Knowledge, Attitudes and Practices on the Disposal of Sharps in Patients of the UP-Philippine General Hospital Diabetes Clinic
Introduction. Diabetics using insulin are the largest group of patients that use syringes and needles outside of the hospital. Despite this, few studies have been done regarding the disposal of sharps of these patients in the community setting.
Objectives. The objective of phase 1 was to create a validated, self-administered questionnaire to assess the knowledge, attitude and practices of diabetic patients with regard to the disposal of sharps in the community setting. The objectives of phase 2 were to assess the knowledge, attitude and practices of these patients and identify which factors influence these characteristics.
Methodology. Literature review and a focus group discussion were conducted. A conceptual framework based on the Health Belief Model was created. Questionnaire items were reviewed by an expert panel, translated into Filipino and pre-tested. The final questionnaire was administered to 130 patients.
Results. Majority of patients (82%) disposed of their sharps through the community garbage collection and most (76%) used a sharps container. Less than one-fourth (23.7%) had acceptable disposal techniques. Respondents had moderate knowledge (mean score of 62.2%) and positive attitude (mean score of 3.95 out of 5) towards sharps disposal. A longer duration of diabetes mellitus (DM) and insulin use negatively influenced disposal practices. Attitude was positively influenced by needle stick injury to self and college education, but being married exerted a negative influence.
Conclusion. The majority of patients at the UP-PGH DM clinic have improper sharps disposal practices, and need to be better educated about proper techniques.
Community Options for Safe Needle Disposal. http://www.epa.gov/osw/nonhaz/industrial/medical/med-govt.pdf. Accessed June 30, 2014.
The Problem. http://www.safeneedledisposal.org/index.cfm?load= page&page=42. Accessed March 14, 2014.
Quiwa L, Plata-Que T and Jimeno CA (2010). "Sharps Disposal Practices of Patients at the East Avenue Medical Center Diabetes Clinic." Residency research paper, East Avenue Medical Center Department of Internal Medicine, 2010.
Brewer NT, Rimer BK. Perspectives on health behavior theories that focus on individuals. http://www.unc.edu/~ntbrewer/pubs/ 2008,%20brewer%20&%20rimer.pdf. Accessed June 25, 2013.
Insulin Storage and Syringe Safety. http://www.diabetes.org/ living-with-diabetes/treatment-and-care/medication/insulin/insulin-storage-and-syringe-safety.html. Accessed January 18, 2014.
Do's and don'ts: Safe disposal of needles and other sharps used at home, at work, or while traveling. http://www.fda.gov/downloads/ MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/Sharps/UCM278775.pdf. Accessed January 18, 2014.
Handle with care: How to throw out used insulin syringes and lancets at home. http://www.xubex.com/PDF/hancare.pdf. Accessed January 18, 2014.
Scorepak: Item analysis. https://www.washington.edu/oea/pdfs/ resources/ item_analysis.pdf. Accessed March 17, 2014.
Office of measurement and evaluation of teaching. http://www.omet.pitt.edu/docs/OMET Test and Item Analysis.pdf. Accessed March 17, 2014.
Mitra NK, Nagaraja HS, Ponnudurai G, Judson JP. The levels of difficulty and discrimination indices in type A multiple choice questions of pre-clinical semester 1 multidisciplinary summative Tests. IeJSME. 2009; 3(1):2-7.
Varma S. Preliminary item statistics using point-biserial correlation and p-values.http://www.eddata.com/resources/publications/ EDS_Point_Biserial.pdf. Accessed March 17, 2014.
Tucker S. Using remark statistics for test reliability and item analysis. http://www.umaryland.edu/cits/services/testscoring/umbtestscoring_testanditemanalysis.pdf. Accessed March 17, 2014.
Singh AP, Chapman RS. Knowledge, attitude and practices (KAP) on disposal of sharp waste, used for home management of type-2 diabetes mellitus in New Delhi, India. J Health Res. 2011; 25(3):135-139.
Ishtiaq O, Qadri AM, Mehar S, et al. Disposal of syringes, needles, and lancets used by diabetic patients in Pakistan. J Infect Public Health. 2012; 5(2):182-188. http://dx.doi.org/10.1016/j.jiph.2012.02.002.
Olowokure B, Duggal H, Armitage L. The disposal of used sharps by diabetic patients living at home. Int J Environ Health Res. 2003; 13(2):117-123.
Bouhanick B, Hadjadj S, Weekers S. What do the needles, syringes, lancets, and reagent strips of diabetic patients become in the absence of a common attitude? Diabetes Metab. 2000; 26(4):288-293.
Musselman K, Sicat BL, Thomas MH, Harpe SE. Patients' knowledge of and practices relating to the disposal of used insulin needles. Innov Pharm. 2010; 1(2): Article 20.
Health Belief Model. http://www.utwente.nl/cw/theorieenoverzicht/ theoryclusters/healthcommunication/ health_belief_model/. Accessed March 17, 2014.
How to Cite
Journal of the ASEAN Federation of Endocrine Societies is licensed under a Creative Commons Attribution-NonCommercial 4.0 International. (full license at this link: http://creativecommons.org/licenses/by-nc/3.0/legalcode).
To obtain permission to translate/reproduce or download articles or use images FOR COMMERCIAL REUSE/BUSINESS PURPOSES from the Journal of the ASEAN Federation of Endocrine Societies, kindly fill in the Permission Request for Use of Copyrighted Material and return as PDF file to firstname.lastname@example.org or email@example.com.
A written agreement shall be emailed to the requester should permission be granted.