Effectiveness of an Evidence Based Insulin Injection Guidelines Application on Diabetic Children Mothers' Awareness about insulin injection: A quasi experimental study
Creators
- 1. Pediatric Nursing, Faculty of Nursing, Mansoura University-Egypt
- 2. Community Health medicine, Faculty of medicine, Alexandria University–Egypt
Description
Abstract: Type 1 Diabetes Mellitus is one of the most frequent chronic diseases where its incidence increased from birth to 12 years with a peak between 10-14 years of age. Insulin therapy is a drug of choice and become a routine part of daily life for diabetic children /families. However, errors in injection technique and self-dosing increase the likelihood of serious adverse events as lipohypertrophy, hypo and hyperglycemia that can be avoided through increase mothers and diabetic children awareness Study aim was evaluate effect of an Evidence Based Insulin Injection Guidelines Application on Mothers' Awareness about insulin injection and its complication on their diabetic children. Methodology: A quasi experimental design was used Setting: inpatient department and outpatient clinic of endocrinology. Subjects was 61 mothers of school age diabetic children. Four tools were used; I was an interview questionnaire that assessed sociodemographic characteristics of mothers and also children plus children clinical data ;II was insulin Injection Technique Questionnaire (ITQ) that assessed mothers' insulin injection knowledge ,attitude and skills ;III was insulin injection checklist that assessed mothers' pen and syringe insulin injection techniques and tool IV lipohypertrophy checklist that assessed presence and grades of diabetic children lipohypertrophy. Results: regarding total percentage score of mothers Knowledge, Attitude and Practices about insulin injection pre, immediately and post 6 months from Evidence-Based Insulin Injection Guidelines Application were improved with statistically significant differences p=<0.001 ;while complication of insulin injection among diabetic children as lipohypertrophy, hypo and hyperglycemia and bleeding had no statistically significant differences where pain 98.0% of children had no pain pre Evidence-Based Insulin Injection Guidelines Application compared to 57.5% post 6 months with statistically significant differences p=0.001 and the rational of this variation returned to improper insulin injection rotation that leading to painless feeling with injection (lipohypertrophy ). Conclusion : Evidence-Based Insulin Injection Guidelines Application improved diabetic children mother awareness about insulin injection .Recommendation: insulin injection remain a crucial part in management of insulin dependent diabetes mellitus and a gap in mothers' awareness about insulin injection and its complication need basic education of proper insulin injection that not requires a major changes in health care system.
Keywords: T1DM= Type 1 Diabetes Mellitus, IDDM= Insulin Dependent Diabetes Mellitus, EBIIGA= Evidence-Based Insulin Injection Guidelines Application, KAP = Knowledge, Attitude and Practices, LH= lipohypertrophy
Title: Effectiveness of an Evidence Based Insulin Injection Guidelines Application on Diabetic Children Mothers' Awareness about insulin injection: A quasi experimental study
Author: Hoda Mohamed Nafee, Eman Abd Elsamea Elguoshy, Hoda Ghareeb, Rehab Abd El Aziz El Sayed Abd El Aziz
International Journal of Novel Research in Healthcare and Nursing
ISSN 2394-7330
Vol. 9, Issue 1, January 2022 - April 2022
Page No: 353-366
Novelty Journals (Publisher)
Website: www.noveltyjournals.com
Published date: 30-April-2022
DOI: https://doi.org/10.5281/zenodo.6508334
Paper download link (Source): https://www.noveltyjournals.com/upload/paper/Effectiveness%20of%20an%20Evidence-30042022-1.pdf
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