Shafie Pour M R, Sadeghiyeh T, Hadavi M, Besharati M, Bidaki R
Department of Internal Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Hahid Sadoughi University of Medical Sciences, Yazd, Iran.
Diabetes Metab Syndr Obes. 2019 Aug 7;12:1349-1354. doi: 10.2147/DMSO.S200867. eCollection 2019.
The decision to start insulin therapy is often difficult. Determining the barriers against insulin therapy initiation can facilitate care and treatment strategies. The aim of this study was to evaluate the barriers against initiating insulin therapy among patients with diabetes living in Yazd, Iran.
This descriptive study was conducted on 214 patients referred to the Diabetes Center of Yazd University of Medical Sciences in 2015. Participants were randomly selected, and then they completed the insulin noncompliance questionnaire (20 questions). The percentage of adherence and the factors contributing to nonadherence to insulin therapy were analyzed using descriptive statistics, the Kruskal-Wallis test, and the Mann-Whitney test.
The most prevalent reason for insulin therapy refusal was expecting a new method of diabetes treatment (54.7%), followed by requiring someone else to administer the injection (19.2%), fear of needles, cost, traveling (18.7%), and stress/emotional problems (18.2%). Lack of trust in the physician was the least restrictive reason for nonadherence to insulin therapy.
The most common reason given for insulin therapy refusal was the lack of adequate education. Therefore, specialized educational interventions can help minimize barriers and improve patients' outcomes.
开始胰岛素治疗的决定往往很困难。确定胰岛素治疗起始的障碍有助于制定护理和治疗策略。本研究的目的是评估伊朗亚兹德地区糖尿病患者开始胰岛素治疗的障碍。
本描述性研究于2015年对转诊至亚兹德医科大学糖尿病中心的214名患者进行。参与者被随机选取，然后完成胰岛素治疗依从性问卷（20个问题）。使用描述性统计、Kruskal-Wallis检验和Mann-Whitney检验分析胰岛素治疗的依从率和导致不依从的因素。
拒绝胰岛素治疗最常见的原因是期待新的糖尿病治疗方法（54.7%），其次是需要他人注射（19.2%）、害怕打针、费用、出行（18.7%）以及压力/情绪问题（18.2%）。对医生缺乏信任是胰岛素治疗不依从最不具限制性的原因。
拒绝胰岛素治疗最常见的原因是缺乏充分的教育。因此，专门的教育干预有助于减少障碍并改善患者的治疗效果。
