Knowledge and Practices of Insulin Self-Administration Among Hospitalized Diabetes Patients in Lahore
DOI:
https://doi.org/10.61919/jhrr.v5i12.1945Keywords:
Diabetes mellitus, insulin self-administration, injection technique, patient education, diabetes management.Abstract
Background: Insulin therapy is an essential component of diabetes management; however, improper insulin self-administration (ISA) can lead to treatment complications and poor glycemic control. Inadequate patient knowledge and incorrect injection practices remain significant barriers to effective diabetes management, particularly in low-resource healthcare settings. Objective: To assess the knowledge and practices of insulin self-administration among hospitalized patients with diabetes mellitus and identify sociodemographic and clinical factors associated with these outcomes. Methods: A cross-sectional observational study was conducted among 78 hospitalized diabetes patients receiving insulin therapy at CH Rahmat Hospital, Lahore. Data were collected using a structured questionnaire and an observational checklist assessing knowledge and practical insulin injection techniques. Descriptive statistics summarized participant characteristics, while chi-square tests were used to evaluate associations between independent variables and knowledge or practice scores using SPSS version 26, with statistical significance defined as p<0.05. Results: Among the participants, 50.0% demonstrated average knowledge, 34.6% poor knowledge, and 15.4% good knowledge of insulin self-administration. Practice assessment revealed that 37.2% had poor practices, 29.5% fair practices, and 33.3% good practices. Age (p=0.004), education (p<0.001), monthly income (p=0.019), duration of diabetes (p=0.002), family history (p<0.001), and previous ISA training (p=0.002) were significantly associated with knowledge levels. Practice scores were significantly associated with age (p=0.038), duration of diabetes (p=0.025), and family history of diabetes (p<0.001). Conclusion: Significant gaps exist in insulin self-administration knowledge and practices among hospitalized diabetes patients, highlighting the need for targeted educational interventions and structured training programs to improve diabetes self-management and reduce insulin-related complications.
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