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Matsuo R, Imamura T, Takamori A, Kishi T, Minami M, Miyakawa J, Yoshitake N, Hayashi A, Nakayama Y, Egashira N, Teramoto M, Ishinari H, Kajiyama I, Fujisaki S, Kakiyama H, Satou K, Nakafusa R, Tanaka C, Tanaka M, Isomura Y, Izumi K, Ohta S, Souta N, Matsuo N, Yamamoto K, Tsuji S, Umemura T, Takagi K, Fujimoto K. Improvement trend for individual health guidance intervention according to Japan clinical guidelines by public health nurses for type 2 diabetes mellitus who visited for medical checkups regularly: a case-control preliminary report. J Clin Biochem Nutr 2024; 74:141-145. [PMID: 38510680 PMCID: PMC10948351 DOI: 10.3164/jcbn.23-52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 08/08/2023] [Indexed: 03/22/2024] Open
Abstract
We conducted a retrospective case-control study to assess the efficacy of personalized health guidance interventions on individuals with type 2 diabetes mellitus and obesity. A selection was made of individuals in regular visits to the Takagi Hospital for medical checkups between January 2017, and October 2021. Totally, 108 subjects (cases) with health guidance were divided into 2 groups: one group without pharmacotherapy for diabetes mellitus in medical institutions (n = 92) and another group with pharmacotherapy (n = 116). Cases were provided with personalized health guidance interventions by public health nurses for 30 min, in accordance with the Japanese clinical guidelines for the prevention of lifestyle-related diseases. Sex- and age-matched controls were chosen from individuals with diabetes mellitus without health guidance. The intervention without pharmacotherapy resulted in improvements in health indicators, including body weight, waist circumference, diastolic blood pressure, triglyceride levels, and γ-glutamyl trans-peptidase. These positive effects were not observed in the control group without health guidance. The therapeutic effects of health guidance were observed in cases where pharmacotherapy was administered. In conclusion, the implementation of individual health guidance interventions may prove to be effective for individuals with type 2 diabetes mellitus and obesity who regularly attend medical checkups.
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Affiliation(s)
- Rina Matsuo
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Tomohiro Imamura
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Ayako Takamori
- Clinical Research Center, Saga University Hospital, Saga 849-8501, Japan
| | - Takuya Kishi
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Miwako Minami
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Junko Miyakawa
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Natsuki Yoshitake
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Ai Hayashi
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Yuki Nakayama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Natsumi Egashira
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Minako Teramoto
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Hiroko Ishinari
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Itsuka Kajiyama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Satomi Fujisaki
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Hitomi Kakiyama
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kanako Satou
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Rei Nakafusa
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Chika Tanaka
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Megumi Tanaka
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Yuki Isomura
- Nursing Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kenichi Izumi
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Shoichiro Ohta
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Nobuya Souta
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Norihito Matsuo
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Kyosuke Yamamoto
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Sadatoshi Tsuji
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
| | - Tsukuru Umemura
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Kuniyasu Takagi
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
| | - Kazuma Fujimoto
- Doctor Staff, Preventive Medical Center, the Kouhou-kai Takagi Hospital, Okawa, Fukuoka 831-8501, Japan
- International University of Health and Welfare Graduate School of Medicine, Fukuoka 831-8501, Japan
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Aydınlar A, Mavi A, Kütükçü E, Kırımlı EE, Alış D, Akın A, Altıntaş L. Awareness and level of digital literacy among students receiving health-based education. BMC MEDICAL EDUCATION 2024; 24:38. [PMID: 38191385 PMCID: PMC10773083 DOI: 10.1186/s12909-024-05025-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 01/03/2024] [Indexed: 01/10/2024]
Abstract
BACKGROUND Being digitally literate allows health-based science students to access reliable, up-to-date information efficiently and expands the capacity for continuous learning. Digital literacy facilitates effective communication and collaboration among other healthcare providers. It helps to navigate the ethical implications of using digital technologies and aids the use of digital tools in managing healthcare processes. Our aim in this study is to determine the digital literacy level and awareness of our students receiving health-based education in our university and to pave the way for supporting the current curriculum with courses on digital literacy when necessary. METHOD Students from Acibadem University who were registered undergraduate education for at least four years of health-based education, School of Medicine, Nutrition and Dietetics, Nursing, Physiotherapy and Rehabilitation, Psychology, Biomedical Engineering, Molecular Biology, and Genetics were included. The questionnaire consisted of 24 queries evaluating digital literacy in 7 fields: software and multimedia, hardware and technical problem solving, network and communication/collaboration, ethics, security, artificial intelligence (A.I.), and interest/knowledge. Two student groups representing all departments were invited for interviews according to the Delphi method. RESULTS The survey was completed by 476 students. Female students had less computer knowledge and previous coding education. Spearman correlation test showed that there were weak positive correlations between the years and the "software and multimedia," "ethics," "interest and knowledge" domains, and the average score. The students from Nursing scored lowest in the query after those from the Nutrition and Dietetics department. The highest scores were obtained by Biomedical Engineering students, followed by the School of Medicine. Participants scored the highest in "network" and "A.I." and lowest in "interest-knowledge" domains. CONCLUSION It is necessary to define the level of computer skills who start health-based education and shape the curriculum by determining which domains are weak. Creating an educational environment that fosters females' digital knowledge is recommended. Elective courses across faculties may be offered to enable students to progress and discuss various digital literacy topics. The extent to which students benefit from the digital literacy-supported curriculum may be evaluated. Thus, health-based university students are encouraged to acquire the computer skills required by today's clinical settings. REGISTRATION This study was approved by Acıbadem University and Acıbadem Healthcare Institutions Medical Research Ethics Committee (ATADEK) (11 November 2022, ATADEK registration: 2022-17-138) All methods were carried out in accordance with relevant guidelines and regulations. Informed consent was obtained from the participants.
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Affiliation(s)
| | - Arda Mavi
- Acibadem University School of Medicine, Istanbul, Türkiye
| | - Ece Kütükçü
- Faculty of Engineering and Natural Sciences, Acibadem University, Istanbul, Türkiye
| | - Elçim Elgün Kırımlı
- Faculty of Engineering and Natural Sciences, Acibadem University, Istanbul, Türkiye
| | - Deniz Alış
- Department of Radiology, Acibadem University School of Medicine, Istanbul, Türkiye
| | - Ata Akın
- Faculty of Engineering and Natural Sciences, Acibadem University, Istanbul, Türkiye
| | - Levent Altıntaş
- Department of Basic Sciences, Acibadem University School of Medicine, Istanbul, Türkiye.
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