Adult Health Nursing

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Browsing Adult Health Nursing by Subject "Adherence, Insulin self administration, diabetes mellitus"

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    Assessment of Adherence to Insulin Self Administration and Associated Factors Among Diabetes Mellitus Patients at Endocrinology unit of Tikur Anbessa Specialized Hospital.
    (Addis Ababa University, 2014-06) Haji Yusuf ; Mengistu Zuriyash(MSC)
    Background: Diabetes is a significant and growing health problem worldwide. The goals of diabetes treatment are to keep blood glucose levels as near normal as possible while avoiding acute and chronic complications and diabetes mellitus requires continual intensive treatment in order to reduce the risk and progression of chronic micro- and macro-vascular complications. A key dimension of healthcare quality is adherence to prescribed medications. Non-adherence with insulin regimens is associated with worse glucose control and with higher rates of diabetes-related complications. Objectives: To determine the pattern of adherence to insulin selfadministration and associated factors among adult patients with diabetes mellitus at endocrinology unit of Tikur Anbessa Specialized Hospital. Methods: A cross-sectional study was conducted from December to June 2014, on a total of 378 diabetic patients on insulin self administration using convenience sampling method until the required sample size achieved. The data were collected using structured questionnaires after ethical approval and informed signed consent have been taken. The data entry and analysis was conducted using Epi info version 3.5.4 and SPSS version 21. Results: One hundred twenty five (33.1%) of the respondents were found to be non-adherent to insulin self injection. Multivariate analysis identified who stopped taking insulin when they feel better, who have Heart disease and those not taking insulin when they were out of home for long time as independent factors for non adherence of insulin self administration. Conclusion: One third of the respondents are found to be non-adherent to insulin injection. The most common reason for non adherence to insulin self administration were forgetting time of injection, deliberately, feeling better and feeling worse. Almost all participants have been using one needle for two or more days, only 4 (1.1 %) participants have been using single needle once as recommended. Recommendation: There is a need to design a means for patients to understand risk and complication of non adherence to insulin self administration, patients should be encouraged to discuss their injection related concerns and providing them leaflet to avoid poor recall of instructions and improve consequent clinical outcomes. For those patients who do reuse insulin needle, nurses should check frequently injection sites as reusing needle causes infection.