FACTORS INFLUENCING DENIAL OF INSULIN USAGE AMONG TYPE II DIABETES PATIENTS WITH INDICATION FOR INSULIN USAGE IN COMMUNITY HOSPITAL

Abstract

Type 2 diabetes is the most common type of diabetes in Thailand. Doctors often encounter problems with patients refusing further treatment with insulin injections. Therefore, this study aimed to determine the proportion and factors involved in type 2 diabetic patients' refusal of insulin therapy with indications for insulin. This study was a cross-sectional study. The 155 samples were selected from type 2 diabetes patients aged 18–65 years following their treatment at a community hospital and were interviewed in person by questionnaires. Instruments were used as a questionnaire for demographic data, diabetes treatment, knowledge, and attitude concerning insulin therapy. Data analysis was conducted by Frequency, Percentage, Prevalence rate with 95%CI, Mean, Pearson Chi-square, and Multiple Logistic Regression.

The type 2 diabetics sample consisted of 155 subjects. Most of them were females (58.10%). The proportion of type 2 diabetic patients' refusal of insulin therapy with indications for insulin was 81.94 (95% CI 75.81-88.06) and factors associated with the refusal of insulin regimen among type 2 diabetic patients with a statistically significant were concerning social participation (Adjust OR= 4.156 p-value<0.05 95%CI:1.396-12.371), High L-IADL score (Adjust OR= 10.799 p-value<0.05 95%CI: 1.473-79.203) and financial concerns 0.66, 95%CI:0.068-6.446)

The study revealed that 80% of type 2 diabetic patients with indications for insulin usage refuse insulin therapy. Educating patients with diabetes, including accurate drug information, play an important role in making patients have the right attitude towards treatment and lead to a reduction in the incidence of complications to make better quality of life.