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Gül E, Erci B. The Effect of Nursing Approach on the Self-Management and Adjustment to the Illness among Newly Diagnosed Diabetic Patients According to Meleis's Transition Theory. Nurs Sci Q 2024; 37:266-277. [PMID: 38836490 DOI: 10.1177/08943184241247014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
This study aimed to determine how the nursing approach based on Meleis's transition theory affects the self-management and adjustment to the illness among newly diagnosed diabetic patients. The study was conducted as one-group and pretest-posttest quasi-experimental design. The data were collected using the Introductory Questionnaire, the Diabetes Self-Management Questionnaire (DSMQ), and the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR). It was determined that there was a positive increase in the total score of the DSMQ after the intervention, and a positive decrease in the total score of the PAIS-SR, and the difference between the scores were statistically significant (p < .05).
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Affiliation(s)
- Ebru Gül
- Department of Public Health Nursing, İnönü University Faculty of Nursing, Malatya, Türkiye
| | - Behice Erci
- Department of Public Health Nursing, İnönü University Faculty of Nursing, Malatya, Türkiye
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Heiran A, Azarchehry SP, Dehghankhalili S, Afarid M, Shaabani S, Mirahmadizadeh A. Prevalence of diabetic retinopathy in the Eastern Mediterranean Region: a systematic review and meta-analysis. J Int Med Res 2022; 50:3000605221117134. [PMID: 36314851 PMCID: PMC9629581 DOI: 10.1177/03000605221117134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objectives Individual studies in the Eastern Mediterranean Region (EMR) have shown the high prevalence of diabetic retinopathy. We conducted a meta-analysis to yield an estimate of the prevalence of diabetic (type 1 and 2) retinopathy in the EMR. Additionally, we explored its potential modulators. Methods Two-step screening of relevant articles published from 1 January 2000 to 13 December 2019 was carried out. An estimation of summary proportions, subgroup analysis, meta-regression, and publication bias assessment were performed. Results One hundred nine articles were included in the meta-analysis, involving 280,566 patients. The prevalence of diabetic retinopathy was 31% (95% confidence interval [CI] = 28, 33). The highest and lowest diabetic retinopathy prevalence rates were observed in low human development index (HDI) countries (63.6; 95% CI = 52.4, 74.0) and very high HDI countries 22.6 (95% CI = 20.5, 24.7), respectively. Conclusions The prevalence of diabetic retinopathy is high in the EMR. Our results provide important information for diverse healthcare surveillance systems in the EMR to implement the modifiable risk factors, diabetes screening to decrease undiagnosed diabetes, early detection of retinopathy, and proper diabetes care to decrease untreated diabetes.
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Affiliation(s)
- Alireza Heiran
- Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran,Alireza Mirahmadizadeh, Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Zand Blvd, Shiraz, Iran. PO: 7193635899.
| | - Seyede Pegah Azarchehry
- Department of Biochemistry, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran
| | | | - Mehrdad Afarid
- Poostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sonia Shaabani
- Alzahra Cardiovascular Charitable Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Alireza Mirahmadizadeh
- Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Naz Masood S, Saeed S, Lakho N, Masood Y, Rehman M, Memon S. Frequency of sexual dysfunction in women with diabetes mellitus: A cross-sectional multicenter study. JOURNAL OF DIABETOLOGY 2021. [DOI: 10.4103/jod.jod_31_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Gillani AH, Amirul Islam FM, Hayat K, Atif N, Yang C, Chang J, Qu Z, Fang Y. Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15091906. [PMID: 30200534 PMCID: PMC6164838 DOI: 10.3390/ijerph15091906] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Revised: 08/24/2018] [Accepted: 08/27/2018] [Indexed: 11/16/2022]
Abstract
Background: Low knowledge about diabetes risk factors coupled with high disease prevalence is common in low-resource countries. This study evaluated diabetes-related knowledge, attitudes, and practices in the general population in Punjab (Pakistan). Methods: A cross-sectional study was conducted in five districts in Punjab from January to March 2017. Data were collected from 2019 adults aged 18⁻90 years through face-to-face interviews using a semi-structured questionnaire. The total knowledge score ranged from 0⁻9; a score ≥6 was considered adequate diabetes awareness. Descriptive statistics, chi-square tests, and linear and binary logistic regression were used for the analyses. Results: Respondents' mean age was 32.92 ± 11.4 years. In total, 85.9% of respondents had heard of diabetes, and 30.1% knew about the glucose tolerance test. We found 2.3% of respondents scored zero for diabetes knowledge, 11.3% scored 9, and 47.4% scored ≥6 (adequate awareness). Being female (β = 0.37, 95% confidence interval [CI]: 0.16, 0.05; p = 0.001), socioeconomic status (β = 0.24, 95% CI: 0.12, 0.36; p < 0.001), being diabetic (β = 0.82, 95% CI: 0.53, 1.10; p < 0.001), and higher education (β = 0.25, 95% CI: 0.17, 0.33; p < 0.001) were significantly associated with knowledge score. Respondents with high socioeconomic status showed significantly higher positive attitudes compared with those with low socioeconomic status (adjusted odds ratio 1.57, 95% CI: 1.12, 2.24). Only 8.7% (30/343) of those diagnosed with diabetes had never undergone blood glucose screening since diagnosis. Conclusions: Knowledge of diabetes risk factors, management, and care is low in Pakistan's general population. Targeted public education programs should be instigated at a national level to increase understanding of diabetes prevention and treatment.
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Affiliation(s)
- Ali Hassan Gillani
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
| | - Fakir Mohammad Amirul Islam
- Department of Statistics, Data Science and Epidemiology, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne VIC 3122, Australia.
- Organization for Rural Community Development, Dariapur, Narail 7500, Bangladesh.
| | - Khezar Hayat
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
- Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore 54000, Pakistan.
| | - Naveel Atif
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
| | - Caijun Yang
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
| | - Jie Chang
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
| | - Zhan Qu
- School of Nursing, Health Science center, College of Medicine, Xian Jiaotong University, Xi'an 710061, China.
| | - Yu Fang
- Department of Pharmacy Administration and Clinical Pharmacy, School of pharmacy Xi'an Jiaotong University, Xi'an 710061, China.
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi'an 710061, China.
- Shaanxi Centre for Health Reform and Development Research, Xi'an 710061, China.
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Noreen Z, DeJesus J, Bhatti A, Loffredo CA, John P, Khan JS, Nunlee-Bland G, Ghosh S. Epidemiological Investigation of Type 2 Diabetes and Alzheimer's Disease in a Pakistani Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1582. [PMID: 30049934 PMCID: PMC6122092 DOI: 10.3390/ijerph15081582] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 01/01/2023]
Abstract
The epidemic of type 2 diabetes mellitus (T2DM) and the possibility of it contributing to the risk of Alzheimer's disease (AD) have become important health concerns worldwide and in Pakistan, where the co-occurrence of T2DM and AD is becoming more frequent. To gain insights on this phenomenon, a cross-sectional study was initiated. We recruited and interviewed 820 research participants from four cities in Pakistan: 250 controls, 450 T2DM, 100 AD, and 20 with both diseases. Significant differences between groups were observed for age (p < 0.0001), urban vs. rural locality (p = 0.0472) and residing near industrial areas. The average HbA1c (%) level was 10.68 ± 2.34 in the T2DM group, and females had a lower level than males (p = 0.003). In the AD group, significant relationships existed between education and family history. Overall, the results suggest that T2DM and AD were associated with both socio-demographic and environmental factors in Pakistani participants. Detailed molecular investigations are underway in our laboratory to decipher the differential genetic pathways of the two diseases to address their increasing prevalence in this developing nation.
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Affiliation(s)
- Zarish Noreen
- Department of Biology, Howard University, Washington, DC 20059, USA.
- Department of Healthcare Biotechnology, National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan.
| | - Jessica DeJesus
- Departments of Oncology and of Biostatistics, Georgetown University, Washington, DC 20057, USA.
| | - Attya Bhatti
- Department of Healthcare Biotechnology, National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan.
| | - Christopher A Loffredo
- Departments of Oncology and of Biostatistics, Georgetown University, Washington, DC 20057, USA.
| | - Peter John
- Department of Healthcare Biotechnology, National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan.
| | - Jahangir S Khan
- Department of Surgery, Rawalpindi Medical College, Rawalpindi, Punjab 46000, Pakistan.
| | - Gail Nunlee-Bland
- Departments of Pediatrics and Child Health, College of Medicine, Howard University, Washington, DC 20059, USA.
| | - Somiranjan Ghosh
- Department of Biology, Howard University, Washington, DC 20059, USA.
- Departments of Pediatrics and Child Health, College of Medicine, Howard University, Washington, DC 20059, USA.
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Wu JZ, Bremner DH, Li HY, Niu SW, Li SD, Zhu LM. Phenylboronic acid-diol crosslinked 6-O-vinylazeloyl-d-galactose nanocarriers for insulin delivery. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 76:845-855. [PMID: 28482599 DOI: 10.1016/j.msec.2017.03.139] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2016] [Revised: 03/09/2017] [Accepted: 03/13/2017] [Indexed: 12/28/2022]
Abstract
A new block polymer named poly 3-acrylamidophenylboronic acid-b-6-O-vinylazeloyl-d-galactose (p(AAPBA-b-OVZG)) was prepared using 3-acrylamidophenylboronic acid (AAPBA) and 6-O-vinylazeloyl-d-galactose (OVZG) via a two-step procedure involving S-1-dodecyl-S-(α', α'-dimethyl-α″-acetic acid) trithiocarbonate (DDATC) as chain transfer agent, 2,2-azobisisobutyronitrile (AIBN) as initiator and dimethyl formamide (DMF) as solvent. The structures of the polymer were examined by Fourier transform infrared spectroscopy (FT-IR) and 1H NMR and the thermal stability was determined by thermal gravimetric analysis (TG/DTG). Transmission electron microscopy (TEM) and dynamic light scattering (DLS) were utilized to evaluate the morphology and properties of the p(AAPBA-b-OVZG) nanoparticles. The cell toxicity, animal toxicity and therapeutic efficacy were also investigated. The results indicate the p(AAPBA-b-OVZG) was successfully synthesized and had excellent thermal stability. Moreover, the p(AAPBA-b-OVZG) nanoparticles were submicron in size and glucose-sensitive in phosphate-buffered saline (PBS). In addition, insulin as a model drug had a high encapsulation efficiency and loading capacity and the release of insulin was increased at higher glucose levels. Furthermore, the nanoparticles showed a low-toxicity in cell and animal studies and they were effective at decreasing blood glucose levels of mice over 96h. These p(AAPBA-b-OVZG) nanoparticles show promise for applications in diabetes treatment using insulin or other hypoglycemic proteins.
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Affiliation(s)
- Jun-Zi Wu
- College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China
| | - David H Bremner
- School of Science, Engineering and Technology, Kydd Building, Abertay University, Dundee DD1 1HG, Scotland, UK
| | - He-Yu Li
- College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China
| | - Shi-Wei Niu
- College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China
| | - Shu-De Li
- School of Basic Medical Sciences, Kunming Medical University, Kunming 650228, PR China
| | - Li-Min Zhu
- College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China.
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