Year: 2025 | Month: April-June | Volume: 10 | Issue: 2 | Pages: 126-137
DOI: https://doi.org/10.52403/ijshr.20250215
Fear of Self-Injection and Perceived Social Support on Insulin Self-administration Practices among People with Type-2 Diabetes Mellitus
Shanthi. K1, Mercy Jesudoss2, Maya. P3
1Assistant Professor, College of Nursing, Christian Medical College Vellore
2Professor, College of Nursing, Christian Medical College, Vellore
3Statistician, Christian Medical College, Vellore
Corresponding Author: Shanthi. K
ABSTRACT
Background: Diabetes mellitus is a disorder of carbohydrate metabolism in which the ability of the body to produce or respond to insulin is impaired and leads to improper maintenance of sugar levels in the blood. Diabetes is a significant cause of morbidity and mortality due to its complications. Insulin is widely used to treat Type 2 Diabetes mellitus (T2DM). Irrational fear of self-injection, insufficient knowledge of insulin administration practices, and poor social support prevent or postpone the initiation of insulin therapy among patients with T2DM.
Aim: The study aimed to assess the Fear of Self Injection and Perceived Social Support on Insulin Self-administration Practices among People with T2DM and its association with selected demographic and clinical variables.
Methods: A descriptive cross-sectional design was employed to recruit 100 participants with T2DM attending medicine outpatient departments of a tertiary care center. The participants were selected using simple random sampling technique. The data collection instrument included Diabetes fear of injecting and self-testing (D-FISQ) questionnaire, Multidimensional scale of perceived social support (MSPSS) and Insulin self-administration practices questionnaire.
Results: Most (69%) of them were male and 31 % of them were female. Only 6% of them had high level of fear during self-administration of insulin. Majority (66%) of them had good social support and 12% of the subjects had inadequate insulin administration practices. A statistically significant negative relationship between perceived social support and fear of self-injection (r = -0.404), and fear of self-injection and insulin self-administration practices (r = - 0.178), and positive relationship between perceived social support and Insulin self-administration practices (r=0.161) was observed.
Conclusion: Self administration of insulin practice was affected by fear of self-injection and social support. Increased fear of self-injection had a negative effect and good social support had a positive effect on the individual.
Keywords: Type 2 Diabetes mellitus, Insulin, Fear of self-injection, Social Support, Insulin self-administration practices