Zidane, R., Hussein, W. (2020). Barriers for Insulin Therapy Initiation among Type 2 Diabetic Patients Attending the Specialized Center for Endocrinology and Diabetes / Baghdad 2019. , 20(2), 186-192. doi: 10.52573/ipmj.2020.168628
Ruaa Naji Zidane; Wijdan Akram Hussein. "Barriers for Insulin Therapy Initiation among Type 2 Diabetic Patients Attending the Specialized Center for Endocrinology and Diabetes / Baghdad 2019". , 20, 2, 2020, 186-192. doi: 10.52573/ipmj.2020.168628
Zidane, R., Hussein, W. (2020). 'Barriers for Insulin Therapy Initiation among Type 2 Diabetic Patients Attending the Specialized Center for Endocrinology and Diabetes / Baghdad 2019', , 20(2), pp. 186-192. doi: 10.52573/ipmj.2020.168628
Zidane, R., Hussein, W. Barriers for Insulin Therapy Initiation among Type 2 Diabetic Patients Attending the Specialized Center for Endocrinology and Diabetes / Baghdad 2019. , 2020; 20(2): 186-192. doi: 10.52573/ipmj.2020.168628

Barriers for Insulin Therapy Initiation among Type 2 Diabetic Patients Attending the Specialized Center for Endocrinology and Diabetes / Baghdad 2019

Iraqi Postgraduate Medical Journal
Article 13, Volume 20, Issue 2, 2021, Pages 186-192    PDF (205.86 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2020.168628
Authors
Ruaa Naji Zidane1; Wijdan Akram Hussein2
1Al-Zafaraniya Hospital/ Al-Rusafa Health Directorate, Baghdad, Iraq
2Al-Kindy College of Medicine/ Baghdad University/ Baghdad, Iraq
Abstract
BACKGROUND:
The beginning of insulin therapy is a mutual decision between the health care provider and the patient. People    with   type 2 diabetes   mellitus often   have   strongly   negative attitudes toward insulin therapy. This refusal is often   based on a range of patient concerns and misconceptions.
OBJECTIVE:
To determine the barriers for insulin therapy refusal among type 2 diabetic patient, and to find the association between socio-demographic characteristic and the barriers of refusal.
PATIENTS AND METHODS:
A cross sectional study was conducted during the period from first of March to 30th of June 2019 in the Specialized Center for Endocrinology and Diabetes in Al-Kindy Teaching Hospital in Baghdad/Al-Rusafa. .The study was conducted by using a convenient sampling method of 400 patients’ withT2DM. A questionnaire form was used to collect demographic data, and appraisal of insulin therapy measured by Insulin Treatment Appraisal Scale (ITAS).
RESULTS:
Perceived loss of control/ life style adaptation and restriction were the first barrier to initiation of insulin therapy (70.6%), and the least barrier to start insulin was perceived lack of positive gain               (43. 1%), also there is statistically less negative appraisal scores in patients aged 45-60 years, males, higher educational levels and ‘10-12 years’ duration of illness, but no statistical difference in regards whether a family member or a friend used, or did not use insulin.
CONCLUSION:
Many misconceptions about the use of insulin therapy can be corrected by working to increase patient education.
 
Keywords
insulin treatment; hypoglycemia; barriers
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