المؤلفون: Anirban Majumder, Poulomi Mukherjee, Soma Chakraborty, Soumyabrata Roy Chaudhuri, Sumanta Chakraborty

المصدر: Journal of Family Medicine and Primary Care, Vol 13, Iss 5, Pp 1747-1754 (2024)

مصطلحات موضوعية: diabetes self-management education program, improvement, knowledge, retention, socioeconomic status, type 2 diabetes, Medicine

الوصف: Introduction: We assessed the baseline knowledge and the improvement and retention of knowledge after attending diabetes self-management education (DSME) programs with respect to different socioeconomic status (SES). We also looked into the change in body mass index (BMI), blood pressure, and glycemic parameters after attending the DSME sessions. Materials and Methods: This was a retrospective, cohort study carried out via chart review based on data collected from manual or electronic medical records (EMR) and questionnaire responses of 160 adult patients with type 2 diabetes (T2D) who attended two DSME sessions with a gap of at least six months. Results: Baseline knowledge on diabetes was uniform (P = 0.06), irrespective of differences in SES, and DSME sessions significantly improved the knowledge in all socioeconomic classes (P value < 0.05 in each SES group). However, SES did have a significant influence on the finally acquired knowledge of diabetes as was evident from the final score after attending two DSME sessions. A significant number of patients (48.1%) from our cohort either improved or retained their knowledge of diabetes over a mean follow-up of 15.5 months. The BMI of our cohort was significantly reduced from baseline to final follow-up (P = 0.016). Conclusion: DSME sessions were effective in improving knowledge and awareness among T2D patients, irrespective of socioeconomic classes in Eastern India. The acquired knowledge from DSME sessions was retained over a long time.

وصف الملف: electronic resource

العلاقة: https://journals.lww.com/10.4103/jfmpc.jfmpc_1597_23Test; https://doaj.org/toc/2249-4863Test; https://doaj.org/toc/2278-7135Test

الوصول الحر: https://doaj.org/article/ce36db03227a434188d8323b7fc8c479Test

المؤلفون: Bernard Afriyie Owusu, Prince Ofori‐Boateng, Angus Forbes, David Teye Doku

المصدر: Nursing Open, Vol 10, Iss 4, Pp 2426-2438 (2023)

مصطلحات موضوعية: Covid‐19, diabetes mellitus, diabetes self‐management education, health literacy, juvenile diabetes, knowledge, Nursing, RT1-120

الوصف: Abstract Aims and Objective We sought to investigate knowledge and skills of type 1 diabetes (T1D) management among young people living with the disease and their caregivers. Our aim is to provide baseline evidence to inform T1D self‐management education for young people living with the disease and their caregivers. Background Both local and international guidelines recommend ongoing T1D self‐management education for people living with the disease. This is because T1D often develops among young people who rarely have the competencies to adequately manage their condition. However, the extent to which young people living with T1D and their caregivers can self‐manage this chronic disease in a low‐resource country like Ghana is unknown. Methods Using a phenomenological study design, semi‐structured interviews were conducted with 28 young people living with type 1 diabetes, 12 caregivers and 6 healthcare providers in southern Ghana. Data were collected at homes, hospitals and support group centres of participants via face‐to‐face interviews, photovoice and video‐conferencing. The data were analysed thematically using QSR NVivo 11. Results The young people living with T1D and their caregivers demonstrated knowledge and skills in the self‐monitoring of blood glucose, and the treatment of hyperglycaemia. Areas of more marginal or lack of knowledge were concerning carbohydrate counting, severe hypoglycaemia and the management of intercurrent illnesses. Young persons living with T1D and their caregivers received their management information from healthcare and non‐healthcare providers. Access to diabetes self‐management education influenced T1D management knowledge and practices. Conclusion Young people living with type 1 diabetes and their caregivers possessed limited scope of knowledge on type 1 diabetes self‐management. Multiple sources of T1D knowledge were found, some of which may not be helpful to patients. The knowledge gaps identified compromises transitional independence and self‐management capacity. Relevance to Clinical Practice It is important for clinicians and organizations that provide T1D education to provide diabetes self‐management education also on managing hypoglycaemia, carbohydrate counting and managing T1D during intercurrent life events among young people living with T1D. No Patient or Public Contribution Patients and their caregivers were interviewed as research participants. They did not conceptualize, analyse, interpret or prepare the manuscript.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2054-1058Test

الوصول الحر: https://doaj.org/article/3064dd9e56e541688e3b519f2b0873dcTest

المؤلفون: Zandile K. Landu, Talitha Crowley

المصدر: African Journal of Primary Health Care & Family Medicine, Vol 15, Iss 1, Pp e1-e7 (2023)

مصطلحات موضوعية: diabetes mellitus, knowledge, nurses, diabetes self-management support, self-efficacy, self-management., Medicine, Public aspects of medicine, RA1-1270

الوصف: Background: Patients living with diabetes are primarily managed and supported by nurses in primary health care (PHC). Therefore, PHC nurses require knowledge of diabetes and confidence (self-efficacy) to perform diabetes self-management support (SMS). Aim: This study evaluated the diabetes knowledge, self-efficacy and performance of diabetes SMS by PHC nurses. Setting: Primary health care facilities in King Sabata Dalindyebo subdistrict, O.R. Tambo district, Eastern Cape. Methods: A quantitative cross-sectional and simple correlational design was used. Registered nurses (n = 100) completed a validated self-reporting questionnaire to measure diabetes knowledge, self-efficacy and performance of SMS. Results: Participants’ diabetes knowledge mean scores were high (mean of 11.9, standard deviation [s.d.] 1.8, out of 14). Self-efficacy scores (mean 18.91, s.d. 3.2 out of 24) were higher than performance of SMS scores (mean 17.81, s.d. 3.3 out of 24). Knowledge was not associated with self-efficacy or performance, but self-efficacy was positively correlated with performance of SMS (r = 0.78, p 0.01). Nurses with a postgraduate qualification in primary care nursing had significantly higher diabetes knowledge scores (mean = 92.9 vs. 83.8; p = 0.03), and years of experience as a nurse were positively correlated with the performance of SMS (r = 0.21, p = 0.05). Conclusion: Diabetes knowledge of PHC nurses in this study does not translate into self-efficacy and the performance of SMS in practice, indicating the need for specific SMS training, support by experienced mentors, appropriate guidelines and comprehensive integrated chronic care systems. Contribution: This is the first study to report on the SMS self-efficacy and performance of PHC nurses in South Africa.

وصف الملف: electronic resource

العلاقة: https://phcfm.org/index.php/phcfm/article/view/3713Test; https://doaj.org/toc/2071-2928Test; https://doaj.org/toc/2071-2936Test

الوصول الحر: https://doaj.org/article/f0617bef91684664b79afbee6347838cTest

المؤلفون: Sh Sugiharto, Wiwiek Natalya, Bambang Widjanarko Otok

المصدر: Nurse Media: Journal of Nursing, Vol 11, Iss 1, Pp 124-132 (2021)

مصطلحات موضوعية: attitude, diabetes self-management, healthcare providers, knowledge, ramadan fasting, Nursing, RT1-120

الوصف: Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare. Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting. Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services.

وصف الملف: electronic resource

العلاقة: https://ejournal.undip.ac.id/index.php/medianers/article/view/33926Test; https://doaj.org/toc/2087-7811Test; https://doaj.org/toc/2406-8799Test

الوصول الحر: https://doaj.org/article/3459fbc681f748cf9dee5acd803a201cTest

المؤلفون: Azita Noroozi, Elahe Afrazeh, Rahim Tahmasebi

المصدر: حیات, Vol 24, Iss 1, Pp 20-34 (2018)

مصطلحات موضوعية: diabetes self-management, gain-framed message, loss-framed message, knowledge, self-efficacy, Nursing, RT1-120

الوصف: Background & Aim: Diabetes is the most common metabolic disease that needs self-management. The aim of this study was to compare the effects of loss- and gain-framed messages on knowledge, self-efficacy and self-management in diabetic patients. Methods & Materials: In this randomized clinical trial (IRCT2016122931653N1), 112 patients with type 2 diabetes referred to the 17th Shahrivar Diabetes clinic in Borazjan in 2017, were divided into three groups including loss-framed message, gain-framed message, and control. The data were collected by questionnaires in three steps; before, one week and three months after intervention. Chi-square test, one way analysis of variance and repeated measures analysis of variance were used to analyze the data on the SPSS software version 22. Results: Before the intervention, mean scores for knowledge, self-efficacy and self-management in loss-framed messages group and gain-framed messages group were lower than control. One week and three months after the intervention, mean scores for knowledge, self-efficacy and self-management in both the loss-framed messages and gain-framed messages groups showed a significant increase compared to the control group (P

وصف الملف: electronic resource

العلاقة: http://hayat.tums.ac.ir/article-1-2003-en.htmlTest; https://doaj.org/toc/1735-2215Test; https://doaj.org/toc/2008-188XTest

الوصول الحر: https://doaj.org/article/2d6a23c51354435094a5c7d83abc0d19Test