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Chane-Po D, Gatina JH, Leruste S, Legrand F. Knowledge of type 2 diabetic patients followed for less than 5 years in primary care in the western region of Reunion Island: a cross-sectional pilot study. PEC INNOVATION 2023; 2:100122. [PMID: 37214534 PMCID: PMC10194262 DOI: 10.1016/j.pecinn.2023.100122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 12/15/2022] [Accepted: 01/13/2023] [Indexed: 05/24/2023]
Abstract
Background The learning needs of newly diagnosed diabetic patients followed up in medical offices in Reunion Island are unknown, although necessary for the improvement of education programmes and disease control. Aim To assess the knowledge of type 2 diabetic patients in primary care followed for less than 5 years. Method A cross-sectional study was carried out, using a self-questionnaire to assess patients' knowledge of diabetes, complications, follow-up, diet and physical activity. Patients were recruited from medical offices in the western region of Reunion Island. Results From 23rd April to 31st July 2021, 89 patients were included. The knowledge level of the total sample was moderate (mean correct answers 65 % ± 17). The best knowledge levels were in the areas "generalities on diabetes" and "complications", while the lowest levels were in the categories "follow-up" and "diet and physical activity". Glycated haemoglobin, libido disorders, frequency of urinalysis and dental consultation, and the recommended diet for patients with diabetes which is the same as for the general population, were the least known concepts. Conclusion This study revealed gaps in patients' knowledge that could be used to improve education programmes which in turn could reduce or prevent diabetes complications.
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Affiliation(s)
- David Chane-Po
- Université de La Réunion – UFR Santé – Département Universitaire de Médecine Générale, Site de l’IES, CHU Réunion, Terre Sainte BP 350, 97448, Saint Pierre, France
| | - Jean-Hugues Gatina
- Service de Diabétologie-Endocrinologie, Centre Hospitalier Ouest Réunion, 97460, Saint Paul, Réunion
| | - Sébastien Leruste
- Université de La Réunion – UFR Santé – Département Universitaire de Médecine Générale, Site de l’IES, CHU Réunion, Terre Sainte BP 350, 97448, Saint Pierre, France
- Institut national de la santé et de la recherche médicale (INSERM), CIC 1410, Saint Pierre, Réunion
| | - Florian Legrand
- Université de La Réunion – UFR Santé – Département Universitaire de Médecine Générale, Site de l’IES, CHU Réunion, Terre Sainte BP 350, 97448, Saint Pierre, France
- Institut de recherche pour le développement (IRD), laboratoire CEPED — Unité mixte de recherche (UMR) 196, Université de Paris, 45, rue des Saints-Pères, 75006 Paris, France
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Soulaimana I, Bruneau L, Tisseaux A, Safieddine M, Debussche X, Lafarge S, Falissard B, Ferdynus C, Huiart L. Psychometric properties of a Creole version of Medical Outcome Study - Short Form 36 among type II diabetes patients on Reunion Island. Front Public Health 2023; 11:1186153. [PMID: 37670837 PMCID: PMC10475940 DOI: 10.3389/fpubh.2023.1186153] [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] [Received: 03/14/2023] [Accepted: 07/28/2023] [Indexed: 09/07/2023] Open
Abstract
Introduction Health quality of life assessment is particularly important to measure the impact of chronic diseases. The aims of this study were to provide a cross-culturally adapted Creole-translation of the Medical Outcome Study Short-Form 36 (SF-36) and to assess psychometric performance of the Creole and French versions of the SF-36 among patients with type II diabetes in Reunion Island. Materials and methods The Creole translation and cross-cultural adaptation processes were based on the International Quality Of Life Assessment (IQOLA) methods. Internal consistency, test-retest reliability, convergent and discriminant validity using Multi-Trait-Multi-Method analysis and structural validity using exploratory factor analysis of the SF-36 for both versions were performed. Results In the Creole version of the SF-36, Cronbach's alpha exceeded 0.70 for all subscales except general health. In the French SF-36, Cronbach's alpha exceeded 0.70 on all subscales except general health and bodily pain. In the Creole SF-36, intraclass correlation coefficient (ICC) for reproducibility was suboptimal. Multi-trait multi-method analysis showed that item-scale correlation exceeded 0.4 for all items except two general health items of the Creole SF-36 and one of the French SF-36. Factor analysis of 2 versions showed that the physical functioning, vitality, and mental health were each divided into two subscales. Discussion Overall, our findings provided evidence that the SF-36 is adapted to Reunion Island in both Creole and French versions. However, further research could be conducted to investigate French-Creole differences in perceived health status and a cultural adaptation of the French version will be considered.
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Affiliation(s)
- Ibtissame Soulaimana
- Department of Public Health and Research Support, Methodological Support and Biostatistics, Centre Hospitalier de la Réunion, Saint Denis, France
- Santé Publique France, Mamoudzou, Mayotte, France
- Inserm CIC 1410, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, France
| | - Léa Bruneau
- Department of Public Health and Research Support, Methodological Support and Biostatistics, Centre Hospitalier de la Réunion, Saint Denis, France
- Inserm CIC 1410, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, France
| | - Antoine Tisseaux
- Department of Public Health and Research Support, Methodological Support and Biostatistics, Centre Hospitalier de la Réunion, Saint Denis, France
| | - Maissa Safieddine
- Department of Public Health and Research Support, Methodological Support and Biostatistics, Centre Hospitalier de la Réunion, Saint Denis, France
| | - Xavier Debussche
- Department of Endocrinology, Centre Hospitalier Universitaire de la Réunion, Saint Denis, France
| | - Sophie Lafarge
- Inserm CIC 1410, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, France
| | - Bruno Falissard
- INSERM U1153 Centre de Recherche Épidémiologie et Statistique, Paris, France
| | - Cyril Ferdynus
- Department of Public Health and Research Support, Methodological Support and Biostatistics, Centre Hospitalier de la Réunion, Saint Denis, France
- Inserm CIC 1410, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, France
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Gerlier C, Galland T, Fels A, Montalembert P, Chatellier G, Ganansia O. Access to Education Programs Among Patients with Diabetes, Asthma, and Heart Failure Seen by an Advanced Practice Nurse in the Emergency Department in France. J Nurse Pract 2023. [DOI: 10.1016/j.nurpra.2022.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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Tibère L, Poulain JP. La « modernité alimentaire » dans les territoires français d’Outre-mer. CAHIERS DE NUTRITION ET DE DIETETIQUE 2019. [DOI: 10.1016/j.cnd.2019.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Besançon S, Fleury C. [Peer network for the therapeutic education of patients with type 2 diabetes in Mali]. SOINS; LA REVUE DE RÉFÉRENCE INFIRMIÈRE 2018; 63:55-58. [PMID: 30213320 DOI: 10.1016/j.soin.2018.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Despite numerous health challenges, African healthcare systems are faced with limited financial and human resources. In this context, the epidemiological transition witnessing an explosion in the prevalence of non-communicable diseases, particularly diabetes, there are tremendous challenges to be met. Given the lack of human resources in these health systems, therapeutic education relies on networks of trained peer educator patients who also provide significant psychosocial support.
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Affiliation(s)
| | - Cynthia Fleury
- École des mines de Paris (Mines ParisTech), 60, boulevard Saint-Michel, 75005 Paris, France.
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Svavarsdóttir MH, Sigurðardóttir ÁK, Steinsbekk A. How to become an expert educator: a qualitative study on the view of health professionals with experience in patient education. BMC MEDICAL EDUCATION 2015; 15:87. [PMID: 25966846 PMCID: PMC4468802 DOI: 10.1186/s12909-015-0370-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Accepted: 05/06/2015] [Indexed: 05/12/2023]
Abstract
BACKGROUND Health professionals with the level of competency necessary to provide high-quality patient education are central to meeting patients' needs. However, research on how competencies in patient education should be developed and health professionals trained in them, is lacking. The aim of this study was to investigate the characteristics of an expert educator according to health professionals experienced in patient education for patients with coronary heart disease, and their views on how to become an expert educator. METHODS This descriptive qualitative study was conducted through individual interviews with health professionals experienced in patient education in cardiac care. Participants were recruited from cardiac care units and by using a snowball sampling technique. The interviews were audiotaped and transcribed verbatim. The data were analyzed with thematic approaches, using systematic text condensation. RESULTS Nineteen Icelandic and Norwegian registered nurses, physiotherapists, and cardiologists, who had worked in cardiac care for 12 years on average, participated in the study. Being sensitive to the patient's interests and learning needs, and possessing the ability to tailor the education to each patient's needs and context of the situation was described as the hallmarks of an expert educator. To become an expert educator, motivation and active participation of the novice educator and a supportive learning environment were considered prerequisites. Supportive educational resources, observation and experiential training, and guidance from experienced educators were given as examples of resources that enhance competence development. Experienced educators expressed the need for peer support, inter-professional cooperation, and mentoring to further develop their competency. CONCLUSIONS Expert patient educators were described as those demonstrating sensitivity toward the patient's learning needs and an ability to individualize the patient's education. A supportive learning environment, inner motivation, and an awareness of the value of patient education were considered the main factors required to become an expert educator. The experienced educators expressed a need for continuing education and peer support.
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Affiliation(s)
- Margrét Hrönn Svavarsdóttir
- Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
- St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
- School of Health Sciences, University of Akureyri, Akureyri, Iceland.
| | | | - Aslak Steinsbekk
- Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
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Ghorbani R, Soleimani M, Zeinali MR, Davaji M. Iranian nurses and nursing students' attitudes on barriers and facilitators to patient education: a survey study. Nurse Educ Pract 2014; 14:551-6. [PMID: 25023615 DOI: 10.1016/j.nepr.2014.06.003] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2013] [Revised: 05/30/2014] [Accepted: 06/11/2014] [Indexed: 10/25/2022]
Abstract
The aim of this study is to describe the attitudes of Iranian nurses and students on barriers and facilitators to patient education. In this descriptive quantitative study, 103 nurses and 84 nursing students in two teaching hospitals in an urban area of Iran responded to a questionnaire investigating their attitudes on patient education. Results showed that all nurses and the majority (87.3%) of the students mentioned that they performed patient education. Moreover, 95% and 63.3% of the nurses and students respectively accepted that patient education was one of their roles. The nurses stated that heavy workload, inadequate time and lack of educational facilities were main barriers to patient education. The students believed that lack of knowledge, lack of communication skills and heavy workload were main barriers to patient education from their perspectives. While Iranian nurses and nursing students had positive attitudes towards patient education, it could not guarantee the implementation of patient education. Therefore, the clarification of patient education activities and development of a patient education team with the support of healthcare settings' administrators can facilitate the process of patient education in the Iranian healthcare settings.
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Affiliation(s)
- Raheb Ghorbani
- Research Center for Social Determinants of Health, Department of Community Medicine, Semnan University of Medical Sciences, Semnan, Iran.
| | - Mohsen Soleimani
- Nursing Faculty and Allied Health, Semnan University of Medical Sciences, 5th Km Damghan Road, Semnan, Iran.
| | | | - Mohammad Davaji
- Fatemieh Hospital, Semnan University of Medical Sciences, Semnan, Iran (1)
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Bergh AL, Johansson I, Persson E, Karlsson J, Friberg F. Nurses’ Patient Education Questionnaire – development and validation process. J Res Nurs 2014. [DOI: 10.1177/1744987114531583] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses ( n = 10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.
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Affiliation(s)
- Anne-Louise Bergh
- Doctoral Student, School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Inger Johansson
- Professor, Department of Nursing, University College Gjøvik, Norway; Associate Professor, Department of Nursing, University of Karlstad, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Eva Persson
- Associate Professor, Faculty of Medicine, Department of Health Sciences, Lund University, Sweden; School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Jan Karlsson
- Associate Professor, Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden; Centre for Health Care Sciences, Örebro University Hospital, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Febe Friberg
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
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Debussche X. Is adherence a relevant issue in the self-management education of diabetes? A mixed narrative review. Diabetes Metab Syndr Obes 2014; 7:357-67. [PMID: 25114578 PMCID: PMC4122577 DOI: 10.2147/dmso.s36369] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
While therapeutic patient education is now recognized as essential for optimizing the control of chronic diseases and patient well-being, adherence to treatment and medical recommendations is still a matter of debate. In type 2 diabetes, the nonadherence to therapy, estimated at more than 40%, is perceived as a barrier for improving the prognosis despite recent therapeutic advances. Interventional studies have barely begun to demonstrate the effectiveness of technical and behavioral actions. The aim of this review is to question the concept of adherence in terms of therapeutic education based on quantitative and qualitative data. The research on therapeutic education has shown the effectiveness of structured actions in type 2 diabetes, but adherence is rarely an end point in randomized trials. A positive but inconsistent or moderate effect of education actions on adherence has been shown in heterogeneous studies of varying quality. Program types, outlines, theoretical bases, and curricula to set up for action effectiveness are still being discussed. Qualitative studies, including sociological studies, provide a useful and constructive focus on this perspective. Adherence is a soft and flexible tool available to the patient in his/her singular chronic disease trajectory, and as such, integrates into individual therapeutic strategies, including socio-cultural interactions, beyond the medical explanation of the disease and the patient. Four key elements for the development of structured therapeutic education are discussed: 1) the access to health literacy, 2) the contextualization of education activities, 3) the long-term chronic dimension of self-management, and 4) the organizational aspects of health and care. Rather than focusing the objective on behavioral changes, structured therapeutic education actions should attempt to provide tools and resources aimed at helping individuals to manage their disease in their own context on a long-term basis, by developing health literacy and relational and organizational aspects of the health professionals and system.
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Affiliation(s)
- Xavier Debussche
- Endocrinology, Diabetology and Nutrition, CHU Félix Guyon, Saint-Denis, Réunion, France
- Correspondence: Xavier Debussche, Service de Diabétologie, CHU de la Réunion-Hôpital Félix Guyon, Allée des Topazes, Bellepierre, 97400 Saint-Denis, Réunion, France, Tel +262 262 90 56 10, Fax +262 262 90 77 18, Email
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Bergh AL, Persson E, Karlsson J, Friberg F. Registered nurses' perceptions of conditions for patient education - focusing on aspects of competence. Scand J Caring Sci 2013; 28:523-36. [DOI: 10.1111/scs.12077] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2013] [Accepted: 08/05/2013] [Indexed: 12/27/2022]
Affiliation(s)
| | - Eva Persson
- School of Health Sciences; University of Borås; Borås Sweden
- Faculty of Medicine; Department of Health Sciences; Lund University; Lund Sweden
| | - Jan Karlsson
- Institute of Health and Care Sciences; The Sahlgrenska Academy; University of Gothenburg; Gothenburg Sweden
- Centre for Health Care Sciences; Örebro University Hospital; Örebro Sweden
| | - Febe Friberg
- Faculty of Social Sciences; Department of Health Studies; University of Stavanger; Stavanger Norway
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Balcou-Debussche M. L'éducation thérapeutique : entre savoirs complexes, formateurs, apprenants hétérogènes et contextes pluriels. Rech Soins Infirm 2012. [DOI: 10.3917/rsi.110.0045] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Santos L, Torres HDC. Práticas educativas em diabetes mellitus: compreendendo as competências dos profissionais da saúde. TEXTO & CONTEXTO ENFERMAGEM 2012. [DOI: 10.1590/s0104-07072012000300012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O objetivo desse estudo foi compreender as competências necessárias aos profissionais de saúde nas práticas educativas em Diabetes tipo 2 na Atenção Primária. Um total de dez profissionais de saúde inseridos em Unidades Básicas de Belo Horizonte-MG, participaram de entrevistas e grupos focais. Os achados foram organizados a partir da identificação das seguintes categorias: importância das práticas educativas; conhecimentos; habilidades; e atitudes. Este estudo mostra a importância de se reorientar as competências dos profissionais de saúde nas práticas educativas em diabetes, por meio de capacitação, de educação permanente e do fortalecimento do trabalho em equipe.
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Choi JH, Park CY, Cha BS, Kim IJ, Park TS, Park JY, Park KS, Yoon KH, Lee IK, Park SW. Perception of clinicians and diabetic patients on the importance of postprandial glucose control and diabetes education status: a cross sectional survey. Diabetes Metab J 2012; 36:120-7. [PMID: 22540048 PMCID: PMC3335893 DOI: 10.4093/dmj.2012.36.2.120] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Accepted: 11/16/2011] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Recent studies have shown the importance of postprandial glucose (PPG) in the development of diabetes complications. This study was conducted in order to survey the perceptions of clinicians and diabetic patients with respect to PPG management and the current status of diabetes education. METHODS This was a cross-sectional study involving face-to-face interviews and an open questionnaire survey conducted in Korea. A total of 300 patients and 130 clinicians completed questionnaires, which included current education status, self monitoring of blood glucose (SMBG), criteria of diagnosis and management, and perceptions relating to PPG management. RESULTS While there was a significantly higher perceived need for diabetes education, the sufficiency of the current education was considered to be severely lacking. Fasting plasma glucose (FPG), PPG, and glycosylated hemoglobin (HbA1c) were all important considerations for clinicians when making a diagnosis of diabetes, although PPG was considered less important than FPG or HbA1c in the treatment of diabetes. Most clinicians and patients were aware of the importance of PPG, but actual education on the importance of PPG was not actively being delivered. CONCLUSION Our study showed that the current status of diabetes education is insufficient to meet the needs of the Korean population. A considerable gap was found to exist between awareness and what was actually taught in the current education program in regard to the importance of PPG. These results suggest that clinicians need to be more active in patient education, especially in regard to the importance of PPG.
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Affiliation(s)
- Ji Hun Choi
- Division of Endocrinology & Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Cheol Young Park
- Division of Endocrinology & Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Bong Soo Cha
- Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - In Joo Kim
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Tae Sun Park
- Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, Korea
| | - Joong Yeol Park
- Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea
| | - Kyung Soo Park
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Kun Ho Yoon
- Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - In Kyu Lee
- Department of Internal Medicine, WCU Program, Kyungpook National University School of Medicine, Daegu, Korea
| | - Sung Woo Park
- Division of Endocrinology & Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
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FRIBERG FEBE, GRANUM VIGDIS, BERGH ANNELOUISE. Nurses’ patient-education work: conditional factors - an integrative review. J Nurs Manag 2012; 20:170-86. [DOI: 10.1111/j.1365-2834.2011.01367.x] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Khandekar R, Deshmukh R, Vora U, Al Harby S. Knowledge of Primary Prevention of Diabetic Retinopathy among General Ophthalmologists, Mid Level Eye Care Personnel and General Physicians in Oman. Middle East Afr J Ophthalmol 2011; 18:204-8. [PMID: 21887074 PMCID: PMC3162731 DOI: 10.4103/0974-9233.84045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVE We present the outcomes of knowledge of diabetes and associated ocular complications among personnel comprising the eye care team in Oman. MATERIALS AND METHODS A closed ended questionnaire was administered during November 2008 and November 2009 to eye care team members in six regions of Oman, where trainings were held. All participants of these trainings were included in our study. The questionnaire comprised 15 questions that tested the knowledge of the diagnosis and treatment of diabetes and its ocular complications. They circled the most suitable reply for a list of choices. The replies were compared with the gold standard (answers from a medical retina specialist, a diabetologist's and general ophthalmologists answers). The participants were divided into two groups; acceptable (more than 50% score compared to gold standard) and less than desired (less than 50% score compared to gold standard.) We estimated the areas of acceptable level of knowledge in different subgroups. RESULTS All 87 (100%) of eye care team members participated. Of the 42 general ophthalmologists, 30 (71.4%) had an acceptable level of knowledge about primary prevention, ideal blood sugar and blood pressure levels and complication of diabetes. The acceptable level of knowledge among mid level eye care providers and general physicians was found in 15 (54.5%) and 4 (33.3%) respondents respectively. CONCLUSION Less than the desired number of participants of the eye care team had an acceptable level of knowledge about primary prevention, ideal blood sugar and blood pressure levels and complications of diabetes. The training of eye care personnel need to enhance knowledge in the weak areas is identified in this study.
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Affiliation(s)
- Rajiv Khandekar
- Department of Non Communicable Disease Surveillance and Control, Eye Health Care, Ministry of Health, Oman
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Torres HC, Rozemberg B, Amaral MA, Bodstein RC. Perceptions of primary healthcare professionals towards their role in type 2 diabetes mellitus patient education in Brazil. BMC Public Health 2010; 10:583. [PMID: 20920232 PMCID: PMC2955696 DOI: 10.1186/1471-2458-10-583] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2010] [Accepted: 09/29/2010] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The aim of the current study was to analyze the perceptions, knowledge, and practices of primary healthcare professionals in providing patient education to people with type 2 diabetes mellitus. METHODS A total of 23 health professionals working in primary healthcare units in Belo Horizonte, Minas Gerais State, Brazil, participated in a focus group in order to discuss their patient education practices and the challenges for effective patient education in diabetes self-management. RESULTS The results were categorized as follows: 1) lack of preparation and technical knowledge among the health professionals on some aspects of diabetes mellitus and the health professionals' patient education practices; 2) work conditions and organization; 3) issues related or attributed to the clientele themselves; and 4) diabetes care model. CONCLUSIONS This study highlights the importance of reorienting the patient education practices, health professionals' skills and work goals, and evaluation of the educational interventions, in order to establish strategies for health promotion and prevention and control of the disease. DESCRIPTORS Health Education; Prevention of Diabetes Mellitus; Primary Healthcare.
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Affiliation(s)
- Heloisa C Torres
- Escola de Enfermagem da Universidade Federal de Minas Gerais-EE/UFMG, Belo Horizonte, Brazil.
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Torres HDC, Amaral MA, Amorim MM, Cyrino AP, Bodstein R. Capacitação de profissionais da atenção primária à saúde para educação em Diabetes Mellitus. ACTA PAUL ENFERM 2010. [DOI: 10.1590/s0103-21002010000600006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
OBJETIVO: Apresentar o delineamento das oficinas educativas em Diabetes Mellitus e uma estratégia avaliativa voltada à atualização dos profissionais de saúde da atenção primária. MÉTODOS: As oficinas foram implementadas, utilizando metodologia participativa, técnicas lúdicas, vivências e dinâmicas de grupo, envolvendo a participação de 85 profissionais de saúde das Unidades Básicas de Saúde de Belo Horizonte/MG. Os conhecimentos sobre a doença e as competências requeridas para o autocuidado foram aferidos mediante a aplicação de instrumento especifico. As oficinas foram avaliadas com base em instrumento próprio. RESULTADOS: Foram observadas limitações no conhecimento dos profissionais centrados na fisiopatologia e nos exames complementares da doença. As oficinas contribuíram para o despertar do potencial reflexivo, crítico e criativo dos profissionais para a mudança no processo educativo. Foi considerada uma estratégia pedagógica, de fácil compreensão, interativa e lúdica. CONCLUSÕES: As oficinas contribuíram para o planejamento do processo educativo e a estruturação de um modelo de avaliação das práticas de promoção, da saúde e educação em Diabetes.
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Affiliation(s)
| | | | | | | | - Regina Bodstein
- Escola Nacional de Saúde Pública-Fundação Oswaldo Cruz, Brasil
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Balcou-Debussche M, Debussche X. Hospitalization for type 2 diabetes: the effects of the suspension of reality on patients' subsequent management of their condition. QUALITATIVE HEALTH RESEARCH 2009; 19:1100-1115. [PMID: 19638603 DOI: 10.1177/1049732309341642] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Hospitalization still plays a major part in the management of uncontrolled type 2 diabetes and its complications. In this article, we assess the effects of self-management education on the individual practices of 42 patients after discharge from specialized diabetes units on the French island of Reunion. Hospitalization offers respite and temporarily suspends the realities of daily life. When patients leave the unit where they have acquired new knowledge and practices, the extent to which the latter can be maintained depends on the practice in question, the individual's circumstances, and his or her social relationships and support systems. In the longer term, therefore, the effects of self-management education interventions can be weak. The study findings reveal the complexities surrounding the acquisition of habits that maintain health and prevent illness. The article makes a significant contribution to the debate on patient support and the role of inpatient educational units.
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19
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Current literature in diabetes. Diabetes Metab Res Rev 2009; 25:i-xii. [PMID: 19405078 DOI: 10.1002/dmrr.973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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