Abstract
Background: Improper insulin pen use remains a significant barrier to optimal glycemic control, leading to treatment inefficacy and increased risk of complications. This study aimed to evaluate the impact of pharmacist-led counseling on outpatients’ knowledge, attitude, and practice (KAP) regarding insulin pen use at Nguyen Tri Phuong Hospital.
Materials and methods: A pre-post intervention study was conducted with 127 post-intervention patients out of 219 pre-interventions in a month (10 - 11/2022).
Results: 219 patients participated in the consultation, and 127 were research subjects. After the intervention, patients with good knowledge, positive attitude, and good practice increased significantly from 57.5% to 91.3%. (p<0.001), from 78.7% to 93.7% (p<0.001), and from 43.3% to 88.2% (p<0.001), respectively. Correct steps increased strongly were “perform a safety test or air shot” (from 18.9 - 24.4% to 69.3 - 76.4%), “keeping the injection button at the injection site for at least 5 seconds” (from 46.5% to 89.8%), and “remove and discard the needle” (from 17.3% to 67.7%).
Conclusions: Pharmacist-led counseling significantly improved patients’ knowledge, attitude, and practice regarding insulin pen use.
| Published | 2025-05-09 | |
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| Issue | Vol. 15 No. 2 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.2.16 | |
| Keywords | knowledge, attitude, insulin pen, practice skills, clinical pharmacist |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
International Diabetes Federation (IDF). Diabetes in Vietnam 2000–2045. International Diabetes Federation. 2021 [cited 2024 Sep 11]. Available from: https://diabetesatlas.org/data/en/country/217/vn.html
Ministry of Health. Diabetes situation in Hanoi. Department of Medical Services Administration. 2020 [cited 2024 Sep 11]. Available from: https://daithaoduong.kcb.vn/tinh-hinh-dai-thao-duong
Mai TTT. Type 2 diabetes situation among middle-aged people (40–60 years old) in Ho Chi Minh City. Ho Chi Minh City Med J. 2009;13(2):110.
Institute for Safe Medication Practices (ISMP). Guidelines for optimizing safe subcutaneous insulin use in adults. ISMP; 2017.
Netere AK, Ashete E, Gebreyohannes EA, Belachew SA. Assessment of knowledge, skill, and practice in insulin storage and injection technique among diabetes patients at primary hospitals of Northwest Ethiopia. BMC Public Health. 2020;20(1):1537.
Wubben DP, Vivian EM. Effects of pharmacist outpatient interventions on adults with diabetes: a systematic review. Pharmacotherapy. 2008;28(4):421–6.
Iqbal MZ, Khan AH, Iqbal MS, Sulaiman SAS. Review of pharmacist-led interventions on diabetes outcomes: an observational insight into care opportunities for pharmacists. Pharm Biosci J. 2019;11(4):299–309.
Van Eikenhorst L, Taxis K, Van Dijk L, De Gier H. Pharmacist-led self-management interventions to improve diabetes outcomes: a systematic literature review and meta-analysis. Front Pharmacol. 2017;8:891.
Ministry of Health. Clinical pharmacy practice guidelines for pharmacists in selected non-communicable diseases. Hanoi: Department of Medical Services Administration; 2019.
Ngo TKC, Le C, Vo TH. Effectiveness of insulin use counseling interventions among outpatient diabetes patients at Hue University of Medicine and Pharmacy Hospital. Vietnam J Diabetes Endocrinol. 2021;(46):182–90.
Statulator. Sample size calculator for comparing two paired proportions. 2023 [cited 2024 Sep 11]. Available from: https://statulator.com/SampleSize/ss2PP.html
Ngo TKC, Vo TH, Le C. Knowledge, attitude, and practice regarding hypoglycemia, insulin use, and insulin pens among outpatients with diabetes in Vietnam: prevalence and implications for safety and control. Rev Clin Pract. 2021;27(2):404–13.
Nguyen TT, Nguyen TTT, Bui TLQ, Dong TXP, Cao TBT, Pham TTV. Drug-related problems among elderly patients with type 2 diabetes in outpatient care at Huu Nghi Hospital. 108 Clin Med Pharm J. 2023;18(10):320–7.
Patel D, Triplitt C, Trujillo J. Rational titration of basal insulin in the treatment of type 2 diabetes and the potential role of pharmacists. Adv Ther. 2019;36:1031–51.
Nurumal MS, Jamaludin TS, Mohammad NM, Che Hasan MK, Win KK. A review on knowledge and medication adherence practice among diabetes mellitus patients. Int J Caring Scholars. 2020;3(1):45–54.