USABILITY AND PATIENT ACCEPTANCE OF PREFILLED OR REUSABLE INSULIN PENS

Yıl 2021, Cilt: 23 Sayı: 2, 351 - 360, 31.08.2021

Işılay Kalan Sarı Hüseyin Demirci

https://doi.org/10.24938/kutfd.883092

Öz

Objective: Adherence to insulin therapy is poor in diabetic patients. Insulin pens with many different features have been developed to increase patient satisfaction and compliance to treatment. In our study, we aimed to investigate the usability and acceptance of prefilled or reusable insulin pens.

Material and Methods: One hundred and twenty-six patients with a mean age of 55.3±11.1 years were included. Eighty-nine (71%) patients were female. Sixty-three patients were in prefilled pen group. A questionnaire was used to assess patients’ opinions about their use of insulin pens. Glycemic control parameters, demographic characteristics, treatment protocol and microvascular complications were recorded.

Results: There was no significant difference between the two groups for age (p=0.3), gender (p=0.1), educational status (p=0.6), duration of diabetes (p=0.8), duration of insulin therapy (p=0.2) and mean insulin dose (p=0.1). Ease of use (p=0.8), ergonomics (p=0.3), ease of dose selection (p=0.6), ease of reading the dose scale (p=0.3) did not significantly differ when two groups were compared. Only the number of patients who found to change the needle as 'moderately difficult' was significantly higher in the prefilled pen group (p=0.04).

Conclusion: The applicability of the treatment and patient satisfaction is as important as the treatment given to the patients. However we did not find any important difference between prefilled or reusable pen device in terms of usability and patient satisfaction.

Anahtar Kelimeler

Diabetes mellitus, injection, insulin, patient satisfaction

Tek Kullanımlık veya Yeniden Kullanılabılır İnsülin Kalemlerinin Hasta Açısından Kabulü ve Kullanılabilirliği

Öz

Amaç: Diyabet hastalarında insülin tedavisine uyum zayıftır. Hasta memnuniyetini ve tedaviye uyumu artırmak için birçok farklı özelliğe sahip insülin kalemleri geliştirilmiştir. Çalışmamızda, tek kullanımlık veya yeniden kullanılabilir kalem kullanan iki hasta grubunda insülin kalemlerinin kullanılabilirliğini ve hasta memnuniyeti üzerindeki etkisini araştırmayı amaçladık.

Gereç ve Yöntemler: Yaş ortalaması 55.3±11.1 yıl olan 126 hasta çalışmaya dahil edildi. Hastaların 89 (%71)’u kadındı. Tek kullanımlık kalem grubunda 63 hasta vardı. İnsülin kalemleri kullanımıyla ilgili hasta görüşlerini değerlendirmek için bir anket kullanıldı. Glisemik kontrol parametreleri, demografik özellikler, tedavi protokolü ve mikrovasküler komplikasyonlar kaydedildi.

Bulgular: İki grup arasında yaş (p=0.3), cinsiyet (p=0.1), eğitim durumu (p=0.6), diyabet süresi (p=0.8), insülin tedavisi süresi (p=0.2) ve ortalama insülin dozu (p=0.1) açısından anlamlı fark yoktu. Kullanım kolaylığı (p=0.8), ergonomi (p=0.3), doz seçimi kolaylığı (p=0.6) ve doz skalasını okuma kolaylığı (p=0.3) açısından 2 grup arasında anlamlı farklılık gözlenmedi. Tek kullanımlık kalem grubunda iğne ucu değiştirmeyi “orta derecede zor” olarak değerlendiren hasta sayısı anlamlı olarak daha fazlaydı (p=0.04).

Sonuç: Hastalara verilen tedavi kadar tedavinin uygulanabilirliği ve hasta memnuniyeti de önemlidir. Ancak çalışmamızda, kullanılabilirlik ve hasta memnuniyeti açısından tek kullanımlık veya yeniden kullanılabilir kalemler arasında ciddi bir fark bulunmamıştır.

Anahtar Kelimeler

Diabetes mellitus, enjeksiyon, insülin, hasta memnuniyeti

Kaynakça

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