Evidence map›Paper›PMID 40940048›Full record

ArticleBMJ open2025

Development and testing of a scale for nurses' knowledge, attitudes and practices regarding insulin injection-induced lipohypertrophy: A Delphi research and cross-sectional survey.

Qin Zhang, Xinyu Li, Min Chen, Ping Jia, Yan Zhu, Li Wang, Li Xiao

Abstract read
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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Qin ZhangDepartment of Day Surgery Ward, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.ORCID http://orcid.org/0009-0002-9127-2978
Xinyu LiDepartment of Day Surgery Ward, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Min ChenDepartment of Endocrinology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Ping JiaDepartment of NICU, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China aonejia@126.com.ORCID http://orcid.org/0000-0003-1584-9616
Yan ZhuDepartment of Hepatobiliary Surgery, Neijiang People's Hospital, Neijiang, China.
Li WangDepartment of NICU, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Li XiaoDepartment of Geriatric Cardiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to develop a scale for nurses' knowledge, attitudes and practices regarding the prevention and treatment of subcutaneous lipohypertrophy associated with insulin injections and evaluate its reliability and validity.

designA Delphi research and cross-sectional survey.

settingMedical, education and nursing experts from seven different regions conducted Delphi consultation by E-mail or Wechat, whereas clinical nurses from primary, secondary and tertiary general hospitals in different regions of Sichuan Province were conveniently selected for the questionnaire survey.

participantsA total of 16 female experts aged 35-58 years participated in the Delphi expert consultation process; 812 clinical nurses participated in the questionnaire survey. OUTCOME MEASURE: Content validity, internal consistency reliability and construct validity of the scale.

resultsThe scale comprises 3 dimensions and 36 items, with a content validity index of 0.99, a Cronbach's α coefficient of 0.93, a split-half reliability of 0.87 and a test-retest reliability of 0.93. Exploratory factor analysis revealed a cumulative variance contribution rate of 53.38%, whereas confirmatory factor analysis indicated a χ2 degree of freedom 2 ratios of 2.65, a goodness-of-fit index of 0.86, a root mean square error of approximation of 0.06, a root mean square error of 0.04 and a comparative fit index of 0.90.

conclusionThe developed scale demonstrated strong reliability and validity, enabling the assessment of nurses' knowledge, attitudes and practices regarding the prevention and treatment of lipohypertrophy associated with insulin injections.

Indexed as

Health Knowledge, Attitudes, PracticeInsulinLipodystrophyNursesAdultChinaCross-Sectional StudiesDelphi TechniqueFemaleHumansInjections, SubcutaneousMiddle AgedReproducibility of ResultsSurveys and QuestionnairesInsulinDiabetes Mellitus, Type 2KnowledgeNurses

Identifiers

PMID40940048
PMCPMC12519392

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.