Experiences of Patients with Type 2 Diabetes Mellitus on Self-Administered Insulin Injection Therapy

Fadila Ayu Arista, Andi Hayyun Abiddin, Tri Anjaswarni, Rolando S Cabelin Jr

Abstract


Diabetes mellitus is a global public health problem characterized by high mortality and prevalence. One type of pharmacological treatment for diabetes mellitus is insulin injection therapy. Experience in performing self-administered insulin injection therapy is still found obstacles that must be considered so as not to affect the effectiveness of insulin injection therapy. This study aims to determine the experience of patients with type 2 diabetes mellitus in carrying out insulin self-injection therapy. The research design used qualitative methods and data collection was carried out in the UPT Puskesmas Sukorejo and Sananwetan areas of Blitar City and the data collection time was carried out in March 2024. The data were analyzed by reducing the data, presenting the data in the form of transcripts and described descriptively. The research results showed that all participants had fulfilled the cognitive aspects as evidenced by knowing the definition and type of insulin used. In the affective aspect, it was stated that all participants felt comfortable and felt healthier when carrying out insulin injection therapy but there were mental problems when diagnosed with diabetes mellitus and when injecting insulin themselves. In the psychomotor aspect, all participants have performed insulin injection skills correctly but there are some mistakes that must be considered.

Full Text:

PDF

References


Astuti NM, Yuliastuti C, Farida I. Peningkatan Keterampilan Injeksi Pasien Diabetes dengan Menggunakan Self Insulin Injection Simulation Tool (SIIST). J Telenursing [Internet]. 2023 Feb 27;5(1):201-10.https://doi.org/10.31539/joting.v5i1.5607

Harding JL, Weber MB, Shaw JE. The Global Burden of Diabetes. In: Textbook of Diabetes [Internet]. Wiley; 2024. p. 28-40.https://doi.org/10.1002/9781119697473.ch3

Health Ministry of Indonesia. Results of Basic Health Research in 2018. Ministry of Health of the Republic of Indonesia. 2018.

PERKENI. Guidelines for the Management and Prevention of Type 2 Diabetes Mellitus in Adults in Indonesia 2021 (1st ed.) [Internet]. PB PERKENI; 2021. Available from: www.ginasthma.org.

Febrianasari RP. Diabetes Mellitus Pocket Book for the Layman. 2020;

Mathieu C, Martens PJ, Vangoitsenhoven R. One hundred years of insulin therapy. Nat Rev Endocrinol [Internet]. 2021 Dec 17;17(12):715-25. https://doi.org/10.1038/s41574-021-00542-w

Vargas E, Nandhakumar P, Ding S, Saha T, Wang J. Insulin detection in diabetes mellitus: challenges and new prospects. Nat Rev Endocrinol [Internet]. 2023 Aug 22;19(8):487-95. https://doi.org/10.1038/s41574-023-00842-3

Fitriani, Y., Pristianty, L., & Hermansyah A. Health Belief Model (HBM) Approach to Analyze Compliance of Type 2 Diabetes Mellitus Patients in Using Insulin. J Farm Indones. 2019;16(2):167-77.https://doi.org/10.30595/pharmacy.v16i2.5427

Aulia Akmal, Hilman Syarif, Cut Husna. The Relationship Between Patient Characteristics Diabetes Self-Care Management with Diabetic Peripheral Neuropathy in Type 2 DM Patients in Regional General Hospital in Indonesia. Int J Nurs Educ [Internet]. 2022 Oct 17;14(4):32-8. https://doi.org/10.37506/ijone.v14i4.18679

Park SY, Gautier JF, Chon S. Assessment of Insulin Secretion and Insulin Resistance in Human. Diabetes Metab J [Internet]. 2021 Sep 30;45(5):641-54. https://doi.org/10.4093/dmj.2021.0220

Made Kurnia Widiastuti Giri. Self-Spiritual Healing Therapy on Anxiety Conditions in Diabetes Type II in the Lovina Tourism Area. JST (Jurnal Sains dan Teknol [Internet]. 2023 Mar 20;12(1):11-6.https://doi.org/10.23887/jstundiksha.v12i1.59711

Karnita, A. D., Fitria, I. L., Saputri, U. M., & Mulyati W. The Effect of Supportive Group Therapy on Post-Rehabilitation Drug User Resilience. Heal Gate. 2023;1(2):48-52.

https://doi.org/10.70111/hg1204

Anderson J, Levy DS, Lumry W, Koochaki P, Lanar S, Henry Li H. Letting the patients speak: an in-depth, qualitative research-based investigation of factors relevant to health-related quality of life in real-world patients with hereditary angioedema using subcutaneous C1 inhibitor replacement therapy. Allergy, Asthma Clin Immunol [Internet]. 2021 Dec 27;17(1):60. https://doi.org/10.1186/s13223-021-00550-5

Khoirunnisa RN, Ikrima N. Emotional Autonomy of Street Adolescence. In 2021.

https://doi.org/10.2991/assehr.k.211223.220

Lukito JI. Gunakan Insulin dengan CERMAT. Cermin Dunia Kedokt [Internet]. 2020 Oct 1;47(10):734.https://doi.org/10.55175/cdk.v47i10.1093

Richter B, Bongaerts B, Metzendorf MI. Thermal stability and storage of human insulin. Cochrane Database Syst Rev [Internet]. 2023 Nov 6;2023(11). https://doi.org/10.1002/14651858.CD015385.pub2

Suksatan W, Jasim SA, Widjaja G, Jalil AT, Chupradit S, Ansari MJ, et al. Assessment effects and risk of nosocomial infection and needle sticks injuries among patents and health care worker. Toxicol Reports [Internet]. 2022;9:284-92. https://doi.org/10.1016/j.toxrep.2022.02.013

Smith F, Sabri AH, Heppel M, Fonseca I, Chowdhury F, Cheung K, et al. The clinical and translational prospects of microneedle devices, with a focus on insulin therapy for diabetes mellitus as a case study. Int J Pharm [Internet]. 2022 Nov;628:122234. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0378517322007888

https://doi.org/10.1016/j.ijpharm.2022.122234

Beyers W, Soenens B, Vansteenkiste M. Autonomy in adolescence: a conceptual, developmental and cross-cultural perspective. Eur J Dev Psychol [Internet]. 2025 Mar 4;22(2):121-41. https://doi.org/10.1080/17405629.2024.2330734

Lowe RN, Williams B, Claus L. Diabetes: how to manage patients experiencing hypoglycaemia. Drugs Context [Internet]. 2022 Jun 14;11:1-12. Available from: https://www.drugsincontext.com/diabetes-how-to-manage-patients-experiencing-hypoglycaemia.https://doi.org/10.7573/dic.2021-9-11




DOI: https://doi.org/10.70111/hg3204

Refbacks

  • There are currently no refbacks.


"Health Gate" 
ISSN 2986-1098

Indexing: 

  

 

Published by The Regional Leadership Council of the Indonesian National Nurses Association, Blitar City

Kalimantan Street, Kel.Karangtengah, Kec. Sananwetan, Blitar City, East Java, Indonesia

 Creative Commons Lisences