Assessment the effect of diabetes education on self-care behaviors and glycemic control in the Turkey Nursing Diabetes Education Evaluating Project (TURNUDEP): a multi-center study

Abstract

Background Diabetes education in Turkey is provided by diabetes nurse educators in almost all healthcare organizations. However, the education is not standardized in terms of learning content, duration, and methods. This multi-center study was performed to assess the self-care behaviors and glycemic control following education provided to the patients with type 2 diabetes mellitus by diabetes nurse educators. Methods This was a descriptive and cross-sectional study and included 1535 patients admitted to 28 public hospitals for the treatment of type 2 diabetes mellitus. The education was assessed by using a Patient Identification Form and Self-care Scale. Results The proportion of individuals who received diabetes education within the last year was 78.5%, with 46.7% of them having received it once. Of the patients, 84.8% reported that they received diabetes education individually. It was found that the proportion of individuals who received education about oral antidiabetics (78.5%) and glucose testing at home (78.5%) was higher than the proportion of individuals who received education about exercise (58.8%) and foot care (61.6%). The status of diabetes education, education intervals, and the correlation of the education method with self-care and glycemic control was evaluated. Self-care and glycemic control levels were better among the patients who received diabetes education thrice or more and in patients who received education both individually and in a group (p < 0.05). Conclusions Approximately three-quarters of individuals with type 2 diabetes mellitus received education by diabetes nurse educators in Turkey. Diabetes education is positively correlated with self-care and glycemic control levels among patients with type 2 diabetes mellitus. Efforts for generalization and standardized education for all diabetes patients are necessary.

Behaviours and educational effect on the improvement of self-care among the diabetics

“…Patients who got diabetes education three times or more, as well as patients who received education both individually and, in a group, had better levels of self-care and glycaemic control (p<0.05). 8 Results of another randomized trial concluded that the mean body mass index, waist circumference, and blood glucose levels are all reduced as a result of professional health educators providing structured diabetes self-care education to diabetics in primary health care. In a similar manner, it also lowers high blood pressure.…”

“…Diabetes education is crucial for enhancing self-care among diabetic population. 8 Diabetes self-care has been described as an evolutionary process of knowledge or awareness development by learning to cope with the complexity of the disease in a social context. There is a critical need for reliable and effective metrics for diabetic self-management because patients and/or family handle the vast bulk of day-to-day care in diabetes.…”

Individualized Approaches to Diabetes Care in Nursing Homes

“…As a result of these discussions, the ICP is formulated in conjunction with the patient and his or her loved ones, as well as the patient's primary care physician and other nurses and senior caregivers 17,46 . This report is attached to the patient's medical records and contains all of the findings and conclusions from the first evaluation, as well as directions for nurses and caregivers written in clear language and providing suitable monitoring schedules (dates for future consultations and tests).…”

Sudomotor disfonksiyonu olan diyabetik hastalarda ayak bakım eğitimi etkinliğinin değerlendirilmesi

“…Kontrol grubunda ise gruplara göre izlemler arasında anlamlı fark vardı [43]. Altı haftalık ayak bakımı eğitimi [44] ve altı ay [45] sonrasında diyabetli bireylerin ayak bakımı bilgilerinde önemli bir artış bildirilen çalışmaların aksine başka bir çalışmada uygulama sonrası 6 ayda ayak öz bakım bilgisinin artmadığı bildirilmiştir. Araştırmacılar bu farklılığın örneklem sayısının azlığından kaynaklandığını vurgulamışlardır [46].…”