Research Article

The Effectiveness of Health Education in Improving Knowledge about Hypoglycemia and Insulin Pen Use among Outpatients with Type 2 Diabetes Mellitus at a Primary Care Hospital in Vietnam

Table 2

Knowledge about using insulin pen.

Good knowledgeBefore intervention ()
(%)
Right after intervention ()
(%)
After one month ()
(%)
After two months ()
(%)
( vs. ) ( vs. ) ( vs. )

Hand washing and injection site cleaning
Yes63 (78.8)80 (100)80 (100)71 (100)<0.001<0.0010.0001
No17 (21.2)0 (0)0 (0)0 (0)

Pushing the air bubble out before injection
Yes16 (20.0)72 (90.0)65 (81.2)66 (93.0)<0.001<0.001<0.001
No64 (80.0)8 (10.0)15 (18.8)5 (7.0)

Injection time
Yes41 (51.3)76 (95.0)72 (90.0)65 (91.6)<0.001<0.001<0.001
No39 (48.7)4 (5.0)8 (10.0)6 (8.4)

Duration of syringe under skin after injection
Yes34 (42.5)78 (97.5)68 (85.0)71 (100)<0.001<0.001<0.001
No46 (57.5)2 (2.5)12 (15.0)0 (0)

Massage injection site
Yes47 (58.8)73 (91.3)70 (87.5)70 (98.6)<0.0010.0001<0.001
No33 (41.2)7 (8.7)10 (12.5)1 (1.4)

Unused insulin storage
Yes69 (86.3)78 (97.5)73 (91.3)71 (100)0.0040.2190.004
No11 (13.7)2 (2.5)7 (8.7)0 (0)

Leftover insulin storage
Yes21 (26.3)70 (87.5)57 (71.3)65 (91.6)<0.001<0.001<0.001
No59 (73.7)10 (12.5)23 (28.7)6 (8.4)

Stabilize temperature before injection
Yes26 (32.5)78 (97.5)76 (95.0)71 (100)<0.001<0.001<0.001
No54 (67.5)2 (2.5)4 (5.0)0 (0)

Injection site
Yes46 (57.5)80 (100)79 (98.8)71 (100)<0.001<0.001<0.001
No34 (42.5)0 (0)1 (1.2)0 (0)

Changing injection site
Yes80 (100)79 (98.8)80 (100)71 (100)1.0001.0001.000
No0 (0)1 (1.2)0 (0)0 (0)

Changing injection site every day
Yes28 (35.0)65 (81.3)58 (72.5)61 (85.9)<0.001<0.001<0.001
No52 (65.0)15 (18.7)22 (27.5)10 (14.1)

Injection site selection
Yes73 (91.3)78 (97.5)77 (96.3)71 (100)0.1800.3440.016
No7 (8.7)2 (2.5)3 (3.7)0 (0)

Number of injections per needle
Yes8 (10.0)61 (76.3)38 (47.5)57 (80.3)<0.001<0.001<0.001
No72 (90.0)19 (23.7)42 (52.5)14 (19.7)

Consequences of reuse needle so many times
Yes9 (11.3)55 (68.8)49 (61.3)58 (81.7)<0.001<0.001<0.001
No71 (88.7)25 (31.2)31 (38.7)13 (18.3)

Needle treatment after injection
Yes6 (7.5)56 (70.0)41 (51.3)57 (80.3)<0.001<0.001<0.001
No74 (92.5)24 (30.0)39 (48.7)14 (19.7)

Total score (median and IQR)7 (5-8)14 (13-14.5)12 (11-14)14 (13-15)<0.001<0.001<0.001