scholarly journals Efficacy of Nursing Skin Care Protocol on Prevention of Skin Related Problems among Newly Diagnosed Diabetic Patients

Author(s):  
PascalineJohn David ◽  
Meenakshi Yeola ◽  
Ruchira Ankar

Background:Approximately 400 million people would be afflicted with diabetes by 2025, projected worldwide.In India, about 50.9 million people suffer from diabetes, and this figure willgo up to 80 million by 2025. Diabetes leads to blindness, kidney failure, heart attacks, stroke and foot ulcer. Skin problems are increasing in diabetic patients. It is estimated that 30% of diabetes patients will experience a skin problem at some stage throughout the course of their disease. Many skin care guidelines are given for diabetic foot care, but nursing skin care protocolfor diabetic patients is not available. Less attention is given to complete skin care in diabetes routine care.There is need to develop Nursing skin care protocols for prevention of skin problems in diabetes. Objectives:To validate the developed nursing skin care protocol on prevention of skin related problems among newly diagnosed diabetic patients, to assess the skin problems in experimental group and control group, and to assess the efficacy of nursing skin care protocolin experimental group and routine skin care with coconut oil in control group. Methodology: Study design is randomized controlled trial.Study will be carried out in hospital setting with 140 participants. Random allocation and concealment with single blinding will be done.Intervention is Nursing skin care protocolconsist of Daily skin inspection, Bathing, Drying, clothing, Application of lotion, Hydration, Injury prevention, Nail careandHair care, Sugar control, Dermatological consultation and Physician consultation. Semi structure questionnaire, skin assessment tool[ GI, Glammal score for xerosis,Visual Analogue Scale for pruritus, Questionnaire on erythema,hair and nail colourchanges] and self-reported practice checklist will be used to collect data. Expected Results: Investigator expects newly diagnosed diabetic patients will not develop any skin related problems after using Nursing skin care protocol. Conclusion: Diabetic patients will be able to utilized developed nursing skin care protocol routinely to prevent skin related problems.

2020 ◽  
Author(s):  
Maria Lucia de Bustamante Simas ◽  
Ana Cristina Taunay C. A. Maranhão ◽  
Flora Silva Teixeira ◽  
Aline Mendes Lacerda ◽  
Carlos Henrique Resende Freire ◽  
...  

Results from the development of a novel sensory and perceptual test to assess the level of altered visual size perception in people with schizophrenia are presented. Here we compare the performances in a visual sensory and perceptual test between a control group and an experimental group of people diagnosed with schizophrenia. We have been using paintings by Salvador Dalí and Rorschach plates to assess images size perception. In this transversal, ex-post-fact and quasi-experimental study we show differences between EG (Experimental Group) and CG (Control Group). Schizophrenics in-patients as compared to controls perceived sizes about 1.3 fold greater than healthy volunteers (p=0.006), thus showing that size perception is altered in schizophrenia. Together with previous results, this particular sensory test for size perception seems to be a useful assessment tool to evaluate the degree and severity of psychotic symptoms in prodromal schizophrenic states, and neuropsychiatric patients in general. It may help prevent acute crisis with proper, and most likely, lower dosages of medication.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lili Tao ◽  
Ming Lu ◽  
Xiaoning Wang ◽  
Xiaoyan Han ◽  
Shuming Li ◽  
...  

Abstract Background This study was conducted to evaluate the impact of a comprehensive community intervention on cognition and inoculation behaviors of diabetic patients immunized with influenza vaccine. Methods A total of 1538 diabetic patients aged 35 years and above for outpatient visits and follow-up treatments were selected from six community health service centers (three for the experimental group, and the other three for the control group) in Chaoyang District, Beijing. Comprehensive interventions applied to the experimental group include patient intervention and community climate interventions. We compared the total awareness of influenza vaccine knowledge and influenza vaccination rates between the two groups before and after the intervention. Results Before the intervention, the total awareness rate of influenza vaccine in the experimental group and the control group was similar (50.6 and 50.2%, respectively. P = 0.171). After the intervention, the awareness rate of influenza vaccine in the experimental group and the control group increased. The amplitude of the increase was similar (70.3 and 70.1%, respectively. P = 0.822,). Before the intervention, there was no significant difference in the influenza vaccination rate between the experimental group and the control group (29.0 and 26.8%, respectively. P = 0.334). After the intervention, the vaccination rate of the experimental group was higher than that of the control group. The difference was statistically significant (The vaccination rate 45.8 and 27.4% for the experimental group and the control group, respectively. P < 0.001). Conclusion Comprehensive community interventions had a positive effect on vaccination in diabetic patients. Trial registration ChiCTR1900025194, registered in Aug,16th, 2019. Retrospectively registered.


2017 ◽  
Vol 14 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Wen-Jia Chen ◽  
Yue Liu ◽  
Yu-Bin Sui ◽  
Bo Zhang ◽  
Xiao-Hui Zhang ◽  
...  

Background: Musclin is a newly identified skeletal muscle–derived secretory factor, which has been recently characterized as a stimulator that induces insulin resistance in mice. However, the pathophysiological role of musclin in humans remains poorly understood. The aim of this study was to explore the potential correlations between musclin plasma levels and various metabolic parameters in patients with type 2 diabetes mellitus. Materials and methods: In this hospital-based study, plasma samples were collected from the enrolled individuals, including 38 newly diagnosed, treatment-naive type 2 diabetes mellitus patients and 41 age- and gender-matched control subjects. Plasma musclin levels were examined by radioimmunoassay. Results: Compared with the control group, musclin plasma levels were significantly higher in untreated type 2 diabetes mellitus patients. Musclin levels in the plasma of newly diagnosed type 2 diabetes mellitus patients were positively correlated with fasting plasma glucose, haemoglobin A1c, serum insulin, triglycerides and homeostasis model assessment of insulin resistance. Furthermore, multivariate logistic regression analysis showed that the level of musclin was associated with the presence of type 2 diabetes mellitus. Receiver operating characteristic curve analysis yielded an area under the curve for musclin of 0.718 in type 2 diabetes mellitus. Conclusion: The circulating concentration of musclin was significantly increased in type 2 diabetes mellitus patients. Our results suggest that musclin has a strong relationship with insulin resistance in type 2 diabetes mellitus.


2020 ◽  
Vol 21 (3) ◽  
pp. 304-319
Author(s):  
Maryam Niajalili ◽  
◽  
Meghdad Sedaghat ◽  
Asghar Reazasoltani ◽  
Ali Reza Akbarzade Baghban ◽  
...  

Objective: Because of the significant prevalence of diabetes, disability of patients due to the complication of Diabeti Neuropathy (DN) has been increased. Physiotherapy is one of the methods for DN which can help control the symptoms through modalities such as infrared radiation, electrical stimulation and electromagnetic fields. Tecar therapy is a form of electromagnetic fields.This study investigated the effect of Capacitive Tecar therapy on pain and tactile sensation of the feet in type 2 diabetics with symptoms of peripheral neuropathy. Materials & Methods: This clinical trial was performed as pre-test and post-test with a control group. The samples consisted of 24 diabetics aged 17-78 years with symtoms of peripheral neuropathy allocated in the control and experimental group randomly. The patients of experimental groups participated in 10 sessions and received the Capasitive tecar therapy with 10%-30% intensity in addition to infrared radiatin; the controls received the same protocol with zero intensity of tecar. Pain and tactile sensation of the soles were evaluated before and after sessions. The collected data were analyzed by the Reapeted measure Analysis Of Variance (ANOVA). All statistical analyses were performed in SPSS V. 18. The significance level was set at P<0.05. Results: The results of Rearetd Measure ANOVA showed that there was a significant difference in the mean scores of pain and tactile sensation of soles in the post-test compared to the pre-test of two groups.(P<0.001).There was also a significant difference in the means of post-test scores of variable pain (P=0.002) and tactile sensation (P<0.001) between the two groups. The improvement of variables in experimental group was more than control group. Conclusion: The results of this study revealed that Tecar Therapy with infrared radiation can be an appropriate therapeutic program for improving pain and tactile sensation of soles in diabetic patients with symptoms of peripheral neuropathy.


Author(s):  
Juman Ghaleb Mohammed Al - Shaweesh

This research aimed to know the effect of using brain-based learning theory in achievement to 7th year female students in science through proving the following hypotheses: -there is difference in the statistical sign at the sign level (0.01) between the average of the female students achievement marks in the experimental group who study according to brain-based learning theory and the average of the female students achievement marks in the control group who study according to the ordinary method The sample consists of (60)female students and they were in random allocation to two groups equally each of them of (30)female students from the experimental group which learnt according to ordinary method The research himself taught the two groups, and he made achievement test consisted of (20) item from multiple choice with four alternatives for each item The results showed the excellence of the experimental group to the controlling group in achievement The researcher submitted a number of recommendation and suggestions


The present study is undertaken to see the effect of music on blood sugar levels among type two diabetic patients. 100 diabetic patients aged 60-75 years were randomly selected from diabetic clinics. They are divided into two groups of 50 each (25 females and 25 males) one group served as control and another experimental. Both groups received regular conventional diet, medical protocol, and exercise/yoga. The experimental group was exposed daily to music of their choice approved by a music therapist for 40 minutes in addition. The study was undertaken for 3 months. Fasting blood glucose levels were taken in the beginning and after every month. The initial average blood sugar in the control group is 160 mg/dl and in the experimental group is 158mg/dl. Grouping them into various levels showed that initially none of the patients in both groups had normal blood sugar levels. In the experimental group those in the categories of 101-120 mg/dl are 16%, 121-140 mg/dl are 28%, 141-160 mg/dl are16% and those in >160 mg/dl are 48c% after 3 months 48% patients slided over to the normal category, in the other levels are 28%, 18%, 4% and 2% respectively. In the control group the corresponding levels are 4% in the normal category and 4%, 28%, 60%, and 4% respectively. The results indicated that there is consistent decrease in the fasting levels in the experimental group indicating that listening to music of their choice probably reduced the stress levels and thereby the blood sugar levels.


Author(s):  
Zhang Yingli

Background: Diabetic foot is one of the main reasons that seriously affect the quality of life and disability. Good foot care can prevent 85% amputation of diabetic foot patients. The purpose of this study is to explore the effects of interactive education with conversation map on foot care behaviors among elderly diabetic patients with high-risk diabetic foot.Methods: 96 elderly diabetic patients in Endocrinology Department of the Second Affiliated Hospital of Shandong First Medical University from January to December in 2020 were selected as the research objects. According to the parity of the last two digits of the hospitalization number, the odd number was divided into the control group and the even number was divided into the experimental group. The control group was given traditional health education and interactive education with conversation map for diabetic foot launched by the international diabetes federation was added to the experimental group. After 3 months of intervention, fasting blood glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin and foot care behaviors of the two groups were observed.Results: The fasting blood glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin and foot care behaviors of the experimental group were significantly better than those of the control group and the difference was statistically significant (p<0.05).Conclusions: The interactive education with conversation map can effectively improve the foot care behaviors of elderly diabetic patients with high-risk diabetic foot, and then prevent the occurrence of diabetic foot.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yuhua Wen ◽  
Huijuan Li ◽  
Xiaoya Zhang ◽  
Peipei Liu ◽  
Jing Ma ◽  
...  

This study aimed to explore the risk factors attributed to osteoporosis in newly type 2 diabetes mellitus (T2DM) patients. This study aimed to recruit 244 T2DM patients and 218 non-diabetic controls. We collected demographic characteristics, medical history, bone mineral density and biomarkers including bone specific alkaline phosphatase (BALP), osteocalcin, N-terminal peptide of type I procollagen (P1NP), tartrate-resistant acid phosphatase 5b (TRCAP-5b), β-Cross Laps of type I collagen-containing cross-linked C-telopeptide (β-CTX), 25-hydroxyvitamin D, parathyroid hormone were recorded or detected. Bone mineral density (BMD) was our primary outcome. Based on the result of BMD, we divided both the control group and T2DM group into three subgroups: normal bone mass, osteopenia and osteoporosis. In control group, we found age, sex, menopausal status, BMI, P1NP, BALP, TRACP-5b, osteocalcin, and corrected serum calcium are differential among three subgroups. In T2DM group, we found age, sex, menopausal status, drinking status, BMI, HbA1c, TRACP-5b and OC were differential among three subgroups. In T2DM and control groups, age, female, postmenopausal status, BALP, TRACP-5b and osteocalcin were positively correlated while BMI was negatively correlated with osteoporosis. In control group, β-CTX was positively correlated with osteoporosis. In T2DM group, HbA1c and corrected serum calcium concentration were positively correlated with osteoporosis. After further adjustment of age, BMI in male, TRACP-5b was positively correlated with the risk of osteoporosis in newly diagnosed T2DM. After adjusted of age, BMI and menopausal status in female, OC was positively correlated with the risk of osteoporosis in newly diagnosed T2DM and controls. In female T2DM, BALP and P1NP were positively correlated with the risk of osteoporosis. In conclusion, age, BMI and menopausal status are common risk factors for osteoporosis in diabetic and non-diabetic patients, however TRACP-5b, BALP and osteocalcin are special risk factors for osteoporosis in newly diagnosed T2DM patients but not non-diabetic patients, which may be applied to identify osteoporosis risk in T2DM patients, but this result needs to be proven with fracture data.


2021 ◽  
pp. 59-60
Author(s):  
Maniazhagu Dharuman

The purpose of study was to nd out the effects of isolated and combined effects of aerobic dancing and resistance training on resting pulse rate of type-2 diabetic patients. To achieve the purpose of the study, 60 type 2 diabetic patients with the age of 40-45 years from Karaikudi town, Sivaganga District, Tamilnadu were selected as subject at random. The study was formulated as pre and post test random group design, in which sixty subject were divided into four equal groups. The experimental group-1 (n=15, AD) underwent aerobic dancing, experimental group-2 (n=15, RT) underwent resistance training, experimental group – 3 (n=15, COM-T) underwent combined practice of aerobic dancing and resistance training and group-4 (n=15, CG) served as a control group. In this study, three training programme were adopted as independent variable, i.e., aerobic dancing, resistance training and combined training. The resting pulse rate was chosen as dependent variable. It was tested by number of beats per minute, scores recorded in number. The collected pre and post data was critically analyzed with apt statistical tool of analysis of co-variance. The Scheffe's post hoc test was used to nd out pair-wise comparisons between groups. The results of the present study proved that the three training interventions have signicantly altered the resting pulse rate.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1728-1728
Author(s):  
I. Hussain ◽  
M. Mc Loughlin

BackgroundThere are many advantages to improve communication between primary care and Psychiatric services. In Ireland various models of liaison with primary care are still in early stages of experimentation in some parts. We devised a pilot project of consultation-liaison model in west of Ireland.MethodologyThere are 11 general practitioners working in the catchment area. All of them were given information and five agreed to participate. Based on random allocation two general practitioners were placed in experimental group. Three other general practitioners were allocated to control group. All patients from these surgeries were enrolled in study. In experimental group face to face meetings between psychiatrist and general practitioners were arranged before and after seeing patients in clinics. Feedback and exchange of information took place during these meetings. Meetings were arranged on monthly basis for six month starting in December 2009. While in the control group communication and referral was through usual method of writing letters.ResultsAssessment of data was based on comparison of outcome in two sets of patients and surgeries. We collected data regarding number of admissions, compliance with appointments, changes in medications, number of referrals to secondary care, number of discharges back to general practitioners. Results show quantitative benefits of collaborative model in the lines of more patients being discharged back to GP and less missed appointments. There was also trend of reduced admission rate but this was statistically not significant.


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