Medicina, Vol. 55 No. 3, 2019.
Stručni rad
https://doi.org/10.21860/medflum2019_221603
Effectiveness of structured education for patients with diabetes
Andrej Belančić
orcid.org/0000-0001-7848-6600
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Anita Karanfilovski
; Dnevna bolnica za endokrinologiju, dijabetes i bolesti metabolizma, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Lara Čituljski
; Dnevna bolnica za endokrinologiju, dijabetes i bolesti metabolizma, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Jelena Rapaić
; Dnevna bolnica za endokrinologiju, dijabetes i bolesti metabolizma, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Sanja Klobučar Majanović
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska; Dnevna bolnica za endokrinologiju, dijabetes i bolesti metabolizma, Klinički bolnički centar Rijeka, Rijeka, Hrvatska; Zavod za endokrinologiju, dijabetes i bolesti metabolizma, Klinika za inter
Sažetak
Aim: To evaluate the effect of diabetes structured education on knowledge and glycemic control. Patients and methods: The study included 102 patients with diabetes mellitus (20 patients with type 1 diabetes and 82 patients with type 2 diabetes), aged 20-80 years (median age 60 years), consecutively referred to Diabetes outpatient clinic structured education program at Clinical Hospital Centre Rijeka, within a six month period. Patients were asked to complete 12-item questionnaire before the education program and immediately after its completion. The maximum possible score was 11 (1 point for each correctly answered item), since the last item of the questionnaire was knowledge self-assessment (Table 1). Glycated hemoglobin A1c was measured initially and 3 months after the education program. Data were analyzed using Microsoft Excel (Microsoft Office), MedCalc v12.1.3 (MedCalc Software bvba, Ostend, Belgium) and Statistica v13.3 (StatSoft Inc., Tulsa, Oklahoma, United States). Criterion for statistical significance was estimated on P<0,05. Results: Significant improvement in knowledge was noticed after completion of the education program (4,1 ± 2,3 vs 9,3 ± 1,6, P < 0,001), followed by a significant reduction in glycated hemoglobin A1c levels (8,0 ± 1,8% vs 7,1 ± 1,3%, P<0,001). Moreover, the education program resulted in threefold increase in the number of patiens who perceive themselves to be adequately educated on diabetes (28,4% vs 84,3%, P<0,001). Conclusions: The overall increase in knowledge and self-confidence followed by reduction of glycated hemoglobin A1c by 0,9%, confirmed the efficacy of diabetes structured education.
Ključne riječi
diabetes mellitus; education; glycated hemoglobin A1c; self-management
Hrčak ID:
221603
URI
Datum izdavanja:
1.9.2019.
Posjeta: 2.469 *