Primary care diabetes in Greece

Lionis, Christos; Papathanasiou, A.

doi:10.1016/j.pcd.2008.03.003

Cited by 7 publications

(7 citation statements)

References 10 publications

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“…Program upravljanja dijabetesom za djecu sa ovom bolešću sastoji se od jedne ili dvije injekcije insulina dnevno, uz mjerenje glukoze u krvi i urinu, poseban režim ishrane i potrebu za vježbanjem. Svaki učenik dijabetičar može da vodi normalan školski život pod uslovom da se uzmu u obzir, što je moguće više, sljedeće aspekte (Faro, 1995;Goodrich & McDermott, 1989;Henderson, 2005;Lionis & Papathanasiou, 2008;Nichols & Norris, 2002;Owens-Gary, Shea, & Lewis, 2010;Papadaki, Linardakis, Codrington, & Kafatos, 2008;Wagner, Heapy, James, & Abbott, 2006;:…”

Section: Učenici Sa Dijabetesom I Njihovi žIvotni Problemi U Grčkim Junclassified

Exercise Training in Students With Diabetes: The Role Pe Teacher at School

Peppa¹,

Ασωνίτου²,

Koutsouki³

2011

sgia

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SAŽETAKDiabetes je bolest poremećenog metabolizma glukoze i može se podijeliti u dvije kategorije: dijabetes tipa 1 (DMT1), koji je češći u djece, i dijabetesa tipa 2 (DMT2). Fizička aktivnost je pokazalo da ima raznovrsne pozitivne efekte na dijabetičare i zato se preporučuje i učenicima dijabetičarima. Rad nastavnika fizičkog vaspitanja u grčkim javnim školama nailazi na prepreke zbog nedostatka zvaničnih obrazovnih seminara, potrebnih objekata i informisanosti društva kao i pojave školske fobije i sigmatizacije. Jedna od uloga nastavnika fizičkog vaspitanja je da ohrabruje i podstiče učenike sa dijabetesom da redovno učestvuju u školskim sportskim aktivnostima, da prati nivo šećera u krvi i bilježi plan vježbanja i reakciju na određene aktivnosti. Osim toga, s psihološkog stanovišta, nastavnik fizičkog vaspitanja može da pomogne učenicima sa dijabetesom da razviju posebne vještine, postanu optimistični, dobiju sampouzdanje i nauče da imaju koristi od fizičkog vježbanja. Najzad, nastavnik fizičkog vaspitanja može da se posmatra kao koordinator međudjelovanja između ljekara, roditelja, nastavnika, učenika bez dijabetesa i učenika sa dijabetesom u vezi sa učešćem učenika sa dijabetesom u školskim sportskim aktivnostima i rezultata njihovog vježbanja uz postizanje ravnoteže na glikemijskom nivou. UVODDijabetes je matabolička bolest koju karakteriše visok nivo glukoze u krvi. Ona proizlazi ili iz nemogućnosti organizma da proizvodi inzulin ili nesposobnosti ćelija da reaguje na raspoloživ insulin. Kao posljedica toga, visok nivo glukoze u krvi dovodi do klasičnih simptoma poliuria, polidipsia i polifagia ("Pathogenesis and management of human diabetes mellitus. Workshop at the 23rd Annual Meeting of the European Society for Clinical Investigation. 1989, Athens, Greece," 1992. Opisana su dva tipa dijabetesa: (i) Diabetes Mellitus tipa 1 (DMT1) u kome pojedinac nije u stanju da proizvodi insulin ili proizvodi nedovoljnu količinu insulina. DMT1 je poznat pod nazivom insulin-zavisni Diabetes Mellitus (IDDM). Mada se, teoretski, može pojaviti u bilo kom životnom dobu, uočeno je da je vrlo čest kod djece i adolescenata, tako da se često spominje u luteraturi pod nazivom dječiji dijabetes (Burn, 2010; von Herrath, Sanda i Herold, 2007; Ma i Chan, 2009); (ii) Diabets Mellitus tipa 2 (DMT2) odlikuje se otpornošću na insulin koje prati, u nekim slučajevima, nedostatak insulina (Athanasakis i saradnici, 2010;Gershell, 2005). DTM2 se u literturi, takođe, naziva i nezavisni insulin dijabetes (NIDDM) ili dijabetes u odrasloj životnoj dobi. Dijabetes bez odgovarajućeg tretmana može da dovede do mnogih komplikacija uključujući hipoglikemiju, dijabetičke ketoacidoze ili kome, kardiovaskularne bolesti, hroničnog zatajenja bubrega, oštećenja mrežnjače. Stoga, odgovarajuća kontrola dijabatesa uzimanjem ljekova važna je kao i kontrolisanje krvnog pritiska te zdrav način života (tj. prestanak pušenja, kontrola tjelesne težine). Učenici sa DMT1 imaju apsolutni insulinski nedostatak i, zbog toga, oni moraju da dobiju zamjenski insuli...

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Section: Učenici Sa Dijabetesom I Njihovi žIvotni Problemi U Grčkim Junclassified

Exercise Training in Students With Diabetes: The Role Pe Teacher at School

Peppa¹,

Ασωνίτου²,

Koutsouki³

2011

sgia

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“…24 In Greece in particular, the need for evidence on DRD in the urban PC is important because diabetes care is mainly offered by private practices, diabetes-specific tertiary care (DSTC), and rural PC. 25 Despite the year-by-year increasing number of publications regarding DRD, 26 little has been shown in this scientific field in Greece, with one study validating PAID scale 27 and another one comparing rural PC with DSTC. 15 The aim of our study was to assess the levels of DRD using the DDS questionnaire in T2D patients presenting in Greek public urban PC and to examine associations between sociodemographic and clinical characteristics with DRD levels.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diabetes-Related Distress and Associated Characteristics in Patients With Type 2 Diabetes in an Urban Primary Care Setting in Greece

Kintzoglanakis¹,

Vonta²,

Copanitsanou

2020

Chronic Stress

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Background Diabetes-related distress (DRD) is a common psychological issue of people living with diabetes. International guidelines advise to take DRD into consideration in diabetes care but evidence for Greece is scarce. In the present study we aimed to estimate the frequency of DRD as assessed by Diabetes Distress Scale (DDS) and to examine its connections with clinical and sociodemographic characteristics among patients with type 2 diabetes mellitus (T2D) in urban primary care (PC) in Greece. Methods This descriptive survey included adults with a diagnosis of T2D of at least six months under medication treatment attending a novel, public urban PC unit. Patients with other forms of diabetes, dementia, and psychosis were excluded. Patients were screened for DRD with DDS instrument and correlations were made between DRD and clinical and sociodemographic characteristics. Results In 135 eligible participants the frequency of moderate to high levels of DRD (DDS ≥ 2) was 24.4% and of high levels of DRD (DDS ≥ 3) was 7.4%. Emotional burden (EB) subscale was significantly correlated with younger age, insulin use, duration of insulin use, and the number of insulin injections per day. Longer diabetes duration showed significant correlation with DDS total, EB, and regimen distress. Participants with lower income, sedentary lifestyle, micro-vascular complications, more episodes of hypoglycaemia, and higher levels of glycated haemoglobin (HbA1c) experienced significantly higher distress. Conclusion DRD screening is important in urban PC and in more susceptible patients as those on more insulin injections per day, with longer diabetes duration, higher levels of HbA1c, lower income, sedentary lifestyle, and more episodes of hypoglycaemia.

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“…Diabetes mellitus (DM) is a major global clinical and public health challenge with a prevalence of 1.4–6.9% in Greece (Lionis et al . 1996, 2001, Lionis & Papathanasiou 2008). The prevalence of diabetes worldwide was estimated at 2.8% in 2000 and is projected to rise to 4.4% by 2030 (Wild et al .…”

Section: Introductionmentioning

confidence: 99%

The Problem Areas in Diabetes (PAID) scale: psychometric evaluation survey in a Greek sample with type 2 diabetes

Papathanasiou

Koutsovasilis

Shea³

et al. 2012

Psychiatric Ment Health Nurs

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Several instruments have been developed for the assessment of emotional distress in patients with diabetes. The Problem Areas in Diabetes Scale (PAID) is a brief self-report scale that evaluates diabetes-related distress. There is a lack of validated instruments for the evaluation of psychological aspects in patients with diabetes in Greek language. The current study was conducted to translate and adapt the PAID scale in Greek language and to evaluate the psychometric properties in two different study populations of patients with diabetes. The aim of this study was to translate the Problem Areas in Diabetes (PAID) scale into Greek, adapt it culturally to Greece and determine its psychometric properties. The translation process included two forward translations, reconciliation, backward translation and pre-testing steps. The validation incorporated the exploration of internal consistency (Cronbach's alpha), test-retest reliability (interclass correlation coefficient), construct validity (exploratory factor analysis) and responsiveness (Spearman correlation coefficient). Participants included 101 consecutive patients from a rural primary healthcare centre and 101 patients from an urban hospital. All patients completed the PAID scale and the Short Form-36 (SF-36) version 2. Internal consistency considered good (Cronbach's alpha = 0.948). Interclass correlation coefficient was 0.942 (95% CI 0.915-0.961). Factor analysis yielded three factors: 'Diabetes-related emotional problems' (51.79% variance, Cronbach's alpha = 0.910), 'Food-related problems' (9.55% variance, Cronbach's alpha = 0.824) and 'Social support-related problems' (5.96% variance, Cronbach's alpha = 0.704). Screen plot test and conceptual congruency of items supported a three-factor solution. Total PAID showed a negative correlation with both SF-36 mental component summary (r = -0.733, P < 0.0001) and SF-36 physical component summary (r = -0.594, P < 0.0001). Our findings indicate that the Greek version of the PAID questionnaire is reliable and valid for patients with diabetes mellitus in Greece.

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Primary care diabetes in Greece

Cited by 7 publications

References 10 publications

Exercise Training in Students With Diabetes: The Role Pe Teacher at School

Exercise Training in Students With Diabetes: The Role Pe Teacher at School

Diabetes-Related Distress and Associated Characteristics in Patients With Type 2 Diabetes in an Urban Primary Care Setting in Greece

The Problem Areas in Diabetes (PAID) scale: psychometric evaluation survey in a Greek sample with type 2 diabetes

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