Sweidan Besher Akram, Al Ajlouni Momen Mohammad, Robert Asirvatham Alwin, Alzaid Aus A
Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Curr Diabetes Rev. 2019;15(3):240-246. doi: 10.2174/1573399814666180528081552.
Correct insulin injection practice is essential for better diabetic control. The aim of this study is to investigate the level of competency of prefilled insulin pen usage (injection technique and storage) among diabetes patients in Saudi Arabia.
A cross-sectional survey between March 2017 to July 2017 of randomly selected patients with diabetes attending Diabetes Treatment Center, Prince Sultan Military Medical City, Saudi Arabia, who are actively using a prefilled insulin pen, were interviewed to complete a pre-structured questionnaire to assess the competency of using the insulin pen. The contents of the questionnaire addressed the 6 competency components according to manufacturer recommendation (priming, count time, storage, using new needles, a store with no needles, and discard date), background, clinical and metabolic data. Results of the questionnaire were analyzed to identify common pitfalls and were also contrasted with background clinical and metabolic data.
165 patients with diabetes (aged 14-70yrs) were interviewed for the study and all questioners completed properly. Only 14 (8.5%) patients were following all of the six competency components. Count time 52 (31.6%) was the least followed competency component of the six, whereas discard date and storage of insulin pen were the most followed with 165 (100%) and 159 (96.4%), consecutively. Education was the only significant variable related to the following more than 3 of the competency components, and logistic regression showed the college or higher educated patients to be three times more likely follow more than 3 of the competency components.
The study concluded that majority of patients are either ignoring or unaware of the major components of correct use of prefilled insulin in Saudi Arabia.
正确的胰岛素注射方法对于更好地控制糖尿病至关重要。本研究旨在调查沙特阿拉伯糖尿病患者使用预填充胰岛素笔的能力水平（注射技术和储存）。
2017年3月至2017年7月，对沙特阿拉伯苏丹王子军事医疗城糖尿病治疗中心随机选取的正在积极使用预填充胰岛素笔的糖尿病患者进行横断面调查，让他们填写一份预先设计好的问卷，以评估使用胰岛素笔的能力。问卷内容根据制造商的建议涉及6个能力组成部分（预充、计数时间、储存、使用新针头、储存无针头笔芯以及丢弃日期）、背景、临床和代谢数据。对问卷结果进行分析以确定常见错误，并与背景临床和代谢数据进行对比。
165名糖尿病患者（年龄14 - 70岁）接受了本研究的访谈，所有问卷均正确填写。只有14名（8.5%）患者遵循了所有六个能力组成部分。计数时间是六个组成部分中遵循率最低的，为52名（31.6%），而胰岛素笔的丢弃日期和储存的遵循率最高，分别为165名（100%）和159名（96.4%）。教育程度是与遵循超过3个能力组成部分相关的唯一显著变量，逻辑回归显示大专及以上学历的患者遵循超过3个能力组成部分的可能性是其他患者的三倍。
该研究得出结论，在沙特阿拉伯，大多数患者要么忽视要么不了解正确使用预填充胰岛素的主要组成部分。
