Status quo and influencing factors of knowledge, attitude and practice of standardized insulin injection at home in Shanghai community diabetic patients
10.3760/cma.j.cn115682-20211111-05064
- VernacularTitle:上海市社区糖尿病患者居家胰岛素规范化注射知信行现状及影响因素分析
- Author:
Xiaoying NI
1
;
Hui LU
;
Jie XU
;
Ting GAO
;
Yuxin LIU
;
Huihua ZHAO
;
Wei LIANG
Author Information
1. 上海市奉贤区西渡街道社区卫生服务中心护理部，上海 201401
- Keywords:
Diabetes mellitus;
Community health service;
Insulin injection;
Knowledge, attitude and practice;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2022;28(29):4046-4051
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of the knowledge, attitude and practice (KAP) of standardized insulin injection at home in Shanghai community diabetic patients and analyze its influencing factors.Methods:In this cross-sectional study, totally 1 947 diabetic patients who signed to be managed by 21 community health service centers in Fengxian District, Shanghai from May to October 2020 who used insulin pen injections at home were selected by continuous enrolment. They were investigated with a general information questionnaire and a questionnaire on KAP of standardized insulin injection. Univariate analysis and multiple linear regression were used to analyze the influencing factors of patients' KAP of standardized insulin injection at home. A total of 1 947 questionnaires were distributed, and 1 697 valid questionnaires were recovered, with an effective recovery rate of 87.2%.Results:The total KAP score of insulin standard injection in the 1 697 diabetic patients was (51.01±6.81) , which was at a moderate level. Among all the items in the questionnaire, the 3 items with the lowest compliance rate were: checking the injection site every time before insulin injection (14.4%) , agreeing to put the discarded insulin needles into the capped hard-shell container (16.1%) , agreeing to and implementing insulin pen needle replacement after each use (20.6%) . Multiple linear regression analysis showed that age, education, type of medical insurance, and whether they had received insulin injection guidance were the influencing factors to the KAP of standardized insulin injection at home ( P<0.01) , which accounted for 8.6% of the total variation. Conclusions:Community medical staff should pay attention to the health education of insulin injection at home for diabetic patients, improve the content and form of education based on the characteristics of the community population, thereby improving the compliance rate of injection site inspection, replacement of insulin pen needles and standardized disposal of discarded needles, further standardizing insulin injection behavior, and improving clinical outcomes such as glycemic control in patients.
