Hussein Amin, Mostafa Arafa, Areej Alnomi, Mona Al-Muteb, Shimaa Alduaiji, Najd Al-Gazlan, Futoon Alnemari
King Saud University, Family and Community Medicine.
King Saud University, Chair of Cancer Research.
Afr Health Sci. 2019 Mar;19(1):1638-1646. doi: 10.4314/ahs.v19i1.39.
Problems may arise with insulin treatment, due to patients' perspective towards it leading to refusal.
To evaluate diabetic patients' refusal towards insulin therapy, and to assess patients' perception and perceived barriers towards insulin.
A cross-sectionalstudy, where type 2 diabetics participated in the study during a period, February through March 2017. They were interviewed in person by a questionnaire including three sections; socio-demography, medical history and a health belief model, comprising barriers to use insulin. Five points Likert scale was used to measure patients' perception and barriers towards insulin therapy.
One fourth (24.4%) of the diabetic patients refused insulin. Among the controlled group, 34.4% refused insulin, while 21% refused insulin among the uncontrolled group. The study showed different barriers towards insulin therapy, including fear of injection, pain, insulin injection needs help from others, fear of hypoglycaemia and embarrassment.
Diabetics showed a negative attitude towards insulin therapy due to social and psychological factors. The results necessitate the development of a strategy to address problems related with a reluctance to initiate insulin and put a strategy to implement education and better interaction with diabetic team to the stigma from phobia from insulin use.
由于患者对胰岛素治疗的看法导致拒绝，胰岛素治疗可能会出现问题。
评估糖尿病患者对胰岛素治疗的拒绝情况，并评估患者对胰岛素的认知和感知到的障碍。
一项横断面研究，2型糖尿病患者在2017年2月至3月期间参与研究。通过一份包括三个部分的问卷对他们进行面对面访谈；社会人口统计学、病史和一个健康信念模型，包括使用胰岛素的障碍。采用五点李克特量表来衡量患者对胰岛素治疗的认知和障碍。
四分之一（24.4%）的糖尿病患者拒绝使用胰岛素。在血糖控制组中，34.4%的患者拒绝使用胰岛素，而在血糖未控制组中，21%的患者拒绝使用胰岛素。该研究显示了胰岛素治疗存在不同的障碍，包括害怕注射、疼痛、胰岛素注射需要他人帮助、害怕低血糖和尴尬。
由于社会和心理因素，糖尿病患者对胰岛素治疗表现出消极态度。这些结果需要制定一项策略来解决与不愿开始胰岛素治疗相关的问题，并制定一项策略来开展教育并改善与糖尿病治疗团队的互动，以消除因害怕使用胰岛素而产生的耻辱感。
