patients approached, 166 participants completed the survey with a response rate of 85.6 %. From these participants, 54.8% were males and the mean age was 38.46±13.8 years . The overall patients’ median knowledge and practice levels on insulin storage and handling techniques were moderately adequate (64.3%) and fair (55.4%), respectively. In patients’ skill assessments, 94.6% showed injection sites, 70% indicated injection site rotations, and 60.75% practiced injection site rotations. Education (p<0.001), duration of insulin therapy (p=0.008) and duration of diabetes (p=0.014) had a significant effect on patients’ knowledge level. Education (p<0.001), occupation (p<0.001), duration of insulin therapy (p=0.001), duration of diabetes (p=0.036) and patients’ knowledge levels (p<0.001) were found to have a significant effects on the patients’ practice level. A Mann-Whitney U test also disclosed that residency, ways to get insulin and mocked injection technique during first training had significant effects on patients’ knowledge levels. Conclusion: The current study revealed that patients had moderately adequate knowledge and fair practice levels on insulin storage and handling techniques. Moreover, patients missed important insulin administration skills. Healthcare professionals and stakeholders can play important roles in educating patients thereby improving the knowledge, practice, and administration techniques of patients.

The relationship between the level of education and accuracy of insulin injection techniques in DM patients with measurement of HbA1c values

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Anisyah Achmad ◽  
Fatchur Rohmi Latifatus Sholihah ◽  
Wanda Fenny Oktavianti ◽  
Laksmi Sasiarini
Keyword(s):  
Insulin Therapy ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Education Level ◽  
Injection Technique ◽  
Cross Sectional ◽  
Level Of Education ◽  
Injection Techniques ◽  
Relationship Of ◽  
The Relationship

AbstractBackgroundInsulin therapy is a major part of diabetes treatment. The insulin injection technique must be done accurately and needs a professional process for diabetes mellitus (DM) patients. The aim of this research is to evaluate the relationship of education level pertaining to the accuracy of insulin injection techniques through HbA1c values.MethodsWe used a cross-sectional study with sampling using a purposive technique according to the inclusion criteria: diagnosed with DM and using insulin therapy with/without a combination of oral antidiabetic drugs, having HbA1c levels of data ± 3 months from the time of study, willing to become research respondents by signing informed consent. The study was conducted by filling out the questionnaire Forum for Injection Technique and Therapy Expert Recommendation (FITTER) and interviews.ResultsFifty subjects with primary education were able to perform insulin injection techniques with 20% accuracy while subjects with secondary education level showed 14% accuracy, and higher education 2%. All of these results had HbA1c values > 6.5%. 100 % of the subjects were provided with educational resources and 78% had a care-giver at home. Statistical analysis of correlation between levels of education with the accuracy of the insulin injection technique was carried out through the Somers’ correlation test (p = 0.81, r = −0.03). This study shows there is no relationship between the level of education and the accuracy of insulin injection techniques through HbA1c values. This might occur due to several factors such as information sources and caregiver’s practice.

scholarly journals A small-scale survey to evaluating the perception of the Nipah virus in Bangladeshi rural community

2021 ◽  
Author(s):  
Shah Wajed ◽  
Muhammad Mohsinul Hoque ◽  
Arnob Biswas ◽  
Sutapa Bhowmik ◽  
Popy Devnath
Keyword(s):  
Public Awareness ◽  
Nipah Virus ◽  
Cross Sectional Study ◽  
Small Scale ◽  
Cross Sectional ◽  
Rural People ◽  
Face To Face ◽  
The People ◽  
Level Of Knowledge ◽  
Structured Questionnaire

Abstract Background Nipah virus is a zoonotic agent causing diseases with extremely high mortality rate and several outbreaks have been reported from different parts of the world. Bangladesh is one of the country having repeated Nipah outbreaks since 2001.Objective To prevent an outbreak, it is necessary to understand public awareness and knowledge about the epidemic agent. This study was aimed to determine the level of knowledge and awareness related to NiV infection and to assess the potential risk of NiV disease among the rural population of Bangladesh.Methods This cross-sectional study was conducted with the participation of 200 respondents from different villages of Bangladesh. The data were collected through face-to-face interviews in January 2021 using structured questionnaire.Results From the survey it was found that 58.5% respondent of the study unknown about the term Nipah virus. However, maximum people seem to be aware of the fact that a virus infected person should be isolated as they can spread the disease further. The awareness level of the people is classified as “very poor”, “poor”, “good” and “excellent” with a percentage of 20%, 23%, 25.5% and 31.5% respectively based on some questions. Bionomial regression analysis showed that education and government campaign were variables associated with the awareness of NiV disease.Conclusion Education and government campaigns need to be stepped up to make rural people aware about this zoonotic disease.

scholarly journals Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of patients in Ethiopian primary hospitals

2020 ◽  
Author(s):  
Adeladlew Kassie Netere ◽  
Eyayaw Ashete ◽  
Eyob Alemayehu Gebreyohannes ◽  
Sewunet Admasu Belachew
Keyword(s):  
Insulin Delivery ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Face To Face ◽  
Adequate Knowledge ◽  
Knowledge Levels ◽  
Dichotomous Outcomes ◽  
Insulin Storage

Abstract Background: Insulin is an effective drug for blood sugar controls. Nonetheless, it is very sensitive and destroyed with many external factors if not properly handled. Diabetic patients could be benefited if adhered and properly implemented insulin delivery recommendations. Lack of knowledge, skill, and irrational practices on appropriate insulin delivery techniques can result in therapeutic failure and increases costs of therapy. The primary aim of this study was to evaluate the knowledge, skills and practices of insulin storage and injection technique of patients. Methods: Interview based cross-sectional study was conducted in conveniently selected participants in Northwest Ethiopian primary hospitals from March 1, 2019 to May30, 2019. Knowledge levels were assessed with dichotomous outcomes and practice was measured by administering a 4-point Likert scale structured questionnaire through face-to-face interviews. Finally, a five-point item observational (demonstration) techniques checklist assessed patients’ skills. Results: Of the total 166 participants, 54.8% were males and the mean age was 38.46±13.8 years. The overall patients’ median knowledge and practice levels on insulin storage and handling techniques were moderately adequate (64.3%) and fair (55.4%) respectively. In patients’ skill assessments, 94.6% showed injection sites, 70% indicated injection site rotations, and 60.75% practiced injection sites rotations. Education X2(3) =18.89, p<0.001; years of insulin therapy X2(3) =11.71, p=0.008; and years of disease X2(3) =10.67, p=0.014 had a significant effect on patients’ knowledge level. Education X2(3) =25.86, p<0.001; occupation X2(4) =23.24, p<0.001; and years of disease X2(3) =15.85, p=0.001; years of disease X2(3) =8.55, p=0.036 and patients knowledge levels X2(2) =19.26, p<0.001 were found to have a significant effect on the patients’ practice level. A Mann-Whitney U test also disclosed that residency; ways to get insulin and mocked injection technique during first training had significant effects on patients’ knowledge levels. Conclusion: The current study revealed that patients’ had a moderately adequate knowledge and fair practices levels on insulin storage and handling techniques. In addition, patients demonstrated poorly the administration skills, which were critical steps. The engagements of healthcare professionals and stakeholders in developments of instructions and guidelines are as important as educating and changing the poor knowledge and administration techniques of patients.

scholarly journals Knowledge of Diabetic patients about Insulin injection technique.

2019 ◽  
Vol 26 (12) ◽  
pp. 2122-2127
Author(s):  
Muhammad Sajid Mehmood ◽  
Muhammad Wajad Munir ◽  
Wajahat Sultan Baig ◽  
Abida Mateen Ansari ◽  
Shazia Saddiq ◽  
...  
Keyword(s):  
Insulin Therapy ◽  
Urban Areas ◽  
Knowledge Score ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Injection Technique ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
Adequate Knowledge

Diabetes mellitus is leading cause of morbidity and mortality worldwide. Most of them are due to its macro and microvascular complication. Objectives: To determine the accuracy of insulin injection technique in adult diabetic patients between age of 20 to 50 years on insulin therapy for ≥02 years. Study Design: Cross sectional study. Settings: Pakistan Institute of Medical Sciences, Islamabad. Period: From March to August, 2016. Subjects: All diabetic patients between age 20 to 50 years and on insulin therapy for >02 years were enrolled in the current study. Material & Methods: A total of 260 diabetic patients fulfilling the inclusion criteria, visiting the emergency or medical OPD, who gave informed consent were enrolled. The patient′s knowledge was categorized as "Adequate" or "Inadequate" on the basis of his/her score. Data was entered and analyzed by using SPSS version 22 software. Results: The mean (±SD) age of all patients was 36.8 (± 8.5) years. Out of 260 patients, 150 (57.3%) patients were female and 138 (53.1%) lived in urban areas. Majority of patients, 141 (54.2%) received knowledge regarding insulin injection technique from doctors and 98(37.7%) received knowledge from family member or friend. Out of 260, 64 (24.6%) patients had adequate knowledge, while 196 (75.4%) patients had inadequate knowledge score. Conclusions: One quarter of the patients has adequate knowledge about insulin injection techniques. Based on our findings there is a need to conduct awareness campaigns at the community level to impart useful knowledge about diabetes and its various aspects like insulin injections techniques.

scholarly journals Assessing Knowledge on Clubfoot Among Parents Having Children with Clubfoot Deformity

2015 ◽  
Vol 14 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Zobaer Alam ◽  
Md Monoarul Haque ◽  
Md Rijwan Bhuiyan ◽  
Md Shahinoor Islam ◽  
Monirul Haque ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Childhood Disability ◽  
Care Providers ◽  
Cross Sectional ◽  
Middle Income ◽  
Level Of Knowledge

Background: The burden of childhood disability as a public health problem in developing countries remains relatively unrecognized. One out of 750 children born in the world suffer from club foot among them 80% are in low and middle income countries. Most of these babies have limited access to receive effective treatment for their clubfoot due to lack o knowledge, awareness and some barriers. We actually don’t know the level of knowledge of parents who have child with clubfoot deformity. The purpose of this study was to assess the level of knowledge of parents who have children with clubfoot during clubfoot treatment. Materials and Methods: This cross sectional study was conducted among 102 parents who have children with clubfoot deformity during its treatment in a selected clinic. The samples were selected purposively from the clinics where clubfoot treatment was given and face to face interview was done by using semi-structured questionnaire. Results: The mean (±SD) age of the respondents were 24.7 (±6.0) years where 87.3% (n=89) respondents ware female and 59.8 %(n=61) respondent’s educational status ware up to primary level. About 44.1% respondents started treatment of their child within 6 months of birth and 33% within 6 to 12 months where 57% (n=58) respondents are referred by health care professional to this clinics. About 93.1% of parents (n=95) said that they knew nothing about clubfoot deformity before their child was diagnosed where 97% are aware after diagnosis of their child. About 93.1% respondents knew the best time for treatment initiation where 59.8% respondents know the correct follow up time of clubfoot management. In case of knowledge of parents’ roles in the treatment of clubfoot about 91.2%, parents have knowledge weekly visit for treatment and 86.3% know the plaster care where 52.9% (n=54) parents have lack of knowledge about how to use the brace Conclusion: There is need to improve the communication skills of clinicians/health care providers offering treatment to children with clubfoot at the Clinics. Need to share information with the parents about the condition. Finally, there is need to emphasize of educating parents about plaster care and how to use brace. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22882 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 42-46

scholarly journals Microalbuminuria in Ischaemic Stroke and its Relationship with Neurological Defects

2010 ◽  
Vol 15 (Number 2) ◽  
pp. 15-18
Author(s):  
S S Chowdhury ◽  
T Mehdi ◽  
F Alam ◽  
R Ishrat ◽  
S Parveen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischaemic Stroke ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Neurological Deficits ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Cause ◽  
Face To Face ◽  
Structured Questionnaire

Stroke is Me third common cause of death in developed countries. Ischaernic stroke accounts for about 83 percent of all cases. For ischaemic stroke, besides modifiable and nononodifiable risk factors. there are some potential nosy risk factors which include mieroalbuminuria. Site objective of this study was to observe the association of microalbuminuria with isehaemic stroke and as well as consequent neurological deficits. This cross sectional study was done among 100 diagnosed patients of ischaeoric stroke of both sexes. A structured questionnaire and checklist was used to collect data through face to face interview. Urinary microalbuminuria was mesured in all study subjects and assessment of necrological defects was done by modified Ranakin scale. The study revealed that the frequency of presence of microallmminteria was significantly high in ischaernic stroke. Higher the level of mieroalburninuria higher was the necrological deficit. So, microalbunrinuria may be a marker for the process to develop the ischamnic stroke.

scholarly journals Healthy Lifestyle Practice among a Selected Rural Community of Sirajganj District

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 193-198
Author(s):  
Sailendra Nath Biswas ◽  
Rubaiyat Farzana Hussain ◽  
Mohd Raisul Hasan ◽  
Taslima Akber Happy ◽  
Mahaidhe Hassan ◽  
...  
Keyword(s):  
Rural Community ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Balanced Diet ◽  
Protein Rich ◽  
Health And Well Being ◽  
Structured Questionnaire

Background: Healthy lifestyle is one which helps keeping and improving health and well-being. This means maintaining hygiene, eating balanced diet, getting regular exercise, avoiding tobacco and drugs and getting adequate rest and recreation. Objective(s): To assess healthy lifestyle practice among selected rural-community of Sirajganj district. Materials and methods: This cross-sectional study was conducted among people living in selected villages of Sirajganj. A total of 490 respondents were interviewed face-to-face using a semi-structured questionnaire. Results: Among the respondents 73.3% were female, mean age was 40.29 ± 15.84 years and 56.9% were literates. Mean monthly income was 10812.30±10039.63 taka. Majority (97.3%) said that they wash their hands 'before eating', 89.0% said 'after coming from washroom', 18.6% mentioned of 'after coming in contact with sick person', 3.9% said 'after playing and 3.1% mentioned of 'after holding coins'. About 84% used soap and water for hand washing. One third (33.9%) washed their hands for a period of more than 20 seconds. About 28% consume meat, fish, and egg daily. Majority (77.8%) consumed extra salt daily, 81.8% never took part in playing of doing exercises and 9.8% were current smokers. Conclusion: Subjects were ruralpeople and showed lack of many elements of healthy lifestyle. Proportion of tobacco-use was less. Yet a big proportion consumes extra salt, don't do any exercise, don't eat fruits and cannot eat protein rich food. KYAMC Journal Vol. 11, No.-4, January 2021, Page 193-198

Nurses knowledge and practice regarding oxytocin administration during first stage labor in maternity ward of teaching hospital

2020 ◽  
Vol 7 (2) ◽  
pp. 103-111
Author(s):  
Bhagabati Lohani
Keyword(s):  
Pearson Correlation ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Maternity Ward ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Structured Questionnaire

Introduction: Oxytocin is commonly used for induction of labor. The objective of the study was to assess the knowledge and practice regarding oxytocin administration during the first stage of labor in maternity ward. Method: A descriptive cross-sectional study was conducted among nurses of maternity ward of Patan Hospital, Nepal. Data was collected by using self-administered structured questionnaire for the knowledge assessment. Observation checklist was used to record the practice. Descriptive and inferential data analysis was done by SPSS version 16.The association and correlation between variables were measured by chi-square and Pearson correlation coefficient respectively. Result: Out of 31 nurse participants, majority (87.1%) had good knowledge and showed moderately good practice (in 70%) regarding oxytocin administration.  The correlation between knowledge and practice on use of oxytocin among the staff nurses had positive relationship(r=0.051). Conclusion: Majority of nurses had good level of knowledge and moderate level of practice on use of oxytocin.

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