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Effect of Diabetes Self-management Education on Glycaemic Control in Sudanese Adults with Type 2 Diabetes

Journal of Biosciences and medicines 2024年第3期12卷 316-327页

作者： Sahar m.awia balla elnour Tayseer Abdelmotalib Ahmed Taha Haiam Abdalla Wadatalla Ziryab Zainelabdin mohamed Elmahdi marwah Isam Abdulmajeed mohammedahmed rowa Abdelmonem Sidig Hamadto Nahla Yousif Osman mohammed Saeed Omnia mubarak Saad Abdallah Sulafa Abdelbagi mustafa Ahmed Hanady Abdelhameed Ahmed mohamed Sarah Khalil Fathi Khalil Family medicine Health Gates Primary Care Riyadh SAU Family medicine Dhaman Health Assurance Hospitals Company Kuwait KWT Family medicine First Health Cluster Riyadh SAU Emergency Department Sheikh Khalifa Medical City Abudahbi ARE Family medicine University of Medical Sciences and Technology Khartoum SDN Family medicine Sudan Medical Specialization Board-Sudan Khartoum SDN Family medicine Ultra Care Home Care Company Riyadh SAU medicine Department Health Gates Primary Care Riyadh SAU Family medicine Mouwasat Hospital Madinah SAU

research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSmE intervention. method: The study was conducted in Sudan between September 2022 and march 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSmE) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BmI decreased by 1.1 ± 0.73 kg/m2 (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management

关键词： Sudan Adherence Intervention Education Self-management Diabetes

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Adherence to Preventive measures during the COVID-19 Pandemic among University Students in Sudan

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Open Journal of Internal medicine 2023年第4期13卷 408-426页

作者： Einas mustafa mudawi Ahmed Sahar m.awia balla elnour Sozan m. Abdelkhalig Tayseer Abdelmotalib Ahmed Taha Sulafa Abdelbagi mustafa Ahmed Jalal Abdelrasool Hassan Eltaib Najad G. mustafa sam.r m.awia balla elnour Obstetrics and Gynaecology Najran University Najran Kingdom of Saudi Arabia Family medicine Department Sudan Medical Specialization Board Khartoum Sudan mircobiology Almaarefa University Riyadh Kingdom of Saudi Arabia Family medicine Sudanese Ministry of Health Khartoum Sudan Family medicine Makkah Polyclinic Makkah Kingdom of Saudi Arabia Inventors Academy Riyadh Kingdom of Saudi Arabia Family medicine Dhaman Health Assurance Hospitals Kuwait City Kuwait

Background: Coronavirus disease 2019, otherwise known as COVID-19, emerged in December of 2019. COVID-19 spreads through an airborne transmission route. Preventive measures were described to help decrease the spread of COVID-19 worldwide. There were a number of preventive measures that were globally adopted: social distance of at least 1 meter, mask wearing, washing hands for 20 seconds, and covering the mouth and nose if the person sneezes or coughs. methods: A descriptive cross-sectional study among 362 students from the International University of Africa, Sudan, was carried out between August 2021 and September 2022. Statistical Package for Social Sciences version 26 was used for data analysis;frequency and percentage were used to describe the qualitative variables. A chi-square test was used for association analysis;a P-value ≤ 0.05 was considered statistically significant. results: Among study participants, the females were 70.9%;most were 20 - 23 years old (73.6%). 54.2% were vaccinated against COVID-19;83.6% had good knowledge regarding the mode of transmission, and 76.1% stayed in during quarantine. 80.6% of participants understood social distancing correctly. 76.1% of males and 45.1% of females started or completed vaccination (P ≤ 0.05). 51.4% of males and 81.3% of females adhered to preventive measures (P ≤ 0.05). Conclusions: It is important to target health education campaigns and interventions to improve adherence to preventive measures among university students. Although the pandemic is coming to an end, a lesson should be learned from it, and future preparation should be employed.

关键词： Sudan COVID-19 Preventive measures Adherence

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