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A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China

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Chinese Medical Journal 2012年第23期125卷 4175-4180页

作者： GUO Xiao-hui YUAN Li LOU Qing-qing SHEN Li SUN Zi-lin ZHAO Fang DAI Xia HUANG Jin YANG Hui-ying Department of Endocrinology Peking University First HospitalBeijing 100034 China Department of Endocrinology West China Medical School WestChina Hospital Sichuan University Chengdu 610041 China Department of Endocrinology Sir Run Run Shaw HospitalHangzhou Zhejiang 310016 China Institute of diabetes Zhongda Hospital Medical School SoutheastUniversity Nanjing Jiangsu 210009 China Department of Endocrinology China-Japan Friendship HospitalBeijing 100029 China Department of Endocrinology First Affiliated Hospital GuangxiMedical University Nanning Guangxi 530021 China Nursing Department Second Xiangya Hospital of Central SouthUniversity Changsha Hunan 410011 China Department of Endocrinology and Metabolism First AffiliatedHospital of Kunming Medical College Kunming Yunnan 650032China

Background diabetes management could be improved by diabetes education, through influencing attitudes towards diabetes, knowledge and behaviors of patients. The purpose of this study was to characterize the impact of diabetes education on glycemic control, and to assess the attitude, knowledge and self-care behavior in patients with type 2 diabetes in China. Methods This questionnaire-based survey was conducted in 50 medical centers across China from April to July of 2010. The patients with type 2 diabetes were eligible for the study. The information of glycemic control and diabetes education was collected. The diabetes attitude scale-3 formulae, a questionnaire of diabetes knowledge and Summary of diabetes Self-care Activities scale were used to assess attitude, knowledge and the self-care of patients, respectively. Results Among the 5961 eligible respondents （3233 males; mean age （59.50＋12.48） years; mean hemoglobin Alc （HbAlc）（8.27＋2.23）%）, most patients （79.8%） considered themselves educated on diabetes. Compared with patients without diabetes education, their educated counterparts showed significant lower value of HbAlc, after controlling for age, gender, body mass index and duration of diabetes （P 〈0.01）. The patients who received diabetes education also performed significant higher scores on attitude, knowledge and self-care than their uneducated counterparts. Patients with lower income or education level tended to have higher glucose levels, and showed lower percentage of patients received diabetic education. Conclusions Chinese patients with diabetes education achieved better glycemic control than un-educated patients. Our study indicates effort is required to provide professional education to patients, with emphasis on lower income and lower education level populations.

关键词： diabetes education self-management glycemic control

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The Improving Effects of diabetes education on diabetes Awareness and Management in Children and Adolescents with T1DM

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Open Journal of Nursing 2024年第4期14卷 164-175页

作者： Salah Alzawahreh Candan Ozturk OR Department Arab Medical Center Amman Jordan Pediatric Nursing Department Near East University Faculty of Nursing Mersin T&#252rkiye

Background: diabetes education is crucial in empowering persons with Type 1 diabetes (T1DM) and their families to properly manage the condition by providing comprehensive knowledge, tools, and support. It boosts one’s belief in their ability to succeed, encourages following medical advice, and adds to the general enhancement of health. Objective: This study is to investigate the effectiveness of diabetes education in empowering individuals with Type 1 diabetes Mellitus (T1DM) and their families to effectively manage the condition. Furthermore, it strives to improve nursing care for families whose children have been diagnosed with Type 1 diabetes Mellitus (T1DM). Design: This research study investigates the efficacy of diabetes education in empowering individuals with Type 1 diabetes Mellitus (T1DM) and their families to effectively handle the condition. Materials and Methods: A systematic search was conducted between the years 2000 and 2022, utilizing the Medline and Google Scholar databases. The purpose of the search was to uncover relevant papers pertaining to diabetes education, management of Type 1 diabetes Mellitus (T1DM), nurse care, and empowerment. The search focused on peer-reviewed research, clinical trials, and scholarly articles that evaluated the efficacy of diabetes education in empowering individuals and families. Results: diabetes education is crucial for understanding and controlling T1DM. It includes personalized sessions, webinars, group classes, and clinics that provide customized therapies. Comprehensive education enhances glycemic control and family dynamics. Nevertheless, the implementation of diabetes education for families requires specific standards, especially in the field of nursing. Conclusion: diabetes education is essential for effectively managing Type 1 diabetes Mellitus (T1DM), providing patients and families with crucial knowledge, resources, and confidence. It encourages independence in-home care and provides explicit guidelines f

关键词： diabetes education Family-Centered Empowerment Model Self-Care Management Self-Efficacy Type 1 diabetes (T1D)

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Prediabetes and cardiovascular complications study:Highlights on gestational diabetes, self-management and primary health care

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World Journal of Meta-Analysis 2021年第6期9卷 543-556页

作者： Ezekiel Uba Nwose Phillip Taderera Bwititi Otovwe Agofure Echinei Jacob Oshionwu Ekenechukwu Esther Young Eferhire Aganbi Solomon Ekwuweokwuenu Egwenu Helen Egoyibo Chime Fortunatus Darius Gbeinbo Alex Odufu John Nwakaego Okuzor Azuka Okuleye Kennedy Aninze Innocent Chuks Onyia Euzebus Chinonye Ezugwu Eunice Obiajuru Igumbor Ifeoma Isabel Ulasi Department of Public and Community Health Novena UniversityKwale 322107Nigeria School of Dentistry and Medical Sciences Charles Sturt UniversityWagga campusNew South Wales 2650Australia Global Medical Research and Development Organization(GMRDO)group Abbi Delta State 322107Nigeria California Department of State Hospital StocktonCA 95215United States Department of Medicine College of MedicineUniversity of NigeriaItuku-Ozalla campusEnugu 402109Nigeria Biochemistry Department Delta State UniversityAbraka 330105Nigeria Department of Clinical Laboratory Services Texas Health(HMH HEB)BedfordTX 76022United States Clinic Department Donak HospitalKwale 2539083Nigeria Clinic Department U-Turn HospitalU-Turn Abule Egba 100276Nigeria

International collaboration on the prediabetes and cardiovascular complications study started in *** 2017,a reflection was *** of documentation and screening of antenatal cases for gestational diabetes mellitus(GDM)was ***,further observations have been made that warrant an *** objective of this review is to highlight gaps between clinical knowledge and practice in GDM,diabetes self-management and primary health care(PHC)for rural *** followed a descriptive field notes *** records of patients screened for GDM with incomplete documentation were examined to determine incompleteness of data in those that also met the criteria for GDM risk *** on development of a diabetes register and education and notes on behavioural change wheel were also *** data included cross-sectional evaluation of activities of daily living at two private *** to 29%had high GDM risk factors,which fulfilled selection criteria for laboratory *** data was complete in all women;however,incomplete documentation was observed with as much as 98%of basic *** levels of physical activity were found in the population,and health lectures proved effective in food *** workforce need for diabetes care seems underestimated,but this may be better understood with reactivation of PHC *** observations highlight behavioural change wheel issues on GDM and PHC services that need concerted *** proposals are to advance the use of a‘risk assessment and screening sheet’for GDM screening and enlightenment of stakeholders on the central hub role of PHC in diabetes management.

关键词： Behavioural change wheel Community health diabetes education Knowledge vs practice gap Lifestyle Patient follow-up Screening services Telehealth

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Type 2 diabetes Wellness Program in a Faith-Based Organization

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Journal of diabetes Mellitus 2016年第4期6卷 291-300页

作者： Frenzy Papas Kiamco Health Science Walden University Minneapolis USA

In this practicum, the program objective is to improve the health of Joseph’s Storehouse food bank recipients’ community in the Blessing Center (New Hope Free Clinic and Joseph’s food bank), Redlands, California. The approach is to implement primary prevention and secondary prevention activity to increase knowledge and skills of the clients and their families of how to prevent and control type 2 diabetes through a wellness program in the clinic. The practicum began January 2015 and ended April 2015. 53 food bank recipients (non-diabetic and diabetic) were recruited. A quasi-experimental study design, pre-test/posttest, was used for the study. The impact of the program targeted diverse audience, high risk ethnic groups, and improved knowledge, awareness, management, and positive behavioral change. The study implication for public health promotion specialists is to narrow venues targeting the most vulnerable populations to promote and reduce type 2 diabetes.

关键词： Type 2 diabetes California Faith-Based Organization diabetes Mellitus Public Health Wellness Program Practicum Primary Prevention Secondary Prevention diabetes in California diabetes Disparity diabetes education Food Bank

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