Author(s):
Sukhpreet Kaur, Davinder Kaur, Rajinder Singh Gupta
Email(s):
dav6aug@gmail.com
DOI:
10.5958/2454-2660.2020.00098.8 
Address:
Sukhpreet Kaur1, Davinder Kaur2, Rajinder Singh Gupta3
1M. Sc Student, Gian Sagar College of Nursing, Ram Nagar, Rajpura, Patiala, Punjab.
2Principal, Gian Sagar College of Nursing, Ram Nagar, Rajpura, Patiala, Punjab.
3Ex Professor and HOD, Department of Medicine, Gian Sagar Medical College and Hospital, Ram Nagar, Rajpura, Patiala, Punjab.
*Corresponding Author
Published In:
Volume - 8,
Issue - 4,
Year - 2020
ABSTRACT:
India has become the new diabetic capital of the world, and the prevalence of diabetes is rising at an alarming rate. Insulin is the mainstay of treatment. The nurse must teach the skill of administration of insulin irrespective of expressing the difficulty or fear of insulin by patients. The purpose of the study is to develop skill regarding self administration of insulin injection among diabetic patients through demonstration and teaching booklet. The operational research design was adopted to evaluate the effectiveness of protocol regarding self administration of insulin injection among diabetic patients in Gian Sagar Medical College and Hospital, Ram Nagar, Rajpura, District Patiala, Punjab. The study population included all Type I and Type II diabetes mellitus patients those who were self administering insulin injection and attending outpatient medicine department of Gian Sagar Medical College and Hospital, Ram Nagar, Rajpura, District Patiala, Punjab. Sample size was 72. Data collection tool included socio demographic data and self structured knowledge questionnaire consisting 20 dichotomous questions regarding self administration of insulin injection. Protocol was prepared which included demonstration and information booklet regarding self administration of insulin injection. Observational checklist included 30 steps was used to assess the skill of the diabetes mellitus patients. Reliability and validity of tool was checked. After taking consent, Knowledge and skill of patients were assessed. Individually demonstration and teaching booklet was given to the diabetes mellitus patients. Re demonstration post test observation was done of each diabetic patient after one week by using observation checklist until they become proficient. Obtained data was analyzed by using descriptive and inferential statistics using SPSS 17th version. Post 1 observation (11.8%) was statistically significant (p=0.05) performance score than pre implementation observation (7.0%). Post 2 observations (30.0%) of patients had statistically significant (p=0.00) than pre and post 1 observation. Protocol regarding self administration of insulin injection was effective to improve skill of diabetes mellitus patients.
Cite this article:
Sukhpreet Kaur, Davinder Kaur, Rajinder Singh Gupta. Skill development regarding self administration of Insulin injection among Diabetes mellitus patients. Int. J. Nur. Edu. and Research. 2020; 8(4):440-444. doi: 10.5958/2454-2660.2020.00098.8
Cite(Electronic):
Sukhpreet Kaur, Davinder Kaur, Rajinder Singh Gupta. Skill development regarding self administration of Insulin injection among Diabetes mellitus patients. Int. J. Nur. Edu. and Research. 2020; 8(4):440-444. doi: 10.5958/2454-2660.2020.00098.8 Available on: https://ijneronline.com/AbstractView.aspx?PID=2020-8-4-6
REFERENCES:
1. Bajwa SS, Kalra S. Diabeto-anesthesia: A Subspecialty needing endocrine introspection. Indian J Anaesth 2012;56:513-7
2. Kumari MS, Babu MK, Sulthana R, Srinivas M, Prasanthi. Diabetes Mellitus: Present status and Drug therapy Updates. Research J. Pharm. and Tech. 7(1): Jan. 2014; Page 84-94.
3. Neelammakol M. Diabetes an emerging health problem in India, Health Action. 2008, Nov 6(10):4-5, 14-16.
4. Celik S, Cosansu G, Rdogan S, Kahraman A, Isik S, Bayrak G, 25422134,2014 Nov, http//www.pubmed.org/AJN/2015/Jan/ wawatch/htm.
5. Dewangan V, Pandey H. Pathophysiology and Management of Diabetes: A Review. Res. J. Pharmacology and Pharmacodynamics. 2016; 8(3): 219-222. it will rise to 87.0 million till 2030.
6. Frid A, Hirsch L, Gaspar R, Hicks D, Kreugel G, Liersch J et al. New injection recommendations for patients with diabetes Diabetes Metab 2010 sep; 36 suppl 2: :S3-18. http://www:ncbi.n/ m.nih.gov/jan
7. Shettigar S, Kamath A, Alva GL,Latha T,& Raju NJ, training on improving the competency level of self administration of insulin among type2 diabetes patients, NUJHS2013 Sep;3(3):2249-7110.
8. Weerdt D, Visser A.P, Kok G, Vander V, Social Science Medicine., Aug1990:30(5): 338-345: 605-615
9. Abinaya. S.K, Vijey Aanandhi. M. An Improvement in Patient Compliance in Diabetes Mellitus. Research J. Pharm. and Tech 2018; 11(2):587-592
10. Surendranath A, Nagaraju B, Padmavathi G, Anand S, Fayez P, Balachanda G. A study to assess the knowledge and practice of insulin self administration among patients with diabetes mellitus.Asian Journal of Pharmaceutical and Clinical Research. 2012; 4-5.
11. Preethikaa S, Brundha MP. Awareness of Diabetes Mellitus among General Population. Research J. Pharm. and Tech 2018; 11(5):1825-1829.
12. Livingstone C, Wolper S, Rogers T. Improving efficiency and safety for patients who are unable to self administer insulin. Bri J Community Nurs2013;18 (10): http//www.ncbi.nlm.nih.gov/ pubmed.
13. Sankari SG. Knowledge and practice regarding self insulin administration among diabetic patients. RGUHS J of Nursing Sciences 2011; 1:1-20, 23.
14. Nobel Prize.Org, The discovery of insulin NobelPrize.org; 2012,Available from: URL:http://www.nobelprize.org/educational/ medicine/insulin/discovery-insulin.html
15. Krall L, Beaser R. The importance of insulin, Joslin Diabetes Centre Manual; 2008 Availablefromhttps: //www.nutrihand.com/ Nutrihand/showHealthCenterArticle.do?article=Medical%2F20080105.The+importance+of+insulin.
16. Coulter FC. Early insulin initiation. A review of the literature and case studies. The Internet Journal of Family Practice ,URL: http://www.ispub.com/journal/the-internet-journal-of-family-practice/volume-10-number-1/early-insulin-initiation-a-review-of-the-literature-and-case-studies.html#sthash.zorbjCF4.dpbs
17. Jegatha,C V. Hemavathy KR. Vasanthakohila. Effectiveness of Structured Teaching Programme on Knowledge of Women Regarding Cancer Cervix. Research J. Pharm. and Tech. 8(3) ; Mar., 2015: 335-338.
18. Majeed S, Majeed A, Shambhavi. Effectiveness of planned teaching programme on knowledge and practice of endotracheal suctioning among staff nurses in selected hospitals of Mangalore. Asian J. Nur. Edu. and Research 3(4); Oct.- Dec., 2013:243-247.
19. Girija M, Kokilavani N. Effectiveness of Structured Teaching Programme on Knowledge, Attitude and Practice among Patients with Hypertension. Asian J. Nur. Edu. & Research 4(1);Jan.-March 2014:136-139.
20. Jegatha, CV. Hemavathy KR. Vasanthakohila. Effectiveness of Structured Teaching Programme on Knowledge of Women Regarding Cancer Cervix. Research J. Pharm. and Tech. 8(3) ; Mar., 2015: 335-338.
21. Preethikaa S, Brundha MP. Awareness of Diabetes Mellitus among General Population. Research J. Pharm. and Tech 2018; 11(5):1825-1829.
22. Vasudevan N. J., Sara B. A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Management of Type 2 Diabetes Mellitus among Patients with Type 2 Diabetes Mellitus attending Diabetic OPD, RMMCH, Annamalai University. Int. J. Nur. Edu. and Research 2(2); April- June 2014: 113-116