Insulin self-application in adults with diabetes mellitus in the home context: Integrative review

• Autor(a) principal: Castro, Paola Cristina de
• Data de Publicação: 2022
• Outros Autores: Ribeiro, Thalita da Silva, Faraoni, Amábile Giulia, Matumoto, Silvia, Souza, Fabiana Bolela, Viana, Angelina Letierre
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/38799
• topic: Autocuidado; Insulina; Diabetes Mellitus; Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Self care; Insulin; Diabetes Mellitus; Health Education; Nursing; Primary Health Care; Autocuidado; Insulina; Diabetes Mellitus; Educación en Salud; Enfermería; Atención Primaria de Salud

Objective: to synthesize the scientific production on the technique of self-administration of insulin inadults with diabetes Mellitus in the home context. Method: integrative review carried out between December 2019 and January 2020, based on the search for publications in journals indexed inPubMed, CINAHL, EMBASE, SCOPUS, Web of Science, LILACS and BDENF using the controlledterms diabetes Mellitus, self-care, insulin, health education, disposable equipment, medical waste disposal and self-administration and their corresponding words in Portuguese, combined with the Boolean operator AND. Original articles published between 2009 and 2019, in English, Portuguese and Spanish, were included, which answered the guiding question: what is the scientific production on the technique of self-administration of insulin in adults with diabetes Mellitus in the home context in the last 10 years? Results: the final sample comprised eight articles. Studies carried out in Brazil by nurses in the context of primary health care predominated. Regarding the insulin self-administration technique, the results were grouped into four axes: pre-administration, insulin preparation technique, administration, and post-administration. Inadequate actions were observed in all axes such as: transport, storage, self-application, reuse of needles and incorrect disposal. Such inadequacies can result in painful procedures, impaired glycemic control, and health complications for the person with diabetes Mellitus. Conclusion: the results showed that the reality of self-administration of insulin in adults with diabetes Mellitus at home can be modified based on health education by nurses, as well as collaborating in the planning of strategic actions to reduce such problems.