ABSTRACT Effectivenessof DiabetesSelfManagement EducationAgainstType 2DM patientsIndependencein ManagingDietDiseaseInGeneral Hospital Jombang by: Hariyono¹, Tjipto Suwandi², AhYusuf³ ¹Institute Of Health Science Insan Cendekia Medika Jombang ²Faculty Of Public Health Airlangga University ³Faculty Of Nursing Airlangga University Diabetesmellitushas been the causeof4.6milliondeaths. In addition,health expenditurefordiabetes mellitushas reached465billionUSD. Complicationsexperienced bypatients withtype 2 diabetes mellitusthatcauses the suffererto experiencedependencein regulatingdietary patterns. Ketidakmandirianpatientsin managingthe dietdue toa lack of knowledgeandlack ofmotivationin self-care. This study aims toidentify theeffectiveness ofDiabetesSelf-Management Education toindependenceyipe2diabetic patientsin managingthe diet. This research is anexperimentalPre. ResearchDesignOnegrouppre-post-test design. The sampling technique usedwassimple random samplingwith30 samples. Statistical analysisusing theWilcoxonSigned RankTestwith asignificance value ofα=0.05. Pre-testresultsshowedthat almostall respondents(80%) or 24samplesinthe category ofpartialcare. While thepost-testresultsshowedthatthe majority (56.7%) or17respondentsin thecategory ofminimalcare. Statistical analysisshowedWilcoxonp=0.000 The conclusionof this researchthat theeffectsof DiabetesSelfManagement Education onpatientautonomyin managingtype 2 diabetesdiet. Keywords: DiabetesSelfManagement
There are proposals to enlighten people with diabetes and healthcare providers realize the benefits of nutritional intervention. The strategies to attain such goals, and changes individuals with diabetes. Achieving nutrition-related goals requires a team effort that is in sync with people who have diabetes and also involve them in the decision making process. By engaging with team members who play a key role in providing care for a healthy diet. Usually for people who have diabetes their therapeutic nutrien is determined or have been recommended by doctors to helps improving their health. This practice can be done with several different approaches for creating a diabetic diet that able to maintain the level of glucose in the blood within normal
Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.
It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes
Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].
Diabetes is a chronic disease that requires constant self-care management practices among diabetic patients. The patients have to make decisions to stick to a strict diet and exercise plan, they also have to be involved in complex activities aimed towards their care and health. Diabetes self-management education provides patients with essential information and has been shown to have a positive impact on the health of patients. Self-management enhances patients with skills and knowledge and information for self-care. The problem focus for this project is lack of culturally diabetes self-management education for the diabetic Hispanic adult population who receive care at a free clinic in Indio, California. Patients who have diabetes need information about their behavior and diet plans to help in the management and maintenance
___IV. Practical Aspects - This book tells who the test is intended for and its standardized representative sample
After reflecting on my own nursing practice, I decided to search the literature on the need for better education associated with DMI. Certain ethnic and cultural groups have an increased risk for DMI and educating those at risk is a key component in the management process. If nurses use more individualized teaching processes and meet their patients’ teaching needs, then their patients will feel more comfortable in taking care of themselves at home and in schools. By reviewing the literature on the need for enhanced diabetes
The above studies by Walton et al. Castillo et al. and Steinbeck et al. though slightly different in their approach, demonstrate positive impact of self-management education on diabetic related parameters.
As a patient, coping with being newly diagnosed with diabetes mellitus, can be very stressful for the patient and family members involved in the patient plan of care. The patient will have to make drastic lifestyle changes in order to be in compliance with the recommended treatment by the members of the health care team. Being a patient, making the necessary lifestyle adjustment will assist with management of the newly diagnosed illness. This essay will discuss a family member who was recently diagnosed with diabetes mellitus type II and has to take insulin. The family member is trying to gain knowledge in order to have a clear understanding of this illness. A questionnaire has been created for the family member regarding being diagnosed with diabetes mellitus. The results from the questionnaire will be discussed and further analyzed. There will be a discussion on how the patient, family and friends are accepting and their impact on the patient being diagnosed with diabetes mellitus. Finally an analysis of the care plan developed for diabetes mellitus will be discussed. The purpose of this essay is to help facilitate the patient and family members involved in the patient plan of care with education and management of diabetes mellitus.
center it comes with its set of opportunities that will enable the center to flourish. The biggest
The feedback that was given back from both primary and secondary audience was discussed and documented. The secondary audience which were the health workers known as the enrolled and registered nurses. They listed the health resources that were available for patients with diabetes were pamphlets, posters, active programmes, websites, apps and plates with food images on them showing the portion of food the patient is recommended to have as stated on (Ministry of Health, 2014a). The primary and secondary target audience both stated that there is adequate information out there, unfortunately not enough information to help both the patient and the Nurses work side by side to help promote self management to the patient with diabetes (Ministry of Health, 2015). The critical information that the primary and secondary audience should know is that the nurse and doctor can do all they can to educate and promote to the patient to live a more healthier lifestyle, but in the end it is literally up to the patient to decide and make a choice on how they would manage their diabetes regardless of all the health resources they are given (Ministry of Health, 2014d). The audience needs to know that diabetes can be controlled if they are willing to make the change. The health resource that was considered by the primary and secondary audience is to have a health resource that would have everything a patient would need all in one and mostly help the health workers monitor their
| Based on explicit knowledge and this can be easy and fast to capture and analyse.Results can be generalised to larger populationsCan be repeated – therefore good test re-test reliability and validityStatistical analyses and interpretation are
The objective of this chapter is to describe the procedures used in the analysis of the data and present the main findings. It also presents the different tests performed to help choose the appropriate model for the study. The chapter concludes by providing thorough statistical interpretation of the findings.