scholarly journals PRACTICE AND SOME FACTORS RELATED TO PRACTICE OF AUTULIN INSULIN FOR PEOPLE WITH DISEASE TYPE 2 IN 2020

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Thu Thảo Lê ◽  
Văn Dũng Đào
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Factors ◽  
Insulin Injection ◽  
National Hospital ◽  
Elderly Age ◽  
Cross Sectional ◽  
Endocrine Disease ◽  
Injection Practice ◽  
Duration Of Disease

Diabetes (diabetes mellitus) is a metabolic endocrine disease that is considered a «silent killer» because of its rapid growth and increased mortality due to dangerous complications of the disease. Target: Description of self-insulin injection practice of type 2 diabetes outpatient at the National Hospital of Endocrinology, 2020. Factors related to insulin self-injection practice of outpatients at the National Hospital of Endocrinology. Objects and methods: Cross-sectional descriptive studies, 250 Type 2 Diabetes Outpatient Treatment in On-Demand Clinic, National Hospital of Endocrinology from January 2020 -06/2020. Process: ITAS-scale interviews, questions about treatment costs, awareness of insulin self-injection practices. Results: 62.8% male, 68% urban area. Psychological factors group with mean age 61.45 ± 10.43, HbA1C 7.29 ± 1.55, durations of diabetes 11.72 ± 6.47, 184 patients (73.6%) had psychological insulin resistance (PIR). The rate of patients afraid of hypoglycemia 83.2%, seeing treatment failure 80%, patients situation getting worse 69.6%, difficult to determine the correct number and timing of injection 58%. Medical expenses covered by health insurance 91.2%. Age and duration of disease in the group of patients having PIR higher than in the group of patients don’t have PIR, HbA1C in the group with PIR lower than in the group without PIR. Over 190 patients self-injected insulin with injection pen: 100% preserved correctly; 97.6% determined the correct injection site; 97.6% had the correct injection time; 98% know how to change injection sites. Elderly age and prolonged illness reduce knowledge about dose compliance and post-use needle disposal. The group with psychological factors has higher understanding of needle flow and needle reuse. Conclude: Psychology and practice of self-insulin injection is a major factor affecting the effectiveness and compliance of insulin injection in patients with type 2 diabetes, which should be considered for counseling.. Keywords: Type 2 diabetes, insulin injection, psychological factors when using insulin, ITAS score.

Quality of life in patients with type 2 diabetes mellitus: a cross-sectional study

2019 ◽  
Vol 13 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Vasiliki Sionti ◽  
Giorgos Papageorgiou ◽  
Dimitrios Peschos ◽  
George Charalambous ◽  
Evangelia Kotrotsiou ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Psychological Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Content Type ◽  
Sf 36

Purpose The purpose of this paper is to investigate certain social and psychological parameters and to compare them with basic demographic information, such as the gender and the education, of patients suffering from Type 2 diabetes mellitus (T2DM). Design/methodology/approach A cross-sectional study of Type 2 diabetic patients was conducted. In total, 200 patients with T2DM were enrolled in the study. Psychological factors were assessed with questionnaires, including the Symptom Checklist 90-R (SCL-90-R), the Short-Form Health Survey (SF-36), the Life Orientation Test-Revised (LOT-R) and the Cardiac Anxiety Questionnaire (CAQ). The associations of psychological with socio-demographic factors were assessed through logistic regression analyses. Findings Women patients had higher levels of heart-focused anxiety psychopathology than men, and therefore, women tend to avoid activities that burden the heart. Men patients had a significantly higher index of physical functionality than women. No differences were recorded by the SCL-90R questionnaire between men and women. For the patients with elementary education, lower levels of mental health (SF-36-MCS) were observed. Originality/value The chronicity of the disease aggravates the psychopathology of the patients thereby creating adverse impact not only on health but also on efforts for compliance. A personalized approach by the health professionals could contribute in addressing the psychological factors that accompany T2DM.

scholarly journals Predictors of self-monitoring of blood glucose among noninsulin-treated patients with type 2 diabetes in a primary care setting in Hong Kong: A cross-sectional study

2021 ◽  
Vol 9 ◽  
pp. 205031212110661
Author(s):  
Wing-hang Mak ◽  
Rebecca Wing-man Lau
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Psychological Factors ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional Study ◽  
Physical Factors ◽  
Cross Sectional ◽  
Self Monitoring

Objectives: The current study aimed to examine the relationship between patient characteristics (internal psychological, external psychological, internal physical, external physical, and educational) and self-monitoring of blood glucose among noninsulin-treated patients with type 2 diabetes in a local primary care setting. Methods: This was a cross-sectional study, in which data were collected by a structured questionnaire. Correlational and multivariate multiple regression analyses were performed. Three hundred seventy-four noninsulin-treated patients with type 2 diabetes were eligible and completed the questionnaire in August 2019. The response rate was 93.5%. The respondents’ self-reported self-monitoring of blood glucose adherence was the main outcome measure. Results: In predicting self-monitoring of blood glucose adherence, the current regression model accounted for 12.3% of the variance (Adjusted R2 = 0.123, p < 0.05), with internal psychological factors and educational factors being significant. External psychological factors, external physical factors, and internal physical factors were found to be statistically nonsignificant. Conclusion: The findings highlighted the facilitating role of internal psychological factors and educational factors in SMBG adherence in noninsulin-treated type 2 diabetic patients. Among these factors, the education aspect was relatively strongly associated with increased SMBG adherence. With adequate patient education on diabetes and SMBG, the increased literacy would possibly strengthen patients’ internal psychological factors and motivate them to uptake SMBG practice. Implications from the current findings suggested that further research on different SMBG parameters is warranted to fill the knowledge gap in structuring an individualized and targeted SMBG protocol for better diabetic care.

Predictors of Self-Efficacy in Administering Insulin Injection

2019 ◽  
pp. 105477381985848
Author(s):  
Mei-Chuan Huang ◽  
Chich-Hsiu Hung ◽  
Ya-Wen Huang ◽  
Su-Ching Yang
Keyword(s):  
Type 2 Diabetes ◽  
Health Care Professionals ◽  
Self Efficacy ◽  
Medical Center ◽  
Insulin Injection ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southern Taiwan ◽  
Knowledge Scale

This study aimed to identify the predictors of self-efficacy in administering insulin injection among patients with type 2 diabetes. Using a cross-sectional survey, data were collected via purposive sampling from a metabolic ward of a medical center in Southern Taiwan. Participants were 72 patients with type 2 diabetes, who had started using Lantus, Levemir, or Novomix pen injectors. Data were collected from October 2013 to August 2014, using the Diabetes and Insulin Injection Knowledge Scale, Self-Efficacy in Administering Insulin Injection Scale, and photographs illustrating insulin injection skills. The findings indicated that “knowledge of diabetes and insulin injection,” “insulin injection skills,” “senior high school or above education,” and “diabetes duration” were predictors of self-efficacy in administering insulin injection, which explained 41% of the total variance in self-efficacy. Health care professionals can design relevant strategies for improving patient self-efficacy in administering insulin injection, thereby increasing patients’ insulin self-injection abilities.

scholarly journals Relationship and influences of behavioral and psychological factors on metabolic control of patients with type 2 diabetes mellitus

2021 ◽  
pp. 104-104
Author(s):  
Vojislav Stanojevic ◽  
Marija Jevtic ◽  
Milena Mitrovic ◽  
Marko Panajotovic ◽  
Aleksandar Aleksic ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Metabolic Control ◽  
Psychological Factors ◽  
Self Management ◽  
Anthropometric Measurement ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Target Values

Background/Aim. Achieving good metabolic control, which play a key role in reducing or preventing macrovascular and microvascular complication of diabetes, requires continuous patient involvement in self-management of diabetes. This continued engagement, which makes type 2 diabetes (T2DM) one of most demanding diseases, physically and emotionally, can become, at certain periods of life, too severe and lead to emotional distress (symptoms of depression and diabetes-related distress) and deterioration of metabolic control. The aim of this study was to examine association and influence of behavioral and psychological factors on the metabolic control of patients with T2DM. Methods. The research was conducted as a descriptive-analytic cross-sectional study. The method of random sampling included 324 subjects with T2DM in research. The values of biochemical parameters of metabolic control were measured by standard laboratory methods. Blood pressure was measured in two times and the arithmetic mean was calculated. Anthropometric measurement were performed and Body Mass Index (BMI) was calculated. Attitudes toward medication adherence, adherence to dietary recommendations, level of physical activity, presence of depressive symptoms and level of diabetes-related distress were examined using standardized questionnaires. Results. The target values of metabolic control parameters were reached by 21.6% of respondents. Multivariate analysis as predictors of poor metabolic control identified: obesity, non-adherence toward dietary recommendations, insulin therapy, low level of physical activity and clinically significant diabetes-related distress. Conclusions. Routine application of the questionnaire used in this study in initial stages or critical moments of disease can assess patient?s attitudes and knowledge about behavioral determinants of diabetes self-management and timely detect psychological conditions that affect them. It would be realistic to expect that such a comprehensive holistic approach would contribute to lower incidence of complication and better metabolic control of T2DM.

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