Literature DB >> 25606182

Have we done enough with diabetic education? A pilot study.

Mn Azimah1, R Radzniwan2, H Zuhra1, O Khairani3.   

Abstract

BACKGROUND: Patients' education and empowerment are essential parts of a disease management. Patients have to be educated on the disease as well as lifestyle changes that they need to practise for a holistic and consistent improvement in their disease status. This study examined patients' knowledge on diabetes and nutrition as well as the role of dietician in the patient education.
METHODS: This was a cross-sectional study of patients aged more than 18 years, in a primary care centre in Kuala Lumpur. Patients responded to a pre-tested self-administered questionnaire which contains socio-demographic profiles of patients, knowledge on diabetes and nutrition. Patients were also asked on dietician consultation and the number of dietician visits. Patients were conveniently selected on the data collection days. Only consented patients and those who could understand Malay or English language were selected.
RESULTS: There were 110 patients who participated in the study. Overall the patients had good knowledge on diabetes and nutrition. The mean total knowledge score was 71.2% ± 9.34. Domains such as diabetes complications, exercise, meal practice, food sources and proportion need reinforcement. Only 60 (54.9%) patients had seen a dietician. Patients who had seen dietician showed significantly higher level of knowledge score (p=0.04). However frequent meeting with the dietician did not show any significant improvement in the knowledge (p=0.10). Factors such as patients' gender, ethnicity, level of education, employment status, glycaemic level, duration of illness and body mass index did not show any significant association with the overall diabetic and nutrition knowledge.
CONCLUSION: There is still a need to improve the overall diabetic education particularly in areas that patients were lacking such as diabetes complications, exercise, meal practice, food sources and proportion. It is equally necessary to encourage all diabetics to see a dietician since it helps to improve their level of knowledge as shown in this study.

Entities:  

Keywords:  Diabetes; dietician; glycaemic control; knowledge; nutrition

Year:  2010        PMID: 25606182      PMCID: PMC4170382     

Source DB:  PubMed          Journal:  Malays Fam Physician        ISSN: 1985-2274


  11 in total

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3.  Association of health literacy with self-management behavior in patients with diabetes.

Authors:  Sarang Kim; Frances Love; D Alex Quistberg; Judy A Shea
Journal:  Diabetes Care       Date:  2004-12       Impact factor: 19.112

Review 4.  The behavior and psychological functioning of people at high risk of diabetes-related foot complications.

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Journal:  Diabetes Educ       Date:  2005 Mar-Apr       Impact factor: 2.140

6.  Nutrition management of type 2 diabetes by primary care physicians: reported use and barriers.

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Authors:  F J M Spikmans; J Brug; M M B Doven; H M Kruizenga; G H Hofsteenge; M A E van Bokhorst-van der Schueren
Journal:  J Hum Nutr Diet       Date:  2003-06       Impact factor: 3.089

Review 8.  Self-management education programs in chronic disease: a systematic review and methodological critique of the literature.

Authors:  Asra Warsi; Philip S Wang; Michael P LaValley; Jerry Avorn; Daniel H Solomon
Journal:  Arch Intern Med       Date:  2004 Aug 9-23

9.  Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes.

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Journal:  Int Nurs Rev       Date:  2007-09       Impact factor: 2.871

10.  Executive summary: Standards of medical care in diabetes--2010.

Authors: 
Journal:  Diabetes Care       Date:  2010-01       Impact factor: 19.112

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2.  Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control.

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