scholarly journals Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus

2019 ◽  
Vol Volume 12 ◽  
pp. 1409-1417 ◽  
Author(s):  
Allah Bukhsh ◽  
Tahir Mehmood Khan ◽  
Muhammad Sarfraz Nawaz ◽  
Hafiz Sajjad Ahmed ◽  
Kok Gan Chan ◽  
...  
Author(s):  
Jéssica Caroline dos Santos ◽  
Daniel Nogueira Cortez ◽  
Maísa Mara Lopes Macedo ◽  
Edna Afonso Reis ◽  
Ilka Afonso Reis ◽  
...  

ABSTRACT Objective: to compare the adherence and empowerment of patients with type 2 diabetes mellitus for self-care practices and glycemic control in group education strategies and home visits. Method: Clinical trial with ten randomized clusters, performed with 238 patients with type 2 diabetes mellitus distributed in group education, home visit, and control group. Socio-demographic data, glycated hemoglobin and those obtained from the self-care and empowerment questionnaires were collected. Statistical analysis was performed separately by educational strategy. Results: the mean age of the patients was 57.8 years old (SD = 9.4 years old), with a predominantly female participation (66.4%). Both strategies presented similar results regarding adherence to self-care practices and patient empowerment. There was also a reduction in glycated hemoglobin levels; however, only in the education group, the difference presented statistical significance (p <0.001). Conclusion: the strategies were effective; however, group education presented better glycemic control results in relation to the home visit. International registry: NCT02132338 and national: RBR-92j38t in the clinical trials registry.


2015 ◽  
Vol 25 (2) ◽  
pp. 120-138 ◽  
Author(s):  
Lidia G. Compeán Ortiz ◽  
Beatriz Del Ángel Pérez ◽  
Eunice Reséndiz González ◽  
Socorro Piñones Martínez ◽  
Nora H. González Quirarte ◽  
...  

Author(s):  
Hidayat Arifin ◽  
Kusnanto Kusnanto ◽  
Erna Dwi Wahyuni ◽  
Rifky Octavia Pradipta

Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus.  Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.


Objective: To study the effect of Pharmaceutical Care (PC) program and health education delivered by pharmacist on Type 2 Diabetes Mellitus (T2DM) patient’s knowledge about diabetes, glycemic control, blood pressure and Body Mass Index (BMI). Patients and methods: A prospective interventional study including T2DM patients with poor glycemic control, i.e. glycated hemoglobin (HbA1c) more than 7%. Patients receiving PC and education about T2DM and cardiovascular disease by the researcher pharmacist. Patients were followed for 26 weeks. The study parameters included HbA1c, Fasting Blood Sugar (FBS), Systolic Blood pressure (SBP), Diastolic Blood Pressure (DBP), BMI and Diabetes Knowledge Questionnaire (DKQ-24). Results: Thirty-eight T2DM patients were included in the study. Thirty-two completed the program. A significant decrease in the HbA1c and FBS at the end line measurements (from 9.1% to 7.4%, P-value = 0.001) and (from 187.4 to 135.3, P-value = 0.001) respectively. A significant decrease occurred in both SBP and DBP (from 129.8 to 125.2, P-value = 0.009) and (from 82.0 to 77.9, P-value =0.001) respectively. Diabetes knowledge score also showed a significant increase at the end of study (from 52.6 to 63.7, P-value =0.001) Conclusion: Pharmaceutical care and health education with continuous follow up delivered by the pharmacist even for a relatively short period of time in collaboration with specialist physician, resulted in improved T2DM Knowledge plus better glycemic and blood pressure control.


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