Towards a cost-effective delivery of diabetes care in Sri Lanka

Illangasekera, Upali

doi:10.4038/sjdem.v1i1.4210

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Moreover, they expressed that eating a smaller portion of rice, and having a low‐fat, low‐salt diet was difficult, and this resulted in impaired dietary compliance. Another diabetes investigation also described this misconception, in that Sri Lankans considered it sufficient to just reduce carbohydrates, rather than lower total energy intake (Illangasekera ). In the USA, a study on Korean immigrants revealed that restricting traditional foods, changing the taste of foods and limiting eating of foods until a feeling of fullness occurred were totally opposite to traditional Korean food habits (Cha et al.…”

Section: Discussionmentioning

confidence: 99%

An ethnographic study of diabetes health beliefs and practices in Sri Lankan adults

Amarasekara

Fongkaew

Turale

et al. 2014

International Nursing Review

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Background: Globally, type 2 diabetes is increasingly prevalent; however, unique cultural contexts in each country might affect these diabetes control behaviours. Diabetes is a serious health issue in Sri Lanka and little is known about the impact of sociocultural context on diabetes health behaviours. Aim: This first-time qualitative Sri Lankan study explored the health beliefs and practices of adults with diabetes to enhance current nursing care and medical treatment. Methods: An ethnographic approach was used to collect data through participant observations, in-depth interviews with 14 key informants in their homes and field notes. Data were analysed by thematic analysis. Results: Findings revealed unique, informative insights into sociocultural worlds of the participants from three Sinhalese, Tamils and Moor ethnic groups. Findings are described under five themes: gaining religious support, changing food habits is a struggle, exercising is challenging, Western medicine causes long-term consequences and Ayurveda/traditional treatments can cure. Conclusion: In Sri Lankans, the impact of sociocultural context on glycaemic control behaviours is significant and should be taken in consideration when health professionals provide care, treatment and health education. Limitations: Study informants were selected from three ethnic groups and just two communities. Further in-depth research is required using both qualitative and quantitative approaches in individual groups. Implications for Nursing and Health Policy: Culturally relevant policies and protocols for community care and treatment of people with diabetes are urgently required in Sri Lanka to enhance cultural treatment and care and reduce the epidemic of diabetes. These policies need to take into account traditional beliefs and practices of various ethnic groups.

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Section: Discussionmentioning

confidence: 99%

An ethnographic study of diabetes health beliefs and practices in Sri Lankan adults

Amarasekara

Fongkaew

Turale

et al. 2014

International Nursing Review

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“…Even though, DSME is aimed to fill the needed gaps in the im-provement of glycemic control among patients with T2DM and shown to be effective in glycemic control, there is a severe shortage of trained diabetes educators in Sri Lanka. [21] Further, Diabetic care is seriously concern in hospital based management, there is no obvious well-structured continuous DSME facilities organised in the health care context in Sri Lanka. Therefore, the study was aimed to assess the effectiveness of DSME in the improvement of glycemic control among patients with T2DM first time in a selected hospital, Batticaloa District, Sri Lanka as a preliminary study.…”

Section: Introductionmentioning

confidence: 99%

A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

Kisokanth

Indrakumar²,

Prathapan³

et al. 2019

JNEP

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This study was aimed to assess the effectiveness of diabetes self-management education (DSME) in the improvement of glycemic control among patients with type 2 Diabetes Mellitus (T2DM) in Batticaloa District, Sri Lanka. The study was a prospective interventional study and conducted as a preliminary study at medical clinic, Base hospital, Kaluwanchikudy, Batticaloa. Thirty patients with T2DM were included based on inclusion and exclusion criteria. A structured individual diabetes self-management education for 10 hours (one hour per week) was delivered to diabetic patients by the trained Nurse Health Educator. Glycosylate hemoglobin (HbA1c) was assessed as a main outcome measure and Fasting Blood Sugar (FBS), Body Mass Index (BMI) of each patient were also measured and recorded before and after the intervention. The respondent rate was 96.7% (n = 29). Majority of them were females (n = 25, 86.2%). A Wilcoxon signed rank test showed that DSME had a statistically significant reduction in HbA1c [8.60 (IQR 2.60) vs. 7.40 (IQR 2.10), p = .000] and FBS level [159.00 (IQR 77.50) vs. 134.00 (IQR 40.50), p = .002] at 3 months of intervention. The mean BMI at baseline was higher compared to 3 months of intervention [24.88 (SD ± 3.06) vs. 24.19 (SD ± 2.79)] which was statistically significant (p = .000). Majority of participants (n = 22, 75.9%) had improved their HbA1c level by ≥ 0.5% in 3 months. The diabetes self-management education is an effective measure in improving glycemic control and other clinical parameters among patients with T2DM. Thus, DSME needs to be implemented among clinic patients with T2DM for the better outcome and the preventions of complications.

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Towards a cost-effective delivery of diabetes care in Sri Lanka

Cited by 2 publications

References 18 publications

An ethnographic study of diabetes health beliefs and practices in Sri Lankan adults

An ethnographic study of diabetes health beliefs and practices in Sri Lankan adults

A preliminary study on diabetes self-management education and glycemic control among patients with diabetes mellitus

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