Caregivers for elderly patients with diabetes mellitus: nursing care for health education

2011 ◽  
Vol 5 (6) ◽  
pp. 1431
Author(s):  
Antonia Elizanne Benta da Silva ◽  
Maria Leônia Pessoa da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Family Health ◽  
Structured Interview ◽  
Ethics Committee ◽  
Diabetic Patients ◽  
The Family ◽  
Patients With Diabetes ◽  
Santa Maria ◽  
Control Glucémico

ABSTRACTObjective: to examine the actions of health education carried out by nurses for caregivers of elderly diabetics in the Family Health Units of Cajazeiras/PB. Method: exploratory and descriptive study with a qualitative approach, carried out with 10 nurses. A form of semi-structured interview was used. Data collection occurred in April 2009 after approval of the research project by the Research Ethics Committee of the Faculdade Santa. Maria/PB, with protocol number 1820309. For the analysis we used the Collective Subject Discourse technique. Results: Idea Center 1- found that nurses held guidance on diet, medication, complications of diabetes, glycemic control, physical activity;  Idea Central 2 - showed that nurses find it difficult to carry out the guidelines for diabetics; Idea Central 3 - there was the great importance of home visits; Idea Central 4  - it was realized that it was necessary for nurses to seek care intensify the educational needs of diabetics and family; Idea Central 5 - there were needs changes in the care offered to caregivers of elderly diabetics, especially by physicians. Conclusion: it is necessary for nurses to develop educational activities to caregivers of elderly diabetic patients regarding diet and medication, mostly. Descriptors: caregivers; Health Services for the Aged; diabetes mellitus; health education.RESUMOObjetivo: verificar as ações de educação em saúde realizadas pelos enfermeiros para os cuidadores de idosos diabéticos nas Unidades de Saúde da Família de Cajazeiras/PB. Método: estudo exploratório e descritivo com abordagem qualitativa, realizado com 10 enfermeiros. Um roteiro de entrevista semi-estruturada foi usado. A coleta de dados ocorreu em abril de 2009, após aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da Faculdade Santa Maria/PB, com protocolo de número 1820309. Para a análise foi empregada a técnica do Discurso do Sujeito Coletivo. Resultados: Ideia Central 1 - verificou-se que os enfermeiros realizaram orientações quanto à dieta, medicação, complicações da doença, controle glicêmico, atividades físicas; Ideia Central 2 - evidenciou que os enfermeiros encontram dificuldades para realizar as orientações aos diabéticos; Ideia Central 3 - observou-se a grande importância das visitas domiciliares; A Ideia Central 4 - percebeu-se que era necessário que os enfermeiros intensificassem os cuidados ao buscar as necessidades educacionais dos diabéticos e família; Ideia Central 5 - observaram-se as necessidades de mudanças no atendimento oferecido aos cuidadores de idosos diabéticos, principalmente pelos médicos. Conclusão: torna-se necessário que enfermeiros desenvolvam ações educativas aos cuidadores de idosos diabéticos quanto à dieta e medicação, principalmente. Descritores: cuidadores; serviços de saúde para idosos; diabetes mellitus; educação em saúde.RESUMENObjetivo: estudiar las acciones de educación para la salud llevado a cabo por enfermeras para los cuidadores de ancianos diabéticos en las Unidades de Salud Familiar de Cajazeiras/PB. Método: estudio exploratorio y descriptivo con un enfoque cualitativo, realizado con 10 enfermeras. Una forma de entrevista semi-estructurada se utilizó. La recolección de datos tuvo lugar en abril de 2009 después de la aprobación del proyecto de investigación por el Comité de Ética de Investigación de la Faculdad Santa Maria/PB, con número de protocolo 1820309. Para el análisis se utilizó la técnica del Discurso del Sujeto Colectivo. Resultados: Idea Central 1 - encontró que las enfermeras cabo orientación sobre la dieta, medicación, complicaciones de la diabetes, el control glucémico, la actividad física; Idea Central 2 - mostró que las enfermeras les resulta difícil llevar a cabo las directrices para los diabéticos, la idea Central 3, que fue la gran importancia de las visitas domiciliarias; Idea Central 4 - se dio cuenta de que era necesario para que las enfermeras buscar atención intensificar las necesidades educativas de los diabéticos y familiares; Idea Central 5 - no se necesita cambios en la atención ofrecida a los cuidadores de los diabéticos de edad avanzada, especialmente por los médicos. Conclusión: es necesario para que las enfermeras desarrollan actividades educativas para los cuidadores de ancianos diabéticos respecto a la dieta y los medicamentos, en su mayoría. Descriptores: cuidadores; servicios de salud para ancianos; diabetes mellitus; educación en salud.

scholarly journals Nurse competences in the family health strategy

2018 ◽  
Vol 12 (11) ◽  
pp. 2906
Author(s):  
Juliane Da Silveira Jasmim ◽  
Gisella De Carvalho Queluci ◽  
Amanda Ribeiro Mendonça ◽  
Vinícius Rodrigues de Souza ◽  
Suelem Frian Couto Dias Dias
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Family Health ◽  
Care Practice ◽  
Diabetic Patients ◽  
Educational Strategies ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Competency Based

RESUMO Objetivo: analisar as competências necessárias aos enfermeiros na prática assistencial na Estratégia de Saúde da Família, a partir das fragilidades encontradas na assistência deste profissional. Método: trata-se de estudo qualitativo, descritivo e exploratório, com uma nove enfermeiros e três pacientes diabéticos. Utilizou-se a Metodologia da Problematização para coleta de dados. Realizou-se a análise temática das entrevistas, identificando palavras-chave e discutiram-se em categorias os resultados. Resultados: destacaram-se fragilidades como: falta de adesão aos grupos de apoio e tratamento; não aceitação da doença; percepção defasada da doença e suas complicações. Analisaram-se as competências necessárias para a prática do enfermeiro, a partir do referencial teórico de Perrenoud. Conclusão: considerou=se que houve fragilidade na educação em saúde, sendo necessário que o enfermeiro reflita sobre suas estratégias educativas e desenvolva competências, desde a graduação, que gerenciem a assistência. A divulgação do estudo suscitará maior interesse no desenvolvimento de competência do profissional, contribuindo para uma assistência de qualidade, sendo essencial para a promoção do ensino e pesquisa em enfermagem. Descritores: Diabetes Mellitus; Estratégia Saúde da Família; Educação em Saúde; Educação Baseada em Competências; Enfemagem; Enfermeiros e Enfermeiras.ABSTRACT Objective: to analyze the skills required by nurses in the care practice in the Family Health Strategy, based on the weaknesses found in the care of this professional. Method: this is a qualitative, descriptive and exploratory study, with nine nurses and three diabetic patients. We used the Problem-Solving Methodology for data collection. The thematic analysis of the interviews was carried out, identifying keywords and categorizing the results. Results: weaknesses were highlighted: lack of adherence to support and treatment groups; non-acceptance of the disease; delayed perception of the disease and its complications. The competencies necessary for nurses' practice were analyzed, based on Perrenoud's theoretical framework. Conclusion: it was considered that there was fragility in health education, and it is necessary that nurses reflect on their educational strategies and develop competencies, since graduation, that manage the care. The disclosure of the study will raise greater interest in the development of competence of the professional, contributing to a quality assistance, being essential for the promotion of teaching and research in nursing. Descriptors: Diabetes Mellitus; Family Health Strategy; Health Education; Competency-Based Education; Nursing; Nurses.RESUMEN Objetivo: analizar las competencias necesarias a los enfermeros en la práctica asistencial en la Estrategia de Salud de la Familia, a partir de las fragilidades encontradas en la asistencia de este profesional. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, con nueve enfermeras y tres pacientes diabéticos. Se utilizó la Metodología de la Problematización para la recolección de datos. Se realizó el análisis temático de las entrevistas, identificando palabras clave y se discutieron en categorías los resultados. Resultados: se destacaron fragilidades como: falta de adhesión a los grupos de apoyo y tratamiento; no aceptación de la enfermedad; la percepción desfasada de la enfermedad y sus complicaciones. Se analizaron las competencias necesarias para la práctica del enfermero, a partir del referencial teórico de Perrenoud. Conclusión: se consideró que hubo fragilidad en la educación en salud, siendo necesario que el enfermero reflexione sobre sus estrategias educativas y desarrolle competencias, desde la graduación, que gestionen la asistencia. La divulgación del estudio suscitará mayor interés en el desarrollo de competencia del profesional, contribuyendo para una asistencia de calidad, siendo esencial para la promoción de la enseñanza e investigación en enfermería. Descriptores: Diabetes Mellitus; Estrategia de Salud Familiar; Educación en Salud; Educación Basada en Competencias; Enfermería; Enfermeros.

scholarly journals Promoting health among the elderly: actions in primary health care

2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  
Keyword(s):  
Health Promotion ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Ethics Committee ◽  
Waiting Room ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.

Pengaruh Promosi Kesehatan Keluarga Terhadap Peran Keluarga Dalam Pengelolaan Anggota Keluarga Dengan Diabetes Mellitus Di Puskesmas Kebakkrmat I

2020 ◽  
Vol 10 (2) ◽  
pp. 5-11
Author(s):  
Yeni Nur Rahmayanti
Keyword(s):  
Diabetes Mellitus ◽  
Health Promotion ◽  
Family Members ◽  
Family Health ◽  
Control Group ◽  
Control Group Design ◽  
The Family ◽  
Patients With Diabetes ◽  
Post Test

There are 90% diabetes mellitus sufferers in the world. Diabetes mellitus (DM) is a degenerative disease that has increased every year in countries. Diabetes Mellitus if not handled properly will lead to complications. Cooperation between patients and families is expected to prevent chronic complications of DM, by providing information through health promotion. In this study using "pre post test non control group design" where a group before a certain treatment (x) is given a pretest, then given treatment and after the treatment is carried out a post test or a measurement to determine the consequences of the treatment. The independent variable is family health promotion, while the dependent variable is the management of patients with Diabetes Mellitus. This study uses "purposive sampling". In this sampling, families that meet the criteria and can represent the characteristics of the population are selected, namely a family with one of the family members suffering from Diabetes Mellitus. Family health promotion significantly provides a change for the better towards improving the role of the family in the management of family members with DM as shown from the pre-test and post-test data which is then tested with the Kendal tau test on all components of the management of family members with DM. There is a significant influence between family health promotion on improving the role of the family in the management of family members with DM at the Kebakramat 1 Health Center where there is an improvement in the role of the family in the management of family members with DM.

Evaluation of extensive action held for pregnant women and caregivers of a family health unit of Caicó-RN with a focus in the puerperium

2010 ◽  
Vol 5 (1) ◽  
pp. 145
Author(s):  
Alexandra do Nascimento Cassiano ◽  
Cristyanne Samara Miranda de Holanda ◽  
Roberta Kaliny De Souza Costa
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Postpartum Period ◽  
Family Health ◽  
Structured Interview ◽  
Health Staff ◽  
Health Unit ◽  
The Family ◽  
Mother And Child ◽  
Las Mujeres

ABSTRACTObjective: to evaluate the extensive action "From University to Community: Forming multipliers for both mother and child in the postpartum period" identifying the conception of pregnant women and caregivers about the importance of extension and health education for the postpartum period. Methodology: explorative and descriptive study, with quantitative approach, that will be developed at the Family Health Unit of the Castelo Branco district, municipality of Caicó. The study population will consist of eight (8) women and 8 (eight) escorts who performed the extensive action. It will use as a data-collection instrument a structured interview. Data will be analyzed according to descriptive statistics and discussed according to the adopted methodology. Expected results: it is expected that the study shows, to the family health staff of the Castelo Branco district, a portrait of the need for health education for women who will experience the postpartum period. The (re)think of this practice can enable women to experience this stage of pregnancy and puerperium in an autonomous way, aware of the changes and specific vulnerabilities of this phase of life. Descriptors: health education; postnatal care; family health.RESUMOObjetivo: avaliar a ação extensionista “Da Universidade a Comunidade: Formando multiplicadores para o binômio mãe e filho no período pós-parto” identificando a concepção das gestantes e acompanhantes acerca da importância da extensão e da educação em saúde para o período puerperal. Metodologia: estudo exploratório e descritivo, com abordagem quantitativa, que será desenvolvido na Unidade de Saúde da Família do bairro Castelo Branco. A população do estudo será constituída por oito gestantes e oito acompanhantes que participaram da ação extensionista. Utilizar-se-á como instrumento para a coleta dos dados a entrevista estruturada. Os dados obtidos serão analisados conforme estatística descritiva e discutido de acordo com o referencial teórico adotado. Resultados esperados: espera-se que o estudo propicie a equipe de saúde da família do bairro Castelo Branco, município de Caicó-RN, um retrato da necessidade de educação em saúde para as mulheres que irão vivenciar o período pós-parto. O (re) pensar desta prática pode possibilitar a mulher a vivencia desta fase do ciclo gravídico puerperal de forma autônoma, ciente das alterações e vulnerabilidades específicas dessa fase de vida.  Descritores: educação em saúde; cuidado pós-natal; saúde da família.RESUMENObjetivo: evaluar la acción extensionista "De la Universidad a la comunidad: La formación de multiplicadores para la madre y el niño en el período posparto" identificando la percepción de las mujeres embarazadas y sus acompañantes sobre la importancia de la extensión y la educación en salud para el período posparto. Metodología: estudio exploratorio y descriptivo, con enfoque cuantitativo, que se desarrollará en la Unidad de Salud de la Familia del distrito de Castelo Branco, en el municipio de Caicó. La población del estudio constará de ocho (8) mujeres y 8 (ocho) acompañantes que participaron en la acción extensionista. Se utilizará como un instrumento de recolección de datos la entrevista estructurada. Los datos serán evaluados de acuerdo a la estadística descriptiva y discutidos de acuerdo con el marco teórico referencial adoptado. Resultados esperados: se espera que el estudio ayude al equipo de salud de la familia del distrito de Castelo Branco a obtener un retrato de la necesidad de educación en salud para las mujeres que atraviesan el período de postparto. La (re) pensar en esta práctica puede permitir a las mujeres a experimentar esta etapa del puerperio de forma autónoma, consciente de los cambios y las vulnerabilidades específicas de esta fase de la vida. Descriptores: educación en salud; atención posnatal; salud de la familia.  

scholarly journals KNOWLEDGE ON HYPOGLYCEMIA AMONG PATIENTS WITH DIABETES MELLITUS.

2018 ◽  
Vol 11 (1) ◽  
pp. 236
Author(s):  
Thenmozhi P ◽  
Vijayalakshmi M
Keyword(s):  
Diabetes Mellitus ◽  
Rural Community ◽  
Structured Interview ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Patients With Diabetes ◽  
Life Threatening ◽  
Level Of Knowledge

 Objective: The objective of the study is to assess the level of knowledge on hypoglycemia among patients with diabetes mellitus in the rural community. Hypoglycemia is an acute complication of diabetes mellitus. The recognition of hypoglycemia and immediate treatment of hypoglycemia should be known by all the diabetic patients so that treatment of hypoglycemia may not be delayed, need for hospitalization could be avoided, and life-threatening complications due to hypoglycemia may be prevented.Methods: A cross-sectional research design was adopted with 60 samples who met the inclusion criteria in the rural community in India. Structured interview method was used to collect the data. Data were analyzed by descriptive and inferential statistics.Result: Of 60 samples, 38 (63.33%) had inadequate knowledge, 12 (20%) of them had moderately adequate knowledge, and 10 (16.67%) of them had adequate knowledge. There is a significant association between the age and type of treatment at the level of p<0.05 with the level of knowledge on hypoglycemia.Conclusion: The study findings emphasized that majority of the patients with diabetes mellitus do not have the knowledge on hypoglycemia. The health-care professional has an important role in educating diabetics on hypoglycemia so that hypoglycemic episodes and morbidity could be reduced or prevented.

scholarly journals Impactos da ação educativa nos indicadores de saúde: potencialidade e fragilidades

2018 ◽  
Vol 12 (6) ◽  
pp. 1640 ◽  
Author(s):  
Vanusa Thaine Lubini ◽  
Janaina Quinzen Willrich ◽  
Guilherme Emanuel Weiss Pinheiro ◽  
Luciane Prado Kantorski ◽  
Mirela Farias Pickersgill
Keyword(s):  
Health Education ◽  
Family Health ◽  
Health Indicators ◽  
Structured Interview ◽  
Educational Process ◽  
Observation Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

RESUMOObjetivo: discutir as potencialidades e fragilidades identificadas por enfermeiros da Estratégia de Saúde da Família no desenvolvimento de ações de educação em saúde e o impacto nos indicadores de saúde. Método: estudo qualitativo, descritivo, exploratório, com enfermeiros de uma Unidade de Saúde da Família. A coleta de dados ocorreu a partir de entrevista semiestruturada e observação participante. A análise dos dados foi pela técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: apresentam as potencialidades e as fragilidades vivenciadas pelos enfermeiros, além da percepção acerca das transformações nos indicadores de saúde como melhoria da cobertura vacinal, dos exames citopatológicos e na atenção ao pré-natal. Conclusão: o conhecimento acerca das potencialidades e fragilidades do processo educativo facilita o trabalho em saúde e, por consequência, favorece a melhoria dos indicadores de saúde que são reflexos da dedicação das equipes de saúde da família, pautados na educação em saúde. Descritores: Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Indicadores de Saúde; Estratégia Saúde da Família. ABSTRACT Objective: to discuss the potentialities and fragilities identified by nurses of the Family Health Strategy in the development of health education actions and the impact on health indicators. Method: this is a qualitative, descriptive, exploratory study with nurses from a Family Health Unit. Data collection was done through a semi-structured interview and participant observation. Data analysis was based on the Content Analysis technique in the Thematic Analysis modality. Results: there are potentialities and fragilities experienced by nurses, as well as the perception about changes in health indicators such as improved vaccination coverage, cytopathological exams, and prenatal care. Conclusion: knowledge about the potentialities and fragilities of the educational process facilitates health work and, consequently, favors the improvement of health indicators that are a reflection of the dedication of the family health teams, based on health education. Descriptors: Health Education; Nursing; Primary Health Care; Health Status Indicators; Family Health Strategy. RESUMEN Objetivo: discutir las potencialidades y fragilidades identificadas por enfermeros de la Estrategia de Salud de la Familia en el desarrollo de acciones de educación en salud y el impacto en los indicadores de salud. Método: estudio cualitativo, descriptivo, exploratorio, con enfermeros de una Unidad de Salud de la Familia, La recolección de datos ocurrió a partir de entrevista semi-estructurada y observación participante, el análisis de los datos fue por la técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: presentan las potencialidades y las fragilidades vividas por los enfermeros, además de la percepción acerca de las transformaciones en los indicadores de salud como mejoría de la cobertura de vacunas, de los exámenes de citopatología y en la atención al prenatal. Conclusión: el conocimiento acerca de las potencialidades y fragilidades del proceso educativo facilita el trabajo en salud y, por consecuencia, favorece la mejoría de los indicadores de salud que son reflejos de la dedicación de los equipos de salud de la familia, pautado en la educación en salud. Descriptores: Educación en Salud; Enfermería; Atención Primaria de Salud; Indicadores de Salud; Estrategia de Salud Familiar.

scholarly journals Nonadherence and Contributing Factors among Ambulatory Patients with Antidiabetic Medications in Adama Referral Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Belayneh Kefale Gelaw ◽  
Abdela Mohammed ◽  
Gobezie Temesgen Tegegne ◽  
Amsalu Degu Defersha ◽  
Muluneh Fromsa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Drug Regimen ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
The Difference

The objective of this study was to determine the magnitude of nonadherence and its contributing factors among diabetic patients attending the diabetic clinic in Adama Hospital.Methods.This descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the diabetes mellitus clinic of Adama Referral Hospital. Every other patient was selected and data regarding their medication adherence was collected using a structured interview. Data analysis was carried out using SPSS-16.Result.The response rate from this study was 98.3%. A total of 270 patients were interviewed; 51.5% were males. A total of 68.1% of the patients included in the study were married. 14% were younger than 40 years, and 50% were between 40 and 60 years. 21.8% of the participants ascribed their nonadherence to forgetting to take their medications. Patients with duration of diabetes≤5 years (82.07%) were more compliant to their medication than those with>5 years (60.8%), which was found to be statistically significant(P=0.003). Insulin, 47%, and glibenclamide plus metformin, 43.7%, were the most commonly prescribed mono- and combination therapies, respectively. Common comorbid conditions include hypertension, 148 (54.82%), and visual impairment, 89 (32.96%). The proportion of male patients adherent to their antidiabetic medications was found to be lower than 69.78% compared to the female patients (74.81%), but the difference was not statistically significant(P>0.05).Conclusion.Most diabetic patients are currently being managed with the most effective available drugs. However the result from this study indicates that the desired blood sugar level could not be controlled and maintained adequately. This was because of poor adherence to the prescribed drug regimen and poor knowledge and practice of successful self-management.

scholarly journals Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil

2015 ◽  
Vol 18 (2) ◽  
pp. 413-424 ◽  
Author(s):  
Maria Nelly Sobreira de Carvalho Barreto ◽  
Eduarda Ângela Pessoa Cesse ◽  
Rodrigo Fonseca Lima ◽  
Michelly Geórgia da Silva Marinho ◽  
Yuri da Silva Specht ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Antihypertensive Drugs ◽  
Family Health ◽  
The State ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network.

scholarly journals KNOWLEDGE ON HYPOGLYCEMIA AMONG PATIENTS WITH DIABETES MELLITUS.

2018 ◽  
Vol 11 (1) ◽  
pp. 236 ◽  
Author(s):  
Thenmozhi P ◽  
Vijayalakshmi M
Keyword(s):  
Diabetes Mellitus ◽  
Rural Community ◽  
Structured Interview ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Patients With Diabetes ◽  
Life Threatening ◽  
Level Of Knowledge

 Objective: The objective of the study is to assess the level of knowledge on hypoglycemia among patients with diabetes mellitus in the rural community. Hypoglycemia is an acute complication of diabetes mellitus. The recognition of hypoglycemia and immediate treatment of hypoglycemia should be known by all the diabetic patients so that treatment of hypoglycemia may not be delayed, need for hospitalization could be avoided, and life-threatening complications due to hypoglycemia may be prevented.Methods: A cross-sectional research design was adopted with 60 samples who met the inclusion criteria in the rural community in India. Structured interview method was used to collect the data. Data were analyzed by descriptive and inferential statistics.Result: Of 60 samples, 38 (63.33%) had inadequate knowledge, 12 (20%) of them had moderately adequate knowledge, and 10 (16.67%) of them had adequate knowledge. There is a significant association between the age and type of treatment at the level of p<0.05 with the level of knowledge on hypoglycemia.Conclusion: The study findings emphasized that majority of the patients with diabetes mellitus do not have the knowledge on hypoglycemia. The health-care professional has an important role in educating diabetics on hypoglycemia so that hypoglycemic episodes and morbidity could be reduced or prevented.

scholarly journals Early detection of diabetic retinopathy among type one diabetic patients

2017 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Mohammad Alkot
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Early Detection ◽  
Family Health ◽  
Diabetic Patients ◽  
Fundus Examination ◽  
Cross Sectional ◽  
The Family ◽  
The World ◽  
Type One Diabetes

Background: Diabetic retinopathy (DR) is one of the leading causes of blindness in the world. It develops in nearly all individuals with type one diabetes and in more than 75% of individuals with type two who survive for over twenty years with the disease. Objective: To clarify the importance of early detection of DR, and specifically to determine its prevalence among type one diabetic patients. Methods: A cross-sectional comparative study was conducted on all registered type one diabetic patients attending Al-Shohada family health center (FHC); during the period from June to August 2015. The study included 105 patients with type one diabetes mellitus. They were subjected to a predesigned questionnaire, and their data were retrieved by checking their files. They were referred for fundus examination by an ophthalmologist. Results: The prevalence of DR among type one diabetic patients was 51.3%, and it was 62.8% among the patients who had never undergone fundus examination before. In 57% of the patients, the barrier for DR screening was negligence and lack of awareness about its importance. Prevalence of DR depends on the duration in addition to the degree diabetes control. Conclusion: Most of type one diabetic patients are aware of its complications; however, there is little awareness about the importance of screening for DR, which together with negligence constitutes the main barriers to its screening. Therefore, the family physician plays an important role in dealing with these problems for early detection and management of diabetic retinopathy.

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