A Cross-sectional Study of Insulin Pen Storage Knowledge and Related Factors in Vietnamese People with Diabetes

Authors

  • Lan Duong Thi Ngoc Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Vietnam.
  • An Le Van Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Vietnam.
  • Thao Hoang Thi Phuong Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Vietnam.
  • Sue Turale Visiting Professor, Chiang Mai University Faculty of Nursing, Chiang Mai, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2024.266774

Keywords:

Diabetes, Injection technique, Insulin pen, Insulin storage, Knowledge, Predictive factors, Type 2 diabetes, Vietnam

Abstract

Knowledge about insulin pen storage significantly and directly affects treatment efficacy and quality for people with type 2 diabetes mellitus. Accurate and complete understanding and practice are vital for properly managing this chronic condition. However, studies on insulin pen use and storage have not been well-researched in Vietnam. This descriptive cross-sectional study aimed to assess the knowledge of people with type 2 diabetes regarding insulin pen use and storage. Data were collected through convenience sampling from 132 people with diabetes at a provincial hospital in Vietnam from September 2022 to May 2023. We developed the Vietnamese Insulin Pen Storage Knowledge Questionnaire (VIPSKQ) based on guidelines, Addendum 1: Forum for Injection Technique and Therapy Expert Recommendations, India 2021. Data were analyzed using descriptive statistics, the Chi-square test, and binary logistic regression.

Results indicated that only 35.6% of participants had good knowledge of insulin pen storage, whereas 64.4% did not. Four factors that affected the participants’ understanding of insulin-pen storage were age, education level, duration of diagnosis, and years of treatment for diabetes mellitus. Nurses need to educate people with diabetes to increase their knowledge and skills of insulin pen use and proper storage using various strategies, such as using videos, phone applications, and monitoring their practice regularly. Nurses must also keep abreast of the latest information on insulin treatment modalities and pen storage guidelines. Our questionnaire shows promise for use in practice but needs further testing in different settings with larger groups of individuals with type 2 diabetes.

References

World Health Organization. Diabetes in Viet Nam [Internet]. 2022 Dec 20 [cited 2023 Apr 20]. Available from: https://www.who.int/vietnam/health-topics/diabetes

International Diabetes Federation. IDF diabetes atlas 2021 [Internet]. 2021 [cited 2022 Jun 5]. Available from: https://diabetesatlas.org/atlas/tenth-edition/

Ministry of Health. About 5 million Vietnamese people are suffering from a disease that causes many cardiovascular, neurological complications, amputation... [Internet]. 2022 Nov 13 [cited 2022 Nov 13]. Available from: https://stfly.xyz/6yDdV(in Vietnamese).

Centers for Disease Control and Prevention. Prevent diabetes complications [Internet]. 2022 Aug [cited 2023 Dec 11]. Available from: https://stfly.xyz/6yDf2

Ta, VB. What people with diabetes need to know. 3rd rev. ed. Hanoi: Medical Publishing House; 2017 (in Vietnamese).

Magkos F, Hjorth MF, Astrup A. Diet and exercise in the prevention and treatment of type 2 diabetes mellitus. Nat Rev Endocrinol. 2020;16(10):545-55. doi: 10.1038/s41574-020-0381-5. DOI: https://doi.org/10.1038/s41574-020-0381-5

Kesavadev J, Saboo B, Krishna MB, Krishnan G. Evolution of insulin delivery devices: from syringes, pens, and pumps to DIY artificial pancreas. Diabetes Ther. 2020;11(6): 1251-69. doi: 10.1007/s13300-020-00831-z. DOI: https://doi.org/10.1007/s13300-020-00831-z

Tandon N, Kalra S, Balhara YPS, Baruah MP, Chadha M, Chandalia HB et.al. Forum for injection technique and therapy expert recommendations, India: the Indian recommendations for best practice in insulin injection technique, 2017. Indian J Endocrinol Metab. 2017;21(4):600-17. doi: 10.4103/ijem.IJEM_97_17. DOI: https://doi.org/10.4103/ijem.IJEM_97_17

Masierek M, Nabrdalik K, Janota O, Kwiendacz H, Macherski M, Gumprecht J. The review of insulin pens - past, present, and look to the future. Front Endocrinol (Lausanne). 2022,13:827484. doi: 10.3389/fendo.2022.827484. DOI: https://doi.org/10.3389/fendo.2022.827484

Kongmalai T, Orarachin P, Dechates B, Chanphibun P, Junnu S, Srisawat C et.al. The effect of high temperature on the stability of basal insulin in a pen: a randomized controlled, crossover, equivalence trial. BMJ Open Diabetes Res Care. 2022;10(6):e003105. doi: 10.1136/bmjdrc-2022-003105. DOI: https://doi.org/10.1136/bmjdrc-2022-003105

Tosun B, Cinar FI, Topcu Z, Masatoglu B, Ozen N, Bagcivan G et.al. Do patients with diabetes use the insulin pen properly? Afr Health Sci. 2019;19(1):1628-37. doi: 10.4314/ahs. v19i1.38. DOI: https://doi.org/10.4314/ahs.v19i1.38

Heinemann L, Braune K, Carter A, Zayani A, Kramer LA. Insulin storage: a critical reappraisal. J Diabetes Sci Technol. 2021;15(1):147-59. doi: 10.1177/1932296819900258. DOI: https://doi.org/10.1177/1932296819900258

Mitchell VD, Porter K, Beatty SJ. Administration technique and storage of disposable insulin pens reported by patients with diabetes. Diabetes Educ. 2012;38(5):651-8. doi: 10.1177/0145721712450921. DOI: https://doi.org/10.1177/0145721712450921

Kalra S, Unnikrishnan AG, Prasanna Kumar KM, Sahay R, Chandalia HB, Saboo B et al. Addendum 1: Forum for injection technique and therapy expert recommendations, India: the Indian recommendations for best practice in insulin injection technique. Diabetes Ther. 2023;14(1): 29-45. doi:10.1007/s13300-022-01332-x. DOI: https://doi.org/10.1007/s13300-022-01332-x

Vu TL, Vo BN, Trinh TT. Evaluating the knowledge and practice of insulin injection of diabetic patients treated at Hanoi Medical University Hospital. Vietnam J Diabetes Endocrinol. 2020;41:36-42. doi: 10.47122/vjde.2020.41.5 (in Vietnamese). DOI: https://doi.org/10.47122/vjde.2020.41.5

Dang TH, Tran TB, Nguyen TD, Mai TY, Co TT. Current status of insulin self-injection knowledge of type 2 diabetes patients treated at Nam Dinh Provincial General Hospital in 2020. J Nurs Sci [Internet]. 2020 Nov 5 [cited 2024 Feb 14];3(5):263-72. Available from: https://jns.vn/index.php/journal/article/view/300 (in Vietnamese).

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008. DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008

American Diabetes Association. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S15-33. doi: 10.2337/ dc21-S002. Erratum in: Diabetes Care. 2021;44(9):2182. DOI: https://doi.org/10.2337/dc21-ad09

Do M, Ha BK, Pham NK, Anglewicz P, Nguyen L, Nguyen T et.al. Validation of MoCA Test in Vietnamese language for cognitive impairment screening. JoGHN [Internet]. 2022 May 20:e2022008. doi: 10.52872/001c.35656. DOI: https://doi.org/10.52872/001c.35656

Webb R. Sample size calculation for a rroportion. In: Webb R. Mostly harmless statistics. Libre Texts eBooks; 2023. pp. 239.

Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459–67. doi: 10.1002nur.20199. DOI: https://doi.org/10.1002/nur.20199

Bloom, BS. Learning for mastery. Instruction and curriculum. Regional Education Laboratory for the Carolinas and Virginia, Topical Papers and Reprints. ERIC. 1968;1(2):12.

Cunha G, Fontenele M, Siqueira L, Lima M, Gomes M, Ramalho A. Insulin therapy practice performed by people with diabetes in primary healthcare. Rev Esc Enferm USP. 2020; 54:e03620. doi: 10.1590/S1980-220X2019002903620. DOI: https://doi.org/10.1590/s1980-220x2019002903620

Reis P, Marcon SS, Teston EF, Nass EM, Ruiz AG, Francisqueti V, et al. Educational intervention on insulin knowledge and management at home. Acta Paul Enferm. 2020;33:eAPE 20190241. doi: 10.37689/actaape/2020AO0241. DOI: https://doi.org/10.37689/acta-ape/2020AO0241

Alhazmi GA, Balubaid RN, Sajiny S, Alsabbah R. Assessment of insulin injection technique among diabetic patients in Makkah Region in Saudi Arabia. Cureus. 2020; 12(9):e10679. doi: 10.7759/cureus.10679. DOI: https://doi.org/10.7759/cureus.10679

Bahendeka S, Kaushik R, Swai AB, Otieno F, Bajaj S, Kalra S, et al. EADSG Guidelines: insulin storage and optimisation of injection technique in diabetes management. Diabetes Ther. 2019;10(2):341–66. doi: 10.1007/s13300-019-0574-x. DOI: https://doi.org/10.1007/s13300-019-0574-x

Crespo TS, Andrade JMO, Lelis DF, Ferreira AC, Souza JGS, Martins A, et al. Adherence to medication, physical activity, and diet among older people living with diabetes mellitus: correlation between cognitive function and health literacy. IBRO Rep. 2020;9:132–7. doi: 10.1016/j.ibror.2020.07.003. DOI: https://doi.org/10.1016/j.ibror.2020.07.003

Balota DA, Dolan PO, Duchek JM. Memory changes in healthy young and older adults. In: Tulving E, Fergus I, edtors. The Oxford handbook of memory. Oxford University Press; 2000. pp. 395-410. DOI: https://doi.org/10.1093/oso/9780195122657.003.0025

Levine B, Svoboda E, Hay JF, Winocur G, Moscovitch M. Aging and autobiographical memory: dissociating episodic from semantic retrieval. Psychol Aging. 2002; 17(4):677-89. doi: 10.1037/0882-7974.17.4.677. DOI: https://doi.org/10.1037//0882-7974.17.4.677

Cheng A, Zhao Z, Liu H, Yang J, Luo J. The physiological mechanism and effect of resistance exercise on cognitive function in the elderly people. Front Public Health. 2022; 10:1013734. doi: 10.3389/fpubh.2022.1013734. DOI: https://doi.org/10.3389/fpubh.2022.1013734

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Published

2024-03-23

How to Cite

1.
Duong Thi Ngoc L, Le Van A, Hoang Thi Phuong T, Turale S. A Cross-sectional Study of Insulin Pen Storage Knowledge and Related Factors in Vietnamese People with Diabetes. PRIJNR [Internet]. 2024 Mar. 23 [cited 2024 May 23];28(2):455-67. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/266774