Determination of The Methods Used By Patients Using Insulin To Avoid Injection Pain And Their Compliance With Treatment

Pınar Tunç Tuna, Enes Günhan, Halil Ibrahim Tuna, B. Molu, alev yıldırım keskin
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Abstract

Objective: This study was conducted to determine the knowledge levels of DM patients about the disease and insulin use, and their practices to avoid insulin injection pain. Materials and Methods: Data were collected from 399 patients who administered insulin injections in the study. Patient identification form, disease and treatment compliance form, Morisky-8 Treatment Adherence Scale (MMAS-8), and Visual Analog Scale were used for data collection. Results: According to our findings, it was found that 83.7% of the patients included in the study rotated during insulin injection, but only 16.3% rotated during each injection. 46.4% of the patients did not feel pain or were injected into the area where they felt less pain to avoid insulin pain. In addition, it was determined that the pain scores of the patients who made each insulin injection to a different body region were higher. It has been determined that patients with complications related to DM have higher adherence to treatment. Conclusion: As a result, it was determined that the patients had limited knowledge about diabetes, insulin, and treatment, they did not perform rotation to avoid the pain of insulin injection, and they generally injected into the painless area, and their compliance with the treatment was low. Keywords: Diabetes mellitus, pain, adherence to treatment, insulin injection, nursing care
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胰岛素患者避免注射疼痛的方法及其治疗依从性的确定
目的:了解糖尿病患者对糖尿病及胰岛素使用的知识水平,以及避免胰岛素注射疼痛的做法。材料与方法:收集399例接受胰岛素注射的患者的数据。采用患者识别表、疾病与治疗依从性表、Morisky-8治疗依从性量表(MMAS-8)和视觉模拟量表进行数据收集。结果:根据我们的研究结果,83.7%的患者在注射胰岛素时旋转,但每次注射时只有16.3%的患者旋转。46.4%的患者感觉不到疼痛或被注射到感觉疼痛较少的区域以避免胰岛素疼痛。此外,研究还确定,每次向不同身体部位注射胰岛素的患者疼痛评分更高。已经确定患有糖尿病相关并发症的患者对治疗的依从性更高。结论:确定患者对糖尿病、胰岛素及治疗的知识有限,不进行轮换以避免胰岛素注射的疼痛,注射部位一般为无痛区,对治疗的依从性较低。关键词:糖尿病,疼痛,坚持治疗,胰岛素注射,护理
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