scholarly journals Assessment of knowledge of Saudi female teenagers & their mothers regarding management of type I diabetes in the City of Abha

2017 ◽  
Vol 7 (9) ◽  
pp. 121
Author(s):  
Salwa Ibrahim Beshi ◽  
Salma Moawad ◽  
Sahar M. Yakout

Background: Diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. In adolescence self-image is being constructed and diabetes self-care becomes an integral part of daily life. Diabetes management is better when parents remain involved in diabetes care through parental monitoring, a construct frequently measured as parents’ overall knowledge of their adolescents’ illness management. The main aim of this study was to assess the Knowledge of Saudi Female Teenagers and Their Mothers Regarding Management of type I Diabetes in the Abha.Methods: The study was carried out in Abha diabetic center. A descriptive, cross-sectional design was used. A non-probability, convenience sample of diabetic Saudi female teenagers (150) and their mothers (150) was required. The researcher prepared a two-sheet questionnaire. The questionnaire was developed from a modified Simplified Diabetes Knowledge Test (DKT) derived from the Revised Diabetes Knowledge Scale, developed by Lloyd (2011) and Fitzgerald (1998), diabetes self-management and the day care diabetes education questionnaire.Results: More the two third of mothers 30 years old and more, and 46% their level of education secondary school and more but more than two third were home wife. On the other hand, more than two third of diabetic teenage were their age 16-19 years, and 50% intermediate school age. The teenager girls and their mothers (72%, 63%) respectively not participate at any classes related to health education about management. Although only 7% not have any diabetic complication and statistical analysis show highly significant different between response of mothers and their daughters. In general, it is obvious that most of the mother do not aware or do not carefully follow their daughters in respect of diabetes self-management through diet, physical practice and blood glucose level. Also, mothers’ characteristics do not influence on daughters' knowledge level about diabetes self-management. The only factor that has a significant influence on teen females' knowledge was the duration since diagnosed as diabetic.Conclusions: According to the results of the study, it is concluded that both mother and their daughter had lack of awareness and knowledge in most of aspects of diabetes management so the researcher suggested family-based interventions, implementation of home visit programs and integrated ongoing programs of education, monitoring and support for young people and their families living with diabetes are needed. Further research needs and the paradigm used in the present study should be expanded to include fathers, other family members and friends.

Author(s):  
Olayinka O. Shiyanbola ◽  
Becky Randall ◽  
Cristina Lammers ◽  
Karly A. Hegge ◽  
Michelle Anderson

Background: Patient education programs encouraging diabetes self-management can improve clinical outcomes and lessen diabetes complications. This study implemented an innovative interprofessional student-led diabetes self-management and health promotion program for an underserved population and demonstrated an improvement in participant clinical outcomes and students’ understanding of interprofessional aspects of diabetes care.Methods and Findings: This community-based program was implemented at two sites that serve medically underserved individuals. Students from five health career professions led educational sessions designed to demonstrate critical components of diabetes self-management. The six-month longitudinal program covered topics within the Alphabet Strategy, including Advice, Blood pressure, Cholesterol, Diabetes control, Dental care, Diet, Eye care, Foot care, and Guardian drugs. Participants completed surveys evaluating diabetes knowledge, understanding of diabetes care, and health behaviours. Clinical values were collected before and after the program. Student surveys assessed their understanding of diabetes self-management. Upon completion of the program, all assessments were repeated to determine if there were improvements in outcomes. Thirty-eight participants and thirty students completed the study. There were significant improvements in participants’ diabetes knowledge, understanding of diabetes management, and clinical outcomes. There were significant improvements in the students’ ability to educate patients about foot care, eye care, and guardian drugs, as well as increased awareness of the role of each health profession in diabetes care.Conclusions: This interprofessional health promotion model showed significant improvements in patient and student outcomes. This innovative student-led program could be implemented in other settings and for the management of other chronic diseases.


2020 ◽  
Author(s):  
Alaa Abd-Alrazaq ◽  
Noor Suleiman ◽  
Khaled Baagar ◽  
Noor Jandali ◽  
Ibrahem Abdalhakam ◽  
...  

BACKGROUND Diabetes mellitus (DM) is highly prevalent in Qatar and the Middle East and North Africa (MENA) region. Mobile health (m-health) can improve communications between diabetic patients and medical teams and this, in turn, may enhance engagement and self-management. Droobi is a multi-language mobile application designed to support self-management of patients with DM. OBJECTIVE The study aimed to explore experiences of patients and educators about their communication before and after implementation of Droobi, a diabetes management app. METHODS We interviewed a convenience sample consisting of 9 patients and 5 nurse educators. Before interviews, Droobi was downloaded to participants’ mobile phone, and their profile on the application was created. To ensure optimum usage experience, all participants received education on how to use Droobi. Participants used Droobi for 6 to 12 weeks. All interviews were audio recorded, transcribed by professionals, and thematically analyzed. RESULTS Two main themes were generated from participants’ responses. The first theme relates to experiences of patients and educators about their communication before Droobi and consists of 3 sub-themes: (1) how patients communicated with medical team before Droobi (previous methods), (2) adoption of previous communication methods, and (3) shortcomings of previous communication methods. The second theme relates to experiences of patients and educators about their communication after Droobi and consists of 4 sub-themes: (1) adoption of Droobi, (2) advantages of Droobi, (3) shortcomings of Droobi, and (4) improvements suggested by educators and patients. Findings suggest that Droobi provided a more efficient and convenient way for communication between health workers and patients, yet multiple shortcomings and several suggestions for improvements were noted. CONCLUSIONS Droobi has the potential to overcome disadvantages of previous communication methods, thereby increasing diabetic patient self-management. However, continuing use of Droobi is a factor for continuing its long-term viability and eventual success. Future work should continue on evaluating the Droobi app and to include a number of different stakeholders (e.g., diabetic patients, educators, doctors, researchers) when developing the upcoming Droobi version taking into account the limitations and suggestions put forth by the end-users. Further studies are needed to assess the clinical and cost effectiveness of Droobi in Qatar and the MENA region together with investigating factors affecting its initial and continued use.


Author(s):  
Jolanta Žilinskienė ◽  
Linas Šumskas ◽  
Dalia Antinienė

The functioning of the parents’ emotional sphere is very important to a child’s mental and physical health. This study focused on investigating the association between mothers’ emotional intelligence (EI) and paediatric type I diabetes (T1DM) disease management in their children. We hypothesized that mothers’ EI is associated with T1DM outcomes. Mothers of children with T1DM aged 6-12 years were surveyed. One hundred and thirty-four mothers, the main caregivers of their diabetic children, provided measures of EI and completed a demographic questionnaire. The primary indicator of diabetes management was haemoglobin A1c (HbA1c; the main form of glycosylated haemoglobin). EI scales and subscales were associated with glycaemic management indices. Logistic regression analysis was applied for the assessment of the association between parents’ EI and their paediatric with T1DM disease management. The analysis demonstrated a statistically significant correlation between T1DM management and mothers’ ability to understand and control own emotions, to transform their own negative emotions into positive and to control own negative emotions. Mothers’ EI scales and subscales of understanding and regulating their own emotions, subscales of transforming their own negative emotions into positive ones and controlling their own negative emotions were statistically reliable predictors of glycaemic control in children with T1DM.


2021 ◽  
Vol 15 (11) ◽  
pp. 2961-2962
Author(s):  
Aneel Kumar ◽  
Zahid Ali Shaikh ◽  
Sham Lal Prithiani ◽  
Bashir Ahmed Shaikh ◽  
Imdad Ali Ansari ◽  
...  

Aim: To determine knowledge of hypoglycaemic symptoms & their self-management among pts with type II diabetes mellitus. Study Design: Descriptive, cross-sectional. Place and duration of study: OPD Clinic of Department of Medicine, Chandka Medical College Hospital Larkana from 23rd May 2019 to 22nd November 2019. Methodology: One hundred and thirty five patients with type II diabetes mellitus of age 35- 60 years were selected. Patients with type I DM and neuro-psychiatric illness were excluded. The symptoms of hypoglycemia and their responses to those symptoms were recorded. Results: The mean age of 47.07±6.04years and majority of the patients 83 (61.48%) were between 46-60 years of age. Seventy two (53.33%) were male and 63 (46.67%) were females. Mean duration of diabetes mellitus was 6.90±3.86 years. Adequate knowledge of hypoglycemic symptoms and their self-management among patients with type II diabetes mellitus was found in 62 (56.9%) patients. Conclusion: Hypoglycemic patients are significantly unaware of their condition and have a very low knowledge about hypoglycemia and its self-management. Keywords: Type II diabetes, Hypoglycemic symptoms, Knowledge


2020 ◽  
Vol 26 (4) ◽  
pp. 2586-2596
Author(s):  
Kathy K Marsh ◽  
Ruth A Bush ◽  
Cynthia D Connelly

Emerging adults have been raised in the digital age and are therefore prime candidates for using a patient portal to manage chronic conditions. The limited body of research both identifies the underutilization of the patient portal and suggests increased use of the portal for the chronically ill as a tool to alleviate caregiver stress, as well as a potential modality to assist emerging adults to manage their chronic illnesses. This qualitative study was completed to obtain an understanding of emerging adults familiarity with the electronic patient portal and to elicit the perception of the usefulness of the portal to support self-management of type I diabetes. Findings provide a preliminary understanding of how a sampling of emerging adults with type I diabetes uses, perceives the benefits of, and wants to improve technology for diabetes self-management.


2020 ◽  
Vol 11 ◽  
pp. 204201882093721
Author(s):  
Ambady Ramachandran ◽  
Sunil M. Jain ◽  
Sagarika Mukherjee ◽  
Sanjeev Phatak ◽  
Shailesh Pitale ◽  
...  

Objective: To assess the real-world management practices of subjects with type 2 diabetes mellitus (T2DM) and type 1 diabetes mellitus (T1DM) in India. Methods: This cross-sectional study was conducted between 7 March 2016 and 15 May 2016 in India as part of the seventh wave (2016) of the International Diabetes Management Practices Study (IDMPS). Adult subjects with T1DM or T2DM visiting physicians during a 2-week recruitment period were included. Results: A total of 55 physicians included 539 subjects who met eligibility criteria. Of 495 subjects with T2DM, 303 were treated with oral glucose lowering drugs (OGLDs) only, 158 were treated with OGLD + insulin, and 27 received insulin only. Among 44 subjects with T1DM receiving insulin, 13 (29.5%) were also treated with OGLD therapy. The most commonly used insulin regimens were basal alone (69/184; 37.5%) and premixed alone (63/184; 34.2%) in subjects with T2DM, and basal + prandial insulin (24/44; 54.5%) in subjects with T1DM. Proportions of subjects achieving glycemic targets were low [glycated haemoglobin (HbA1c) <7%: T1DM = 7.3% (3/44), T2DM = 25.2% (106/495); as targeted by the treating physician: T1DM = 31.8% (14/44), T2DM = 32.1% (59/185); global target: T1DM = 4.8% (2/42) and T2DM = 1.7% (8/482)]. In subjects with T2DM, HbA1c <7% was noted in 11/22 subjects receiving insulin only and 76/260 receiving only OGLDs. Lack of experience in self-managing insulin dosing, poor diabetes education and failure to titrate insulin dosages were the main reasons for non-achievement of glycemic targets. Conclusion: Timely insulinization, education and empowerment of people with diabetes may help improve glycemic control in India.


2009 ◽  
Vol 17 (4) ◽  
pp. 468-473 ◽  
Author(s):  
Flávia Fernanda Luchetti Rodrigues ◽  
Maria Lúcia Zanetti ◽  
Manoel Antônio dos Santos ◽  
Tatiane Aparecida Martins ◽  
Valmi D. Sousa ◽  
...  

This descriptive cross-sectional study was conducted from March to November 2007 at a research and community services center of a Brazilian university. It aimed to explore the knowledge and attitude of people with diabetes mellitus who were attending a diabetes self-care education program. The sample was composed of 82 adults with diabetes mellitus. Data were collected through the Portuguese versions of the Diabetes Knowledge Questionnaire (DKN-A) and the Diabetes Attitude Questionnaire (ATT-19). Results revealed that 78.05% of the participants obtained scores higher than eight on knowledge about diabetes, which indicates they have knowledge and understand the disease. Scores on attitude ranged from 25 to 71 suggesting difficulty in coping with the disease. We conclude that although participants obtained a good score on knowledge, their attitude did not change so as to more adequately cope with the disease.


2006 ◽  
Vol 148 (6) ◽  
pp. 784-787 ◽  
Author(s):  
Eric A. Storch ◽  
Amanda D. Heidgerken ◽  
Gary R. Geffken ◽  
Adam B. Lewin ◽  
Vanessa Ohleyer ◽  
...  

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