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Medication knowledge and self-management by people with type 2 diabetes

Dunning, Trisha and Manias, Elizabeth 2005, Medication knowledge and self-management by people with type 2 diabetes, Australian journal of advanced nursing, vol. 23, no. 1, September - November, pp. 7-14.

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Title Medication knowledge and self-management by people with type 2 diabetes
Author(s) Dunning, TrishaORCID iD for Dunning, Trisha orcid.org/0000-0002-0284-1706
Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Journal name Australian journal of advanced nursing
Volume number 23
Issue number 1
Season September - November
Start page 7
End page 14
Publisher Australian Nursing Federation; RMIT Publishing
Place of publication [South Melbourne, Vic.]
Publication date 2005
ISSN 0813-0531
1447-4328
Keyword(s) diabetes mellitus, type 2
health knowledge, attitudes, practice
hypoglycemic agents
self care
adult
age distribution
aged
aged 80 and over
blood glucose self-monitoring
cross-sectional studies
female
humans
male
medical waste disposal
middle-aged
patient education
physician's practice patterns
physician's family
polypharmacy
self-administration
Victoria
Summary Objective: To explore medication knowledge and self management practices of people with type 2 diabetes.

Design: A one-shot cross sectional study using in-depth interviews and participant observation.

Setting: Diabetes outpatient education centre of a university teaching hospital.

Subjects:
People with type 2 diabetes, n=30, 17 males and 13 females, age range 33-84, from a range of ethnic groups.

Outcome measures: Ability to state name, main actions and when to take medicines. Performance of specific medication-related tasks; opening bottles and packs, breaking tablets in half, administering insulin, and testing blood glucose.

Results: Average medication use > or = 10 years. Respondents were taking 86 different medicines, mean 7 +/- 2.97 SD. Dose frequency included two, three and four times per day. All respondents had > or = 2 diabetic complications +/- other comorbidities. The majority (93%) were informed about how and when to take their medicines, but only 37% were given information about side effects and 17% were given all possible seven items of information. Younger respondents received more information than older respondents. Older respondents had difficulty opening bottles and breaking tablets in half. Twenty per cent regularly forgot to take their medicines. Increasing medication costs was one reason for stopping medicines or reducing the dose or dose interval. The majority tested their blood glucose but did not control test their meters and 33% placed used sharps directly into the rubbish.

Conclusion:
Polypharmacy was common. Medication knowledge and self management were inadequate and could lead to adverse events.
Notes Reprinted with permission of the AJAN
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Australian Nursing Federation
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30004268

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.