Published April 30, 2022 | Version v1
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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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Novelty Journals (Publisher), Website: www.noveltyjournals.com, International Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330

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Paper download link (Source)
https://www.noveltyjournals.com/upload/paper/Effectiveness%20of%20an%20Evidence-30042022-1.pdf