Self-care competence in the administration of insulin in older people aged 70 or over1

Rev Lat Am Enfermagem. 2017 Oct 30:25:e2943. doi: 10.1590/1518-8345.2080.2943.
[Article in English, Portuguese, Spanish]

Abstract

Objective: to analyze the self-care competence in the administration of insulin performed by older people aged 70 or over.

Method: cross-sectional study carried out with 148 older people aged 70 or over, who performed self-administration of insulin. Data collection was carried out using a structured questionnaire and an adapted guide for the application of the Scale to Identify Self-Care Competence of Patients with Diabetes, at the participants' home. Data analysis included descriptive and inferential statistical tests, with forward logistic regression.

Results: the prevalence of self-care competence in the administration of insulin was 35.1%. Handwashing error was the most frequent in self-administration of insulin. Self-care competence was negatively associated with retirees and positively associated with senior patients who performed capillary blood glucose monitoring and skin pinching during insulin application.

Conclusion: there was low self-care competence and it was associated with both the sociodemographic and the clinical characteristics with regard to self-application of insulin by the older people.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Diabetes Mellitus / drug therapy*
  • Female
  • Humans
  • Hypoglycemic Agents / administration & dosage*
  • Insulin / administration & dosage*
  • Male
  • Self Administration
  • Self Care*

Substances

  • Hypoglycemic Agents
  • Insulin