TITLE:
Investigation and Analysis of Knowledge, Attitudes, and Practices regarding Insulin Injection Site Rotation among Adolescent Patients with Diabetes
AUTHORS:
Shuxian Wang, Zhen Huang, Yijuan Li, Shuangqi Li, Ting Meng, Yanzhen Lu, Meiyan Ou
KEYWORDS:
Diabetes, Insulin, Injection Site Rotation, Knowledge, Attitudes, and Practices, Adolescents
JOURNAL NAME:
Open Journal of Applied Sciences,
Vol.15 No.12,
December
24,
2025
ABSTRACT: Objective: To investigate the knowledge, attitudes, and practices of adolescent diabetic patients regarding three-dimensional insulin injection site rotation and to identify the factors influencing their knowledge, beliefs, and behaviors in this regard. Methods: This study was designed as a cross-sectional survey. From November 2024 to October 2025, a total of 116 adolescent patients with diabetes who had prior experience with insulin therapy were recruited from a tertiary hospital in Baise City, Guangxi Zhuang Autonomous Region, China. Data were collected using structured questionnaires, including those on general and disease-related characteristics, health education status, and insulin injection site rotation practices. A convenience sampling method was employed, and data analysis was performed using SPSS 25.0 software. Results: The overall mean score for knowledge, attitude, and practice (KAP) of insulin injection site rotation among the 116 participants was 43.28 ± 7.688, corresponding to a scoring rate of 60.1%, indicating a moderate level of KAP. Specifically, the knowledge subscale yielded a mean score of 6.12 ± 2.625 (scoring rate: 40.8%), reflecting a low level of knowledge. The attitude subscale score was 13.98 ± 3.318 (scoring rate: 69.9%), indicating a moderate level, while the practice subscale score was 23.17 ± 4.142 (scoring rate: 64.4%), also at a moderate level. The scores in all three dimensions, as well as the total KAP score, were significantly higher in the juvenile subgroup compared to the young adolescent subgroup, with statistically significant differences (P Conclusion: Healthcare providers and relevant institutions should pay greater attention to the knowledge, attitudes, and practices of adolescent diabetic patients concerning insulin injection site rotation, particularly among younger adolescents. Enhanced health education and systematic follow-up interventions are recommended to improve patient understanding and adherence, thereby optimizing insulin therapy outcomes, glycemic control, and overall quality of life.