Nurses’ knowledge, attitude, and practice regarding oral management for outpatients with type 2 diabetes: a national survey on certified diabetes educators

Kudoh, Rie; Shibayama, T.; Hidaka, Kikue

doi:10.1007/s13340-021-00555-w

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…We recruited CDENs from participants of the previous survey [ 17 , 20 ] between June and October 2020. The eligibility criteria were as follows: (a) engaged in diabetes care and (b) working in outpatient departments: In writing, we confirmed 154 candidates’ consent to send explanatory documents regarding this study when collecting the questionnaire in the previous survey.…”

Section: Methodsmentioning

confidence: 99%

“…A diabetes oral health assessment tool for nurses to assess patients’ oral health conditions and behaviors was previously developed [ 19 ]. However, it is difficult to link the assessment tool to patient education due to the need for nurses' knowledge about specific instruction methods of oral management [ 17 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…First, we created a draft guide that organizes the needs of nurses regarding oral management and established evidence regarding the effectiveness and safety of support for them. Second, we revised a draft to enhance feasibility based on a nationwide survey regarding oral management targeting CDENs of 1277 medical facilities with diabetologists [ 17 , 20 ]. Third, the content validity of the guide, appropriateness of the expressions, and contents of the composition were confirmed via supervision by four medical professionals: a dentist, a diabetologist, a certified nurse in diabetes, and a CDEN.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of a nursing guide for the oral management of outpatients with diabetes mellitus

et al. 2023

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Support for nurses is necessary to enable them to practice the oral management of patients with diabetes; however, no support for nurses in this context has been reported. The objective of this study was to verify the feasibility of a nursing guide for the oral management of outpatients with type 2 diabetes, aimed at giving nurses the ability to independently practice oral management for patients with diabetes in an outpatient department. Questionnaires were administered to 25 certified diabetes educator nurses from 54 medical facilities. The evaluation and degree of understanding of the guide were assessed using items in the nursing guide. In addition, opinions and impressions about the guide in the form of free responses were requested. Descriptive statistics were calculated for all measured variables, and data gathered from the free responses were divided into categories based on their similarities and differences. The feasibility of the nursing guide was confirmed, and nurses confidently provided education regarding oral management to patients with diabetes using the guide. These results suggest that a guide may improve nurses' knowledge, skills, and confidence in providing patient education and improve the overall practice of oral management. Further improvements based on the opinions of nurses, such as the expression of terms, implementation of checklists for oral assessment, and identification of devices that can be utilized in a shorter time, are needed to facilitate the implementation of the guide into practice by nurses. Supplementary Information The online version contains supplementary material available at 10.1007/s13340-023-00622-4.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Feasibility of a nursing guide for the oral management of outpatients with diabetes mellitus

et al. 2023

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Severe periodontal disease in Japanese patients with high HbA1c levels: a cross-sectional study

Kurinami,

Ashida,

Sugiyama

et al. 2024

Diabetol Int

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Improved Glycemic Control through Robot-Assisted Remote Interview for Outpatients with Type 2 Diabetes: A Pilot Study

Yagi,

Inagaki,

Asada

et al. 2024

Medicina

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Background and Objectives: Our research group developed a robot-assisted diabetes self-management monitoring system to support Certified Diabetes Care and Education Specialists (CDCESs) in tracking the health status of patients with type 2 diabetes (T2D). This study aimed to evaluate the impact of this system on glycemic control and to identify suitable candidates for its use. Materials and Methods: After obtaining written informed consent from all participants with T2D, the CDCESs conducted remote interviews with the patients using RoBoHoN. All participants completed a questionnaire immediately after the experiment. HbA1c was assessed at the time of the interview and two months later, and glycemic control status was categorized as either “Adequate” or “Inadequate” based on the target HbA1c levels outlined in the guidelines for adult and elderly patients with type 2 diabetes by the Japan Diabetes Society. Patients who changed their medication regimens within the two months following the interview were excluded from the study. Results: The clinical characteristics of the 28 eligible patients were as follows: 67.9 ± 14.8 years old, 23 men (69%), body mass index (24.7 ± 4.9 kg/m2), and HbA1c levels 7.16 ± 1.11% at interview and two months later. Glycemic control status (GCS) was Adequate (A) to Inadequate (I): 1 case; I to A: 7 cases; A to A good: 14 cases; I to I: 6 cases (p-value = 0.02862 by Chi-square test). Multiple regression analyses showed that Q1 (Did RoBoHoN speak clearly?) and Q7 (Was RoBoHoN’s response natural?) significantly contributed to GCS, indicating that the naturalness of the responses did not impair the robot-assisted interviews. The results suggest that to improve the system in the future, it is more beneficial to focus on the content of the conversation rather than pursuing superficial naturalness in the responses. Conclusions: This study demonstrated the efficacy of a robot-assisted diabetes management system that can contribute to improved glycemic control.

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Nurses’ knowledge, attitude, and practice regarding oral management for outpatients with type 2 diabetes: a national survey on certified diabetes educators

Cited by 3 publications

References 28 publications

Feasibility of a nursing guide for the oral management of outpatients with diabetes mellitus

Feasibility of a nursing guide for the oral management of outpatients with diabetes mellitus

Severe periodontal disease in Japanese patients with high HbA1c levels: a cross-sectional study

Improved Glycemic Control through Robot-Assisted Remote Interview for Outpatients with Type 2 Diabetes: A Pilot Study

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