Insulin resistance beliefs in patients with type II diabetes according to the health belief model

Abstract

Regular administration of insulin injections with correct dosing results in well-controlled blood glucose levels and decreased diabetic complications. This study aimed to investigate beliefs associated with insulin resistance in patients with type II diabetes, according to the Health Belief Model. In this descriptive cross-sectional study, 300 patients with type II diabetes from the hospitals of Ilam were included. Data were collected using the Insulin Resistance Beliefs in Patients with Type II Questionnaire, which was designed using the components of the Health Belief Model from previous studies. The Kruskal-Wallis test, Mann-Whitney test, and Pearson correlation coeffi cient were adopted at a significance level of less than 0.05. The mean age of the study participants was 9.62 +/- 47.77 years. Of them participants, 95 (31.7) were illiterate, 156 (52) were married, and 151 (50.3) had an income level less than 500,000 Tomans per month. The scores for components of perceived sensitivity, perceived severity, perceived barriers, perceived benefi ts, self-effi ciency, operation guideline, and general awareness were 5.37 (2.36), 16.79 (5.07), 27.53 (7.06), 30.83 (5.11), 19.51 (5.44), 27.51 (5.63), and 127.20 (13.91), respectively. Training packages and appropriate nursing interventions are recommended to reduce the negative beliefs associated with insulin injection.