Cargando…

Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman

BACKGROUND: Although the prevalence of type 2 diabetes in Oman is high and rising, information on how people were self-managing their disease has been lacking. The objective of this study was therefore to assess diabetes self-management and education (DSME) among people living with type 2 diabetes i...

Descripción completa

Detalles Bibliográficos
Autores principales: Elliott, James A., Abdulhadi, Nadia Noor, Al-Maniri, Abdullah A., Al-Shafaee, Mohammed A., Wahlström, Rolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579849/
https://www.ncbi.nlm.nih.gov/pubmed/23451219
http://dx.doi.org/10.1371/journal.pone.0057400
_version_ 1782260179174162432
author Elliott, James A.
Abdulhadi, Nadia Noor
Al-Maniri, Abdullah A.
Al-Shafaee, Mohammed A.
Wahlström, Rolf
author_facet Elliott, James A.
Abdulhadi, Nadia Noor
Al-Maniri, Abdullah A.
Al-Shafaee, Mohammed A.
Wahlström, Rolf
author_sort Elliott, James A.
collection PubMed
description BACKGROUND: Although the prevalence of type 2 diabetes in Oman is high and rising, information on how people were self-managing their disease has been lacking. The objective of this study was therefore to assess diabetes self-management and education (DSME) among people living with type 2 diabetes in Oman. METHODS: A questionnaire survey was conducted in public primary health care centres in Muscat. Diabetes self-management and education was assessed by asking how patients recognized and responded to hypo- and hyperglycaemia, and if they had developed strategies to maintain stable blood glucose levels. Patients' demographic information, self-treatment behaviours, awareness of potential long-term complications, and attitudes concerning diabetes management were also recorded. Associations between these factors and diabetes self-management and education were analysed. RESULTS: In total, 309 patients were surveyed. A quarter (26%, n = 83) were unaware how to recognize hypoglycaemia or respond to it (26%, n = 81). Around half (49%, n = 151), could not recognize hyperglycaemia and more than half could not respond to it (60%, n = 184). Twelve percent (n = 37) of the patients did not have any strategies to stabilize their blood glucose levels. Patients with formal education generally had more diabetes self-management and education than those without (p<0.001), as had patients with longer durations of diabetes (p<0.01). Self-monitoring of blood glucose was practiced by 38% (n = 117) of the patients, and insulin was used by 22% (n = 67), of which about one third independently adjusted dosages. Patients were most often aware of complications concerning loss of vision, renal failure and cardiac problems. Many patients desired further health education. CONCLUSIONS: Many patients displayed dangerous diabetes self-management and education knowledge gaps. The findings suggest a need for improving knowledge transfer to people living with diabetes in the Omani clinical setting.
format Online
Article
Text
id pubmed-3579849
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-35798492013-02-28 Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman Elliott, James A. Abdulhadi, Nadia Noor Al-Maniri, Abdullah A. Al-Shafaee, Mohammed A. Wahlström, Rolf PLoS One Research Article BACKGROUND: Although the prevalence of type 2 diabetes in Oman is high and rising, information on how people were self-managing their disease has been lacking. The objective of this study was therefore to assess diabetes self-management and education (DSME) among people living with type 2 diabetes in Oman. METHODS: A questionnaire survey was conducted in public primary health care centres in Muscat. Diabetes self-management and education was assessed by asking how patients recognized and responded to hypo- and hyperglycaemia, and if they had developed strategies to maintain stable blood glucose levels. Patients' demographic information, self-treatment behaviours, awareness of potential long-term complications, and attitudes concerning diabetes management were also recorded. Associations between these factors and diabetes self-management and education were analysed. RESULTS: In total, 309 patients were surveyed. A quarter (26%, n = 83) were unaware how to recognize hypoglycaemia or respond to it (26%, n = 81). Around half (49%, n = 151), could not recognize hyperglycaemia and more than half could not respond to it (60%, n = 184). Twelve percent (n = 37) of the patients did not have any strategies to stabilize their blood glucose levels. Patients with formal education generally had more diabetes self-management and education than those without (p<0.001), as had patients with longer durations of diabetes (p<0.01). Self-monitoring of blood glucose was practiced by 38% (n = 117) of the patients, and insulin was used by 22% (n = 67), of which about one third independently adjusted dosages. Patients were most often aware of complications concerning loss of vision, renal failure and cardiac problems. Many patients desired further health education. CONCLUSIONS: Many patients displayed dangerous diabetes self-management and education knowledge gaps. The findings suggest a need for improving knowledge transfer to people living with diabetes in the Omani clinical setting. Public Library of Science 2013-02-22 /pmc/articles/PMC3579849/ /pubmed/23451219 http://dx.doi.org/10.1371/journal.pone.0057400 Text en © 2013 Elliott et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Elliott, James A.
Abdulhadi, Nadia Noor
Al-Maniri, Abdullah A.
Al-Shafaee, Mohammed A.
Wahlström, Rolf
Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title_full Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title_fullStr Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title_full_unstemmed Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title_short Diabetes Self-Management and Education of People Living with Diabetes: A Survey in Primary Health Care in Muscat Oman
title_sort diabetes self-management and education of people living with diabetes: a survey in primary health care in muscat oman
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579849/
https://www.ncbi.nlm.nih.gov/pubmed/23451219
http://dx.doi.org/10.1371/journal.pone.0057400
work_keys_str_mv AT elliottjamesa diabetesselfmanagementandeducationofpeoplelivingwithdiabetesasurveyinprimaryhealthcareinmuscatoman
AT abdulhadinadianoor diabetesselfmanagementandeducationofpeoplelivingwithdiabetesasurveyinprimaryhealthcareinmuscatoman
AT almaniriabdullaha diabetesselfmanagementandeducationofpeoplelivingwithdiabetesasurveyinprimaryhealthcareinmuscatoman
AT alshafaeemohammeda diabetesselfmanagementandeducationofpeoplelivingwithdiabetesasurveyinprimaryhealthcareinmuscatoman
AT wahlstromrolf diabetesselfmanagementandeducationofpeoplelivingwithdiabetesasurveyinprimaryhealthcareinmuscatoman