Abstract

AN INTERVENTIONAL STUDY TO ASSESS KNOWLEDGE ATTITUDE PRACTICE ON INSULIN ADMINISTRATION AND ASSOCIATED FACTORS AMONG DIABETIC PATIENTS IN TERTIARY CARE HOSPITAL OF DAKSHINA KANNADA

A. R. Shabaraya*, Sarah Mohammed Rafique, Suchetha Kumari

ABSTRACT

The hallmark of diabetes mellitus (DM), which is brought on by abnormalities in insulin secretion, action, or both, is hyperglycaemia. Optimal glycaemic control is required to reduce DM morbidity and mortality and prevent complications. The process for injecting insulin is one of the areas where mistakes are most likely to occur. Good knowledge and a positive attitude of a patient toward insulin self-administration leads to better outcome. A validated questionnaire was used in an interventional study for patients taking insulin of either gender over the course of six months to evaluate their knowledge, attitude, and practise about the administration of insulin. A total of 100 patients were interviewed, of which 54% were male and 46% were female. The mean knowledge score was 3.03±1.85, mean attitude score was 3.22 ± 1.46 and the mean practice score was 3.0 ± 1.49. On categorising the scores, 31% were found to have good knowledge
while 23% were found to have average level of knowledge and 46% had poor knowledge. Favourable, satisfactory and unfavourable attitude was found in 23%, 51% and 32% of the participants, respectively. The level of practice was found to be good in 17%, satisfactory in 42% and inadequate in 41% of subjects. In the study, suboptimal responses to insulin delivery were reported. Patients' KAP was enhanced by education regarding insulin administration. In order to remove barriers, patients should be taught how to administer insulin on each hospital visit.

Keywords: Diabetes, Insulin administration, Knowledge, Attitude, Practice.