Response to stroke in diabetic versus non-diabetic patients. Should Diabetes education systematically include advise on stroke symptoms and the correct response to them?

2017 ◽  
Author(s):  
Paloma Gonzalez-Lazaro ◽  
Julia Silva-Fernandez ◽  
Rafael Garcia-Ruiz ◽  
Rosa Garcia-Ruiz ◽  
Francisco Javier Gomez-Alfonso ◽  
...  
Keyword(s):  
Correct Response ◽  
Diabetes Education ◽  
Diabetic Patients

scholarly journals Diabetic Foot Risk Factors and Effectiveness of Education in Saudi Arabia

2021 ◽  
pp. 48-53
Author(s):  
Mohammad Saqib Siddiqui ◽  
Abdulaziz Fehaid Alotaibi ◽  
Fahad Mohammed Saeed Alharthi ◽  
Abdullatif Meshal Almalawi ◽  
Ahmed Zayed Asiri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Saudi Arabia ◽  
Diabetic Foot ◽  
Management Practices ◽  
Diabetes Education ◽  
Previous History ◽  
Diabetic Patients ◽  
History Of ◽  
Artery Disease ◽  
Educational Campaigns

Diabetes mellitus (DM) is a chronic disease with a remarkable global burden on the affected patients and healthcare systems. Among the reported complications, the diabetic foot has been reported to be a common one, which might be disabling, resulting in related amputations. Furthermore, we will provide evidence regarding the effect of education on the awareness and knowledge of diabetic Saudis about diabetic foot risk factors and management practices. Different risk factors were reported for developing diabetic foot among patients with DM. These will be studied in the current literature review, focusing on evidence that was conducted in Saudi Arabia. Age, gender, type of diabetes, education, duration of the disease, peripheral neuropathy, erythrocyte sedimentation rate, peripheral vascular disease, ischemic heart disease, renal artery disease, having a previous history of diabetic foot, and hypertension were all reported to be significant factors that were associated with the risk of developing diabetic foot across the Kingdom. The level of knowledge was variable across the different investigations. However, there is a poor attitude in general about the appropriate care practices of diabetic foot. Although it has been demonstrated that educational campaigns are effective, further efforts are still needed to increase awareness and attitude levels among diabetic patients in Saudi Arabia.

scholarly journals Evaluation of knowledge and education of physicians to diabetic patients in primary care in Saudi Arabia

2020 ◽  
Vol 7 (11) ◽  
pp. 4370
Author(s):  
Khaled M. Hassan ◽  
Eman A. Altooarki ◽  
Ahmad A. Alshomali ◽  
Othman A. Alhejeely ◽  
Mohammed A. Almutairi ◽  
...  
Keyword(s):  
Primary Care ◽  
Saudi Arabia ◽  
Education Program ◽  
Diabetes Education ◽  
Diabetic Patients ◽  
Health Providers ◽  
Service Areas ◽  
Treatment Of Diabetes ◽  
Generalized Knowledge ◽  
Definition Of

Background: Effective treatment of diabetes is not enough alone, there must be education and training from physicians and nurses to patients. To achieve education in correct manner there must be enough knowledge of physicians to apply care and teaching of these patients. The aim of the study was to evaluate the knowledge and education of physicians to diabetic patients in primary care in Saudi Arabia.Methods: Successive evaluation investigation through questionnaire. The work universe was made up of the 83 service areas of the 15 municipalities of Saudi Arabia, the sample of the total of the incorporated areas was initially made up of 625 health providers and 2,171 people with diabetes.Results: At the beginning of the study, the highest percentage of health providers surveyed declared that they did not know (78%) or that it was not defined (16.6) who should educate the person with diabetes, while the results at the end of the study show that 32% mentioned the doctor and the nurse and 62.7 the entire team of work (p=0.000) with a more adequate vision on the definition of responsibility for the fulfilment of this task and a generalized knowledge (97.5) of the existence of an education program in d diabetes that was useful for their compliance.Conclusions: Extension of the diabetes education program to Saudi Arabia achieved a significant change in the opinions of health providers on the health problem.

scholarly journals The impact of a self-management educational program coordinated through WhatsApp on diabetes control

2020 ◽  
Vol 18 (2) ◽  
pp. 1841
Author(s):  
Muaed Al Omar ◽  
Sanah Hasan ◽  
Subish Palaian ◽  
Shrouq Mahameed
Keyword(s):  
Social Media ◽  
Health Literacy ◽  
Diabetes Education ◽  
Test Group ◽  
Control Group ◽  
Diabetic Patients ◽  
The Social ◽  
Media Intervention ◽  
The Impact ◽  
Hba1c Levels

Background: Social media can effectively mediate digital health interventions and thus, overcome barriers associated with face-to-face interaction. Objective: To assess the impact of patient-centered diabetes education program administered through WhatsApp on glycosylated hemoglobin (HbA1c) values, assess the correlation, if any, between health literacy and numeracy on intervention outcomes Methods: During an ‘intervention phase’ spread over six months, target diabetic patients (N=109) received structured education through WhatsApp as per the American Association of Diabetes Educators Self-Care Behaviors recommendations. The control group with an equal number of participants received ‘usual care’ provided by health professionals void of the social media intervention. Changes in HbA1c levels were recorded thrice (at baseline, 3 and 6 months) for the test group and twice (baseline and 6 months) for the control group. Change in HbA1c values were compared and statistical significance was defined at p<0.05. Baseline health literacy and diabetes numeracy were assessed for both groups (N=218) using the Literacy Assessment for Diabetes (LAD), and the Diabetes Numeracy Test (DNT), respectively, and values were correlated with HbA1c change p<0.05. Participants’ satisfaction with the intervention was also assessed. Results: The average age of respondents was 41.98 (SD 15.05) years, with a diabetes history of 10.2 (SD 8.5) years. At baseline, the average HbA1c in the control and test groups were 8.4 (SD 1.06) and 8.5 (SD 1.29), respectively. After six months, a significant drop in HbA1c value was noticed in intervention group (7.7; SD 1.35; p= 0.001); with no significance in the control group (8.4; SD 1.32; p=0.032, paired t-test). Moreover, the reduction in HbA1c was more in the test group (0.7%) than the control group (0.1%) with a difference of 0.6% which is considered clinically significant. There was no significant correlation between LAD score and HbA1c at baseline (r=-0.203, p=0.064), 3 months (r=-0.123, p=0.266) and 6 months (r=-0.106, p= 0.337) Pearson correlation. A similar result was observed with DNT, where DNT score and HbA1c at baseline, 3 months and 6 months showed no correlation (r=0.112, 0.959 and 0.886; respectively) with HbA1c levels. Eighty percent of the respondents found the social media intervention ‘beneficial’ and suggested it be used long term. Conclusions: Diabetes education via WhatsApp showed promising outcomes regardless of the level of patients’ health literacy or numeracy.

scholarly journals Effect of repetitive education on cognitive-social factors among type 2 diabetic patients

2017 ◽  
Vol 5 (6) ◽  
pp. 2533
Author(s):  
Arzu Erkoc ◽  
Mehtap Tan
Keyword(s):  
Metabolic Control ◽  
Social Factors ◽  
Diabetes Education ◽  
Rank Test ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Control Variables ◽  
Mean Values ◽  
Significant Difference

Background: Psychological, cognitive and social factors are also effective in helping the diabetes patient show behavioral changes in terms of the treatment process. The purpose of this study was to examine the effect of repetitive education on cognitive-social factors and metabolic control variables among patients with type 2 diabetes (T2DM).Methods: The study was conducted with one group using the same test at pre-determined times.  62 outpatients with T2DM were recruited for this study. The data was collected using a Patient Information Form that was prepared by the researchers, the Turkish multidimensional diabetes questionnaire, and the metabolic control follow-up form. The data was analyzed using SPSS 19 and descriptive statistics (Kolmogorov-Smirnov Test, Paired t Test, and Wilcoxon Signed-Rank Test).Results: While there was a statistically significant difference between the mean scores of interference, severity, positive reinforcing behaviors, outcome expectancies before and after the diabetes education (p˂0.05), a statistically significant difference was not found between mean values of fasting and random plasma glucose, HbA1C, HDL, LDL, triglyceride, waist circumference and body mass index (p˃0.05).Conclusions: Repetitive diabetes education provided to patients with T2DM positively affected other cognitive-social factors except for social support and self-efficacy, but did not affect metabolic control variables except for blood pressure.

scholarly journals Assessment of Rwandan diabetic patients’ needs and expectations to develop their first diabetes self-management smartphone application (Kir’App)

2019 ◽  
Vol 10 ◽  
pp. 204201881984531 ◽  
Author(s):  
Claudine B. Kabeza ◽  
Lorenz Harst ◽  
Peter E. H. Schwarz ◽  
Patrick Timpel
Keyword(s):  
Qualitative Content Analysis ◽  
Diabetes Education ◽  
Information Provision ◽  
Smartphone Application ◽  
Self Management ◽  
Diabetic Patients ◽  
Face To Face ◽  
And Coping ◽  
Study Participants

Background: Knowledge of and coping with diabetes is still poor in some communities in Rwanda. While smartphone applications (or apps) have demonstrated improving diabetes self-care, there is no current study on the use of smartphones in the self-management of diabetes in Rwanda. Methods: The main objective of this study was to assess the needs and expectations of Rwandan diabetic patients for mobile-health-supported diabetes self-management in order to develop a patient-centred smartphone application (Kir’App). Results: Convenience sampling was used to recruit study participants at the Rwanda Diabetes Association. Twenty-one patients participated in semi-structured, in-depth, face-to-face interviews. Thematic analysis was performed using Mayring’s method of qualitative content analysis. Conclusions: The study included 21 participants with either type 1 (female = 5, male = 6) or type 2 (female = 6, male = 4) diabetes. Participants’ age ranged from 18 to 69 years with a mean age of 35 and 29 years, respectively. Eight main themes were identified. These were (a) diabetes education and desired information provision; (b) lack of diabetes knowledge and awareness; (c) need for information in crisis situations; (d) required monitoring and reminder functions; (e) information on nutrition and alcohol consumption; (f) information on physical activity; (g) coping with burden of disease, through social support and network; (h) app features. This study provides recommendations that will be used to design the features of the first Rwandan diabetes self-management smartphone application (Kir’App). The future impact of the application on the Rwandan diabetic patients’ self-management capacity and quality of life will be evaluated afterwards.

scholarly journals Knowledge of diabetic patients about their disease before and after implementing a diabetes education program

2008 ◽  
Vol 16 (2) ◽  
pp. 231-237 ◽  
Author(s):  
Liudmila Miyar Otero ◽  
Maria Lúcia Zanetti ◽  
Michelle Daguano Ogrizio
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Data Collection ◽  
Education Program ◽  
Diabetes Education ◽  
Elderly Subjects ◽  
Diabetic Patients ◽  
Before And After ◽  
Quasi Experimental ◽  
Study Population

The purpose of this quasi-experimental, prospective and comparative study is to evaluate the knowledge that diabetic patients have about their disease before and after implementing a Diabetes Education Program. Fifty-four diabetic patients participated in the study, which occurred from April 2004 to April 2005. Data collection was performed using a questionnaire. The study population was characterized as adult and elderly subjects, with ages between 29 and 78 years; 60 years, on the average; Most participants were female 40/54 (74.1%); white 32/54 (59.3%); married 37/54 (68.5%); retired 23/54 (42.6%); with incomplete primary education 32/54 (59.3%); and an income of one to two minimum wages 16/54 (29.6%). The patients' knowledge regarding their disease increased significantly (p<0.05); especially considering the general topics concerning diabetes mellitus: concept of the disease, physiopathology and treatments; other topics that stood out were physical activity and nutrition.

scholarly journals Knowledge levels of individuals with type 2 diabetes on foot care

2020 ◽  
Vol 17 (2) ◽  
pp. 700-709
Author(s):  
Pınar Eroğlu ◽  
Birsen Yürügen
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Foot ◽  
Diabetes Education ◽  
Diabetic Complication ◽  
English Summary ◽  
Diabetic Patients ◽  
Foot Care ◽  
Foot Injuries ◽  
Cerrahpasa Medical Faculty

Purpose: In this study, is a descriptive designed to determine the level of knowledge about foot care of individuals with Type 2 diabetes mellitus. Materials and Method: Research consists 165 diabetic patient, (all of them over 40 years old) which admitted İstanbul University Cerrahpaşa Medical Faculty Endocrinology Metabolism Department. As a data collection tool, a questionnaire consisting of 44 questions which is prepared by the researcher was used. Results. The majority of the participants in the study are poorly educated, inactive and overweight participants in the 60-69 age group. Diabetic neuropathy was found in 44.8% and diabetic foot was found in 12.7% while at least one diabetic complication occurred in 65.5% of diabetic patients. 66.7% of the patient with diabetes had general diabetes education and 21.2% had diabetic foot training.  54.6% of this educations was given by the diabetes nurses.  The majority of the patient with diabetic chronic complications and foot injuries had received diabetes education. As the duration of diabetes increased, the incidence of complications increased. among these complications, retinopathy and cardiovascular diseases were more common in patients with diabetes over the 11 years. The proportion of foot injuries in elderly patients participating in the study is higher than other patients. Conclusion: As a result of the study, it was determined that the patients did not apply their foot care information, did not have foot care training as they need, they applied to the hospital after the problem developed, and only then they were educated. Diabetic individuals can be recommended for the planned education, adequate time for each subject, observation of the results of the trainings and repeated periodicals to overcome these deficiencies. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Amaç: Bu çalışma, tip 2 diyabet tanısı almış bireylerin ayak bakımı konusundaki bilgi düzeylerinin belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Materyal ve Metot: Araştırma İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Endokrinoloji Metabolizma Bilim Dalı Diyabet servisine ve polikliniğine başvuran 40 yaş ve üzeri 165 tip 2 diyabetli hastadan oluşmaktadır. Veri toplama aracı olarak 44 sorudan oluşan ve araştırmacı tarafından hazırlanan bir anket formu kullanılmıştır. Bulgular: Çalışmaya katılan bireylerin çoğunluğu 60-69 yaş arası grupta, öğrenim düzeyi düşük, çalışmayan ve kilolu katılımcılardır. Diyabetlilerin %65.5’inde diyabete bağlı en az bir komplikasyon gelişirken %44.8’inde diyabetik nöropati ve %12.7’sinde diyabetik ayak tespit edilmiştir. Diyabetlilerin %66.7’si genel diyabet eğitimi, %21.2’si diyabetik ayak eğitimi almıştır.  Bu eğitimlerin %54.6’sı diyabet hemşiresi tarafından verilmiştir. Diyabete bağlı kronik komplikasyon ve ayak yarası gelişen diyabetlilerin çoğunluğu diyabet eğitimi almıştı. Diyabet süresi artıkça komplikasyon görülme oranı da artmaktaydı. Bu komplikasyonlardan retinopati ile kardiyovasküler hastalıklar 11 yıl üzeri diyabetlilerde daha yüksektir. Çalışmaya katılan yaşlı hastalardaki ayak yarası oranı, diğer hastalardan daha fazladır. Sonuç: Çalışmanın sonucunda hastaların ayak bakımı konusundaki bilgilerini uygulamaya geçirmedikleri, yeteri kadar ayak bakımı eğitimi almadıkları, sorun geliştikten sonra hastaneye başvurdukları ve ancak o zaman eğitim aldıkları belirlendi. Diyabetli bireylere verilen eğitimlerin planlı olması, her konuya yeterli zaman ayrılması, eğitimlerin sonuçlarının gözlemlenmesi ve belirli aralıklarla tekrarlanması bu eksikliklerin giderilmesi için önerilebilir.

scholarly journals The Effect of InGDEP on Type 2 Diabetes Patients’ Knowledge and Self-Care

2018 ◽  
Vol 6 (3) ◽  
Author(s):  
Hema Malini ◽  
Fitra Yeni ◽  
Dilya Eka Saputri
Keyword(s):  
Education Program ◽  
Health Professionals ◽  
Educational Program ◽  
Diabetes Education ◽  
Self Care ◽  
Team Work ◽  
Diabetic Patients ◽  
Post Test ◽  
Diabetes Patients

In the recent years, there is an increasing number of the diabetes incidence worldwide. Self-care is believed as one of key in chronic disease management. In order to increase the capability to self-care, diabetics patients need to be empowered with the knowledge and skills through an educational program. There were some existed diabetes educational programs, however for developing country such as Indonesia, there was a need to develop a culturally relevant diabetes education program. This study was aimed to identify feasibility and the effect of the Indonesian Group-based Diabetes Education Program (InGDEP) on knowledge and self-care behaviors among type 2 diabetic patients. This quasi experimental with one group pre-and post-test only design involved 62 diabetic patients and 16 health professionals who actively delivered the program in four community health centers (Puskesmas). Data were collected using Diabetes Knowledge Questionnaire (DKQ) and Summary of Self Care Activities (SDSCA). Paired t-test used to analyze the effect of the InGDEP on the knowledge, self-care, and biometric measurement (HbA1c). The knowledge score for pre-test was 13.2+3.9 and post-test was 16.1±3.5, self-care activities score for pre-test was 3.31±1.10 and post-test was 3.99±1.27 and the HbA1C level was 10.56±2.32 The results showed there was the significant effect of InGDEP on diabetes patients’ knowledge, some changes in self-care and biometric measurements even though it was not significant. The program also can be accepted by the health professionals where there was a good team work in delivering the educational program. It can be recommended that the InGDEP has an effect in improving knowledge and self-care among diabetics’ patients, however since the effect on self-care and biometric changes was not significant, further research related to the factors that influence the self-care and biometric changes is needed.

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