Content Analysis of Group Work Sessions in the Context of an Educational Program for Inpatient Diabetes Patients

2001 ◽  
Vol 89 (3) ◽  
pp. 641-649 ◽  
Author(s):  
Michiko Akimoto ◽  
Isao Fukunishi ◽  
Yoshie Shinoe ◽  
Chieko Yamaguchi ◽  
Atsuko Yano ◽  
...  

This study investigated the changes in emotions and attitudes of diabetic patients as observed in group work sessions linked to an inpatient diabetic educational program. Using content analysis of transcripts from Sessions 1 and 3 of 8 selected groups (40 patients), in Session 1 negative emotions or attitudes such as anxiety, remorse, or self-blame, a lack of understanding of diabetes, along with a willingness to undertake self-care were frequently expressed. In Session 3, more positive emotions and attitudes towards self-care (willingness, specific plans, and resolutions), satisfaction, and relief or hope were frequently expressed. These results suggest that the patients participating in the group work sessions moved toward adaptation to diabetes, although the effects of the group work were not separated from those of the inpatient educational program.

2018 ◽  
Vol 6 (3) ◽  
Author(s):  
Hema Malini ◽  
Fitra Yeni ◽  
Dilya Eka Saputri

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.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1478.1-1478
Author(s):  
M. Antunes ◽  
A. Schmitt ◽  
A. Pasqual Marques

Background:Health education is pointed out as the front line in non-pharmacological approaches in fibromyalgia.Objectives:To develop an interdisciplinary educational program to promote the health of individuals with fibromyalgia in Brazil.Methods:This is a qualitative study, through a focus group, carried out in a Basic Health Unit in the city of São Paulo, SP. The guiding questions were about the needs and demands exposed by patients with fibromyalgia and health professionals who work in primary health care. 12 individuals with fibromyalgia and 10 health professionals participated. The data were analyzed using the content analysis method proposed by Bardin, specifically the thematic content analysis.Results:Amigos de Fibro (Fibro Friends) should be conducted through lectures, dynamics and conversation circles. The educational program must include 15 meetings with weekly frequency. The meetings are: 1st to present the program and socialization activities. 2nd: Doctor presents the concepts of fibromyalgia. 3rd: Nurse informs about practices and environments that favor self-care. 4th: Social Worker shows the importance of support. 5th: Physiotherapist shows the main body practices and physical activity. 6th: Nutritionist presents an adequate and healthy diet. 7: Psychologist shows mental health practices. 8th: Pharmacist informs about medicines. 9, 11 and 13: participants perform activities at home. 10: Naturologist presents integrative and complementary practices. 12th: Occupational Therapist encourages methods to save energy. Day 14: Speech therapist helps in the quality of sleep. 15: closing activity.Conclusion:Amigos de Fibro is a program that presents interdisciplinary educational information for individuals with fibromyalgia, being considered a trend of care for the future. The next step is to conduct a clinical trial to verify the effect of this intervention and then implement it in the health service in Brazil. Fibro Friends was created from the conjunct action of patients and healthcare professionals, it can be an effective educational tool to be implemented at primary health attention centers, promoting the self-care, life quality and the promotion of health in individuals with Fibromyalgia. Fibro Friends is an excellent tool for patient education and counseling in Brazil.References:[1]Antunes M, Ferreira A, Oliveira D, Júnior JN, Bertolini S, Marques AP. There is association between the level of physical activity and quality of life of women with fibromyalgia?. Annals of rheumatic diseases. 2019;78(2)650-1. http://dx.doi.org/10.1136/annrheumdis-2019-eular.2835.[2]García-Ríos MC, Navarro-Ledesma S, Tapia-Haro RM, Toledano-Moreno S, Casas-Barragán A, Correa-Rodríguez M et al. Effectiveness of health education in patients with fibromyalgia: a systematic review. European Journal of Physical and Rehabilitation Medicine. 2019;55(2):301-13. https://doi.org/10.23736/S1973-9087.19.05524-2.[3]Oliveira DV, Ferreira AAM, Oliveira DCD, Leme DEDC, Antunes MD, Nascimento Júnior JRAD. Association of the practice of physical activity and of health status on the quality of life of women with fibromyalgia. Journal of Physical Education. 2019;30(1): e3027. https://doi.org/10.4025/jphyseduc.v30i1.3027.[4]Stuifbergen AK, Blozis SA, Becker H, Phillips L, Timmerman G, Kullberg V, et al. A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome. Clinical Rehabilitation. 2010;24(4):305-18. https://doi.org/10.1177/0269215509343247.Acknowledgements:This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.Disclosure of Interests:None declared


2020 ◽  
Author(s):  
marjan mohammadi ◽  
Seyyed Abolghasem Djazayeri ◽  
Asal Ataie-Jafari

Abstract Background: Food insecurity can increase risks of health and nutritional problems, leading to difficulties in self-care and poor glycemic control in diabetic patients. Purpose: This study assessed food insecurity and its association with diabetes control and self-care in type 2 diabetes patients.Methods: In this cross sectional study, 148 adults with type 2 diabetes participated. Food insecurity and self-care were determined using the 18-item USDA household food security status questionnaire and self-care (SDSCA) questionnaire. Data were analyzed using logistic and linear regression tests (SPSS 20 software).Results: Thirty-seven percent of the participants were food-insecure and significantly more likely than food-secure participants to have poor glycemic control (OR=3.02; CI: 1.45-2.65). No significant association was found between food-insecurity and overall self-care score.Conclusion: Food-insecurity was directly associated with poor glycemic control in type 2 diabetes patients. Since economic status was significantly better in the food-secure group, it can be postulated that financial problems will eventually lead to poor glycemic control.Policy strategies to increaseaccess to diabetes-appropriate foods mayreduce socioeconomic inequalities in glycemiccontrol.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Abolfazl Mehbodniya ◽  
A. Suresh Kumar ◽  
Kantilal Pitambar Rane ◽  
Komal Kumar Bhatia ◽  
Bhupesh Kumar Singh

In patients with chronic diseases condition, mobile health monitoring facility proves to play a significant role in providing significant assistance toward personal management. This research examined the use of smartphones by diabetes patients and their intentions to apply them for self-care and monitoring as well as management. This cross-sectional survey-based study was conducted in Jul-Aug 2021 with 200 diabetic patients (especially type 2) who were visiting specialized clinics and hospitals of Gujrat state, India. A validated questionnaire survey was designed to collect data, which included questions about demographics, information pertaining to other, use of cellphones, the Internet, and the intention to implement smartphones for diabetes monitoring, self-care, and self-management. A highest number of studied participants have mobile phone (97.5%) and smartphones (87%) and access the Internet on daily basis (83.5%). Younger participants were more inclined to use smartphone apps and have also shown more interest for continuous use in the future ( p < 0.01 ). The majority of participants used apps for nutritional planning (85.5%), to monitor glucose control (76.5%), and for scheduling of diabetes appointments on the calendar (90.5%). Recommendations to use mobile app by doctors or healthcare profession were reported by 20.5% of the participants and attitude and future intention to use mobile apps were reported by the majority of participants. The majority of type 2 diabetes patients choose to use their cellphones and the internet or mobile phone reminder system for medication as well as to plan their diets, monitor their blood sugar levels, and communicate with their doctors. The findings of this research can be used to develop strategies and implement mHealth-based therapies to assist patients with type 2 diabetes to efficiently manage their health and might contribute to reducing patients’ out-of-pocket expenditure as well as reducing disability-adjusted life years (DAILY) attributed by DM.


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