scholarly journals Direct, Indirect and Mixed Methods of Health Education By Nurse and Its Impact on Type 2 Diabetes Patients: A Literature review

2021 ◽  
Author(s):  
Emilia Erningwati Akoit ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Education ◽  
Literature Review ◽  
Positive Impact ◽  
Self Care ◽  
Diabetic Patients ◽  
Physical Activity Monitoring ◽  
The Impact

Abstract Background: Diabetes Mellitus (DM) is one of the chronic non-communicable diseases that has currently been very common, in particular Diabetes Mellitus type 2 that threatens public health. It has been included in the category of the six biggest causes of worldwide death, but self-control of treatment and obedience to self-care is still low. One of the influencing factors is related to the lack of knowledge. Providing ongoing health education is one of the solutions or efforts to strengthen knowledge in type 2 diabetes. The aim was to identify the various health education methods currently used by nurses and their impacts on type 2 DM. The method used is a literature review. The literature was searched on data based on Scopus, Web of Science, SAGE, CINAHL with the keywords methods or interventions, education, health, nursing, and type 2 Diabetes Mellitus. Fifteen (15) pieces of literature were considered to meet the criteria inclusion. Results: Three (3) types of health education methods used by nurses were identified: 1). Direct health education refers to providing education by nurses to patients through training, coaching, interviews, Focus Group Discussion (FGD), and home visits; 2). Indirect Health Education - using mobile phones; 3). The mix of direct health education and the use of mobile phone-based applications is carried out with the application of mobile health technology and nurse health coaching. The impact of providing health education by nurses to type 2 diabetic patients: increasing of knowledge, behavioral change on preventing diabetes complications, increasing self-efficacy, increasing self-care activities (diet management, physical activity, monitoring blood sugar levels, and foot care). Conclusion: various methods of health education carried out by nurses currently have a positive impact on improving and increasing self-care management and efforts to prevent complications in type 2 diabetes.

scholarly journals The Effect of Health Education on Control Glycemic at Type 2 Diabetes Mellitus Patients

2020 ◽  
Vol 8 (E) ◽  
pp. 133-137
Author(s):  
Rusdiana Rusdiana ◽  
Maya Savira ◽  
Sry Suryani Widjaja ◽  
Dedi Ardinata
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Health Education ◽  
Diabetic Patients ◽  
The Mean ◽  
Educational Course

AIM: The aim of this study was to evaluate the effect of short-term education on glycemic control (glycated hemoglobin [HbA1c] and fasting blood sugar [FBS]) among type 2 diabetes mellitus patients attending to primary health care (PHC) in Medan Johor of North Sumatera, Indonesia. METHODS: The study was performed on type 2 diabetes mellitus patients in Johor PHC, Medan of North Sumatera, on 40 patients with type 2 diabetes mellitus. We took the samples of all the patients of type 2 diabetes mellitus who attend PHC in Medan Johor. The patients received for 3 months intervention by education. An educational course of diabetes together with exercise training and nutritional education was designed for the study population in order to increase the patients’ knowledge and attitude toward diabetes and to increase their participation in the self-monitoring of glycemic control. Samples of FBS and HbA1c were recorded for each patient at the time of the baseline survey, then health education was conducted to the diabetic patients of both sexes attending PHC. The patients received standard advice on diet management and variation about activity. We put HbA1c <6.5% as cut limit for the control of diabetes mellitus. RESULTS: All 40 type 2 diabetes patients completed the educational course. The mean of age of the samples is 62.53 years old, the mean of body mass index was 24.81 kg/m, and the mean of waist size was 92.15 cm. Before the education, the mean of FBS level was 238.83 mg/dl and the mean of Hba1c value is 8.90%. After education, the FBS was 216.88 mg/dl, the mean of HbA1c value was 8.74%. CONCLUSION: The effect of health education in Johor Public Health Care Medan city reduced glycemic control (FBS) in type 2 diabetes mellitus patients, North Sumatera, Indonesia.

scholarly journals The Impact of COVID-19 on Diabetes Mellitus and Hypertension: A Retrospective Study

2021 ◽  
pp. 68-77
Author(s):  
S. Pavithra ◽  
S. Lavanya ◽  
P. Vaishnavi ◽  
A. Rakesh Rosario ◽  
Priyadharshini A ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Retrospective Study ◽  
Diabetic Patients ◽  
Hypertensive Patients ◽  
Study Population ◽  
The Impact

COVID-19 is a pathogenic virus that caused a pandemic outbreak in December 2019. The impact of this virus may be severe in the patients having co-morbidities like diabetes, hypertension, Chronic Kidney Disease, cardiovascular disease, etc. Aim and Objectives: This study Aims in Assessing the impact of COVID-19 on Diabetic and Hypertensive patients as well as COVID-19 patients without any co-morbidities. Objective of this is to evaluate the association between COVID-19 and its risk factors (diabetes and hypertension) and to evaluate whether the severity of the symptoms in COVID-19 patients is due to comorbidities or past medications. Methodology: A Retrospective study was conducted in SRM Hospital (Medical Records Department) for a period of 3 Months with the study population 670 at the age group of 25, known case of Diabetes and Hypertension. Cases of Pregnant women are excluded from the study. The patients were grouped into 4 categories 1) control group (patient without any co-morbidities) 2) diabetic patients 3) Hypertensive patient 4) Diabetic+Hypertension patient and studied their prescribing pattern by collecting the past medication history. Results and Discussion: There is a significant decrease in a lymphocyte in covid-19 Type 2 diabetic patients in our study. These results suggest that different mechanism exists for hypertension and diabetes mellitus as risk factors for covid-19. It is also known that these patients have impaired immune response to many infections [30]. In our retrospective study, we collected 670 covid-19 cases. It consists of 12.5% of diabetic patients and 6.6% of hypertensive patients. This study compared COVID-19 patients without any comorbidity (neither Type 2 diabetes mellitus nor hypertension) with covid- 19 patients with comorbidities (Type 2 diabetes mellitus and hypertension). COVID-19 patients with T2DM have an increased level of D-dimer compared to non-T2DM patients. Conclusion: Diabetic and hypertensive patients affected with COVID-19 are low in our study. Out of the total study population, only 12.5% are diabetic, 6.56% are hypertensive, and 9.25% were both diabetic and hypertensive. But when comparing in terms of severity, hypertensive and diabetic patients have severe effects than the control patients. In simpler terms, not every person who has diabetes and hypertension are affected with COVID-19, but those who were affected by COVID-19 showed more severity than the patients who don't have any comorbidities

scholarly journals Gender Differences in the Relationship between Type 2 Diabetes Mellitus and Employment: Evidence from the Korea Health Panel Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7040
Author(s):  
Jeung-Hee Kim ◽  
Weon-Young Lee ◽  
Song Soo Lim ◽  
Young Taek Kim ◽  
Yeon-Pyo Hong
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Gender Differences ◽  
Type 2 Diabetes Mellitus ◽  
Panel Study ◽  
Lower Probability ◽  
Diabetic Patients ◽  
Family History Of Diabetes ◽  
The Impact

Previous studies have analyzed the impact of diabetes mellitus on labor market participation by men and women, but gender difference between type 2 diabetes mellitus (T2DM) and employment has not been the focus. This study aims to explore gender differences between T2DM and employment status. Data from the Korea Health Panel Study, 2013–2015 were analyzed by distinguishingT2DM and non-diabetes (N = 11,216). The empirical model was established and the generalized two-stage least squares (2SLS) was estimated, controlling for endogeneity. A family history of diabetes, as an instrumental variable, was related to an individual’s genetic predisposition to develop diabetes. The estimated results for the 2SLS showed the interaction effects between T2DM and employment. T2DM had a statistically significant and negative effect on employment for women only. The comparison with non-diabetes showed that women with T2DM had a lower probability of employment by 51.9% (p < 0.05). Exposing gender bias in employment suggests that healthcare policies and disease management programs for diabetic patients should adopt gender-specific remedies.

Gambaran Dukungan Keluarga Dan Kepatuhan Diet Pada Pasien Diabetes Mellitus Tipe 2: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 324-335
Author(s):  
Dwi Priharsiwi ◽  
Trina Kurniawati
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Literature Review ◽  
Family Support ◽  
Health Workers ◽  
Positive Impact ◽  
Dietary Compliance ◽  
Good Family

AbstractDiabetes mellitus is a chronic disease that is closely related to lifestyle. This disease is exprienced by many people in the world. The family has to provide support that can have a positive impact on dietary complience. It can be in the form of being able to control what can be consumed according to the recommendations of health workers during the diet, reminding each other, and providing support to family members who are on a diabetes mellitus diet. To determine the description of family support and dietary complience in patients with type 2 diabetes mellitus. The research method used in this study was a literature review by conducting an online searh from the Medline database source and the Garuda portal. There were 5 articles found that matched the inclusion and exclusion criteria. The results showed that 361 respondents (52,7%) had good family support and 432 respondents (63%) had non-adherent dietary compliance levels. Good family support can prevent complications and help treatment so that patients are more enthusiastic and can carry out activites as usual. Dietary non-compliance can delay the patient’s recovery. Familly support, although it is good, does not guarantee that dietary complience will also be good. Other factors can affect dietary complience, such as age, education, and occupation.Keywords: Type 2 diabetes mellitus; family suppor; dietary complience   AbstrakDiabetes mellitus merupakan penyakit kronis yang berhubungan erat dengan pola hidup, penyakit ini banyak dialami oleh penduduk di dunia. Keterlibatan keluarga merupakan langkah yang harus ditempuh untuk memberikan dukungan yang dapat berdampak positif terhadap kepatuhan diet. Dampak positif dukungan keluarga terhadap kepatuhan diet adalah dapat mengontrol apa saja yang dapat dikonsumsi sesuai anjuran tenaga kesehatan selama diet, saling mengingatkan, serta memberikan support kepada anggota keluarga yang sedang menjalankan diet diabetes mellitus. Untuk mengetahui gambaran dukungan keluarga dan kepatuhan diet pada pasien diabetes mellitus tipe 2. Metode penelitian yang digunakan dalam penelitian ini yaitu literature review dengan melakukan penelusuran online dari sumber database medline dan portal garuda didapatkan 5 artikel yang sesuai kriteria inklusi dan ekslusi. Hasil penelitian menunjukkan sebanyak 361 responden (52,7%) memiliki dukungan keluarga baik dan 432 responden (63%) memiliki tingkat kepatuhan diet tidak patuh. Dukungan keluarga baik dapat mencegah terjadinya komplikasi serta membantu pengobatan sehingga pasien lebih semangat dan dapat melakukan aktivitas seperti biasa. Ketidakpatuhan diet dapat memperlampat penyembuhan pasien. Walaupun dukungan keluarga baik, tidak menjamin kepatuhan diet akan baik, karena terdapat faktor lain yang mempengaruhi kepatuhan diet yaitu seperti usia, pendidikan, dan pekerjaan.Kata Kunci: Diabetes mellitus tipe 2; dukungan keluarga; kepatuhan diet  

scholarly journals Evaluation of Liver in Type 2 Diabetes Mellitus Using Unenhanced Computed Tomography

2020 ◽  
Vol 10 (4) ◽  
pp. 402-406
Author(s):  
Huda Osama ◽  
Afraa Siddig ◽  
Awadia Gareeballah ◽  
Moawia Gameraddin ◽  
Hanady Elyas Osman
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Liver Disease ◽  
Effective Control ◽  
Diabetic Patients ◽  
Ct Attenuation ◽  
Significant Difference ◽  
The Impact

Background: Chronic liver disease occurs due to different etiologies. Most diabetic patients are unaware that the effective control of hyperglycemia might reduce complications and mortality rates. Fatty liver disease is considered a risk factor of hepatic cirrhosis and cancers. Methods and Results: We conducted a case-control study to assess the impact of type 2 diabetes mellitus (T2DM) on the liver using a CT scan. A total of 100 patients with T2DM and 96 non-diabetic patients as a control group were selected using a convenient sampling method. There was a significant difference in liver attenuation in diabetic and control groups. The CT attenuation values of the liver, pancreas, and spleen were significantly lower in patients with T2DM than in non-diabetics (P<0.001). There was a significant negative correlation between the duration of T2DM and CT attenuation of the liver, pancreas, and spleen (P<0.01). Conclusion: The CT attenuation of the liver was significantly lower in T2DM than in the non-diabetic patients, and liver attenuation decreased as the duration of T2DM increased.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP PERAWATAN DIRI PENDERITA DIABETES MELLITUS TIPE 2

2019 ◽  
Vol 8 (1) ◽  
pp. 46-52
Author(s):  
Ferianto Ferianto ◽  
Mateus Sakundarno Adi ◽  
Nurullya Rachma
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Education ◽  
Self Care ◽  
Significance Level ◽  
Analysis Technique ◽  
Quasi Experimental

Background: Someone in middle adulthood has begun to experience changes leading to an aging process, so they are vulnerable to degenerative diseases. Diabetes mellitus is a chronic disease which is still being a health problem in Indonesia. Problems and complications in people with DM can be minimized if the patient has sufficient knowledge and ability to carry out self-care. One effort that can be done is to provide health education about self-care to optimize metabolic control, prevent acute and chronic complications, optimize quality of life and able to carry out self-care behavior independently. Objective: This study aimed to determine the effect of health education on self care activities in type 2 diabetes mellitus in Puskesmas Pandak I. Method: This was a quasi-experimental study with a one group pretest-posttest study design. The samples used were 26 respondents. Data analysis technique used paired t-tes with a significance level of p < 0.05. Result: There is a significant enhancement in self-care activities. Statistical analysis using paired t-test found there were significant differences in the value of self-care activities between pre and post-education among type 2 diabetes mellitus diabetes (p <0.005). Conclusion: Health education can improve self care activities for people with type 2 diabetes mellitus in Puskesmas Pandak I. Keyword : Health education, self-care

scholarly journals Association of Demographic Variables with the Awareness of Type 2 Diabetes Mellitus Patients (T2DM) among the Northwest Population in Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Wael Ahmed Al Arawi ◽  
Udai Salamh Al Shaman ◽  
Waleed Ahmad Mohsin Albalawi ◽  
Palanisamy Amirthalingam Siddhachettiar ◽  
Sherif M. H. El-kannishy ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Patient Education ◽  
Self Care ◽  
Demographic Variables ◽  
Diabetic Patients ◽  
Inclusion Criteria ◽  
Care Practices

The chronic hyperglycemia in diabetes is associated with long-term damage, dysfunction, and failure of different organs. Lack of patient education and knowledge about these complications can worsen the quality of a patient’s life. Hence, more efforts are needed to improve patient’s education especially in rural areas. Aim. Our objective is to explore the association between demographic variables and the knowledge of self-care practices in type 2 diabetes mellitus. Methods. We used observational cross-sectional descriptive study using a validated self-administered questionnaire in both Arabic and English languages as well. A descriptive correlation design analyzed the questionnaire completed by a convenience sample meeting the inclusion criteria. Results. A total of 100 patients met the inclusion criteria for the analysis out of 3251 patients who completed the questionnaire. The study population has low moderate knowledge in diabetes, moderate knowledge in self-care practices, and good knowledge about complications of nephropathy and cardiovascular disease. No significant association between demographic variables. However, better knowledge observed in male (p=0.028) and self-care practices with female (p=0.020). Further, educational status is significantly influencing the knowledge of diabetic patients. Conclusion. The study emphasizing irrespective of demographic variable and the importance of patient education to achieve well glycemic control.

scholarly journals A Diabetes Self-Management Education/Support (DSME/S) Program in Reference to the Biological, Psychological and Social Aspects of a Patient with Type 2 Diabetes Mellitus: A Systematic Review

Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 55
Author(s):  
Novita Fajriyah ◽  
Tria Anisa Firmanti ◽  
Ainul Mufidah ◽  
Nita Tri Septiana
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Management Education ◽  
Positive Impact ◽  
Self Management ◽  
Social Aspects ◽  
The Impact

Introduction: Various efforts have been made to improve the self-care management of patients with type 2 diabetes mellitus (T2DM). One of them is by using a Diabetes Self-Management Education and Support (DSME/S) program. DSME/S produces positive effects in relation to patient behavior and health status. This is a systematic review of randomized controlled trials published where the aim was to evaluate the impact of the DSME/S program in term of biological. psychological and social aspects.Methods: The articles were searched for using the PRISMA approach from within Scopus, Sage Journal, ProQuest, Google Scholar and PubMed to identify the relevant English publications on DSME over the last 5 years (2013-2018). In total, 15 studies met the inclusion criteria.Results: The articles included at least one result that covered the biological, psychological, and social aspects that are more general and relevant for T2DM patients who received the DSME program. DSME had a positive impact on T2DM, namely the reduction of HbA1c, blood glucose, LDL, cholesterol, blood pressure, weight, waist circumference, decreased distress, anxiety and increased self-efficacy and self-empowerment.Conclusion: It can increase the social and family support, improve self-management motivation, increase knowledge and improve the behavior of T2DM patients. The findings of our review showed that DSME has a positive impact on the biological, psychological and social aspects of type 2 diabetes mellitus.

scholarly journals Efektifitas Pemberdayaan Keluarga Terhadap Kontrol Metabolik Pada Pasien Diabetes Mellitus Tipe 2

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Rasnah Rasnah ◽  
Elly L Sjattar ◽  
Saldy Yusuf
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Metabolic Control ◽  
Family Members ◽  
Self Care ◽  
Diabetic Patients ◽  
Family Empowerment

Background : Family empowerment plays an important role in the management of diabetes mellitus experienced by family members. Because of the chronic nature of this disease, people with diabetes mellitus need long-term assistance to improve self-care and delay chronic complications from diabetes mellitus through glycemic control. Aim : To conduct a systematic review and assess the effectiveness of family empowerment for metabolic control in patients with type 2 diabetes mellitus. Method : Systematic reviews are carried out using electronic databases in article searches such as PubMed, ScienceDirect, ProQuest, Google Scholar. Results: After reviewing five articles it was found that family-based intervention or by empowering families in the care of patients with diabetes mellitus played a role in decreasing HbA1c as an indicator in glycemic control. And the most widely used instruments are the scale of self-care and diabetes activity (SDSCA), the diabetes empowerment scale (DES) and the diabetes knowledge questionnaire (DKQ). Conclusion : From the review of the article reviewed it can be concluded that families must be involved in the care of people with diabetes mellitus, diabetes education given only to individuals with type 2 diabetes limits the impact on patients, therefore empowering families will provide a large role in the management of chronic diseases that emphasize context where this disease occurs including the family's physical environment, education, and the personal needs of patients and family members. Helps develop healthy family behavior and shows self-management of diabetic patients, especially in health care programs, especially those who are able to promote various forms of social support, glycemic control and to strengthen ties between family members.Keywords : Family empowerment, metabolic control, type 2 diabetes mellitus.

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