Catic Tarik, Gojak Refet, Djekic Danijel
University Sarajevo School of Science and Technology, Medical School, Sarajevo, Bosnia and Herzegovina.
University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2020 Dec;32(4):267-270. doi: 10.5455/msm.2020.32.267-270.
Diabetes as lifelong chronic disease requires pharmacological treatment using plastic pens and needles. Proper disposal of used pens and needles have impact not just on health but environment as well. In 2020 there will be 3.2 million pens used and disposed in Bosnia and Herzegovina resulting in over 600 tons of this waste. Worldwide problem is related to proper disposal of used insulin pens and sharps.
To investigate and evaluate what are the attitudes, knowledge and practices on insulin pens and needles disposal among diabetes patients in Bosnia and Herzegovina.
The research was conducted in five cities in Bosnia and Herzegovina in period December 2019-January 2020 using questionnaire consisted of 28 questions distributed among patients with diabetes through their local patient associations.
Total 250 diabetes patients participated. 40.4% inject medicines for 2 times per day and 37.6% for three and more times a day. Patients have not been instructed on proper disposal of used pens or needles in 67.6% and 66% respectively. The most appropriate place to dispose used pens is pharmacies and 90% of respondents would participate in program of collecting used pens if one exists. 75.6% of respondents consider improper disposal of pens and needles as healthcare problem, 18.8% see this as ecological problem and for 4% of them this is not a problem at all.
Current practice of disposing used insulin pens and sharps is improper. Patients are aware of health and environmental risk. There is a huge opportunity for pharmacists and other healthcare provides to provide better information and counseling diabetes patients on this topic.
糖尿病作为一种终身慢性疾病，需要使用塑料笔和针头进行药物治疗。妥善处理用过的笔和针头不仅对健康有影响，对环境也有影响。2020年，波斯尼亚和黑塞哥维那将使用并丢弃320万支笔，产生超过600吨此类废物。全球问题与妥善处理用过的胰岛素笔和锐器有关。
调查和评估波斯尼亚和黑塞哥维那糖尿病患者对胰岛素笔和针头处理的态度、知识和做法。
2019年12月至2020年1月期间，在波斯尼亚和黑塞哥维那的五个城市进行了这项研究，使用由28个问题组成的问卷，通过当地患者协会分发给糖尿病患者。
共有250名糖尿病患者参与。40.4%的患者每天注射药物2次，37.6%的患者每天注射三次及以上。分别有67.6%和66%的患者未得到关于妥善处理用过的笔或针头的指导。处理用过的笔最合适的地方是药店，90%的受访者表示如果有收集用过的笔的项目，他们会参与。75.6%的受访者认为笔和针头处理不当是医疗保健问题，18.8%的受访者认为这是生态问题，4%的受访者认为这根本不是问题。
目前处理用过的胰岛素笔和锐器的做法不当。患者意识到健康和环境风险。药剂师和其他医疗保健人员有很大机会就这个主题为糖尿病患者提供更好的信息和咨询。
