Wie viel wissen stationär behandelte Diabetiker über ihre Erkrankung?

Blankenfeld, Hannes; Mielck, Andreas; Schumm-Draeger, P.-M.; Siegmund, Thorsten

doi:10.1055/s-2006-926985

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Because there is no German version of a validated instrument on this topic available, we developed an own questionnaire based on Anglo-American and German instruments [18-23]. The questionnaire is adapted to the EBPI and displays the knowledge needed to make an informed choice about blood glucose testing.…”

Section: Methodsmentioning

confidence: 99%

Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

Genz

Haastert²,

Meyer

et al. 2010

BMC Public Health

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BackgroundEvidence-based patient information (EBPI) has been recognised as important tool for informed choice in particular in the matter of preventive options. An objective, on the best scientific evidence-based consumer information about subthreshold elevated blood glucose levels (impaired fasting glucose and impaired glucose tolerance) and primary prevention of diabetes, is not available yet. Thus we developed a web-based EBPI and aim to evaluate its effects on informed decision making in people 50 years or older.Methods/DesignWe conduct a web-based randomised-controlled trial to evaluate the effect of information about elevated blood glucose levels and diabetes primary prevention on five specific outcomes: (i) knowledge of elevated blood glucose level-related issues (primary outcome); (ii) attitudes to a metabolic testing; (iii) intention to undergo a metabolic testing; (iv) decision conflict; (v) satisfaction with the information. The intervention group receives a specially developed EBPI about subthreshold elevated blood glucose levels and diabetes primary prevention, the control group information about this topic, available in the internet.The study population consists of people between 50 and 69 years of age without known diabetes. Participants will be recruited via the internet page of the cooperating health insurance company, Techniker Krankenkasse (TK), and the internet page of the German Diabetes Centre. Outcomes will be measured through online questionnaires. We expect better informed participants in the intervention group.DiscussionThe design of this study may be a prototype for other web-based prevention information and their evaluation.Trial registrationCurrent Controlled Trial: ISRCTN22060616.

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Section: Methodsmentioning

confidence: 99%

Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

Genz

Haastert²,

Meyer

et al. 2010

BMC Public Health

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“…Concluiu-se que esforços para assegurar educação sobre diabetes aos pacientes acometidos por esta enfermidade é essencial para reduzir os riscos de complicações (15) . Os pacientes da nossa amostra eram acompanhados em média por três médicos, o que, teoricamente, aumentaria a transmissão de informações sobre a doença.…”

Section: Discussionunclassified

Perfil epidemiológico e nível de conhecimento de pacientes diabéticos sobre diabetes e retinopatia diabética

Dias¹,

Vieira²,

Rezende³

et al. 2010

Arq. Bras. Oftalmol.

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INTRODUÇÃOO diabetes mellitus (DM) é uma doença crônica e multissistêmica de importância crescente em saúde pública. Sua incidência e prevalência vêm aumentando, alcançando proporções epidêmicas (1) . Acredita-se que o número de portadores de DM no mundo, estimado em aproximadamente 180 milhões em 2000, mais que dobrará até o ano de 2030 (2) . No Brasil, estima-se que 7,6% ABSTRACTPurpose: To assess the epidemiologic profile and level of knowledge of diabetic patients about diabetes and diabetic retinopathy (DR).Methods: Cross-sectional study with patients seen at Retina and Vitreous sector of Hospital do Servidor Público Estadual de São Paulo. The subjetcs were assigned into two groups: diabetic patients sent for first ophthalmologic evaluation (G1) and patient already followed in the sector (G2). The patients answered a questionnaire and were submitted to ophthalmologic examination. It had been used chi-square (x²), exact of Fisher and non-parametric of MannWhitney tests, with level of significance of 5%.Results: The total sample was composed for 357 patients (109 in G1 and 248 in G2). The majority of the patients were female, married, with incomplete basic education, age average of 63.3 years and affirmed to know what it is diabetes. However, 53.2% did not know their type of diabetes. The visual complications of diabetes are most known. Less of one third of the patients had heard of DR and 77.3% did not know if they had it. The majority of the patients had never received any explanation or lecture about diabetes or DR. Only 3.6% of the patients had participated of programs of education on diabetes. The visual acuity, in logMAR scale, was of 0.57 in OD and 0.51 in the OS. Half of the patients did not have DR. Conclusion:The majority of the patients have low knowledge about diabetes and its complications.Keywords: Diabetes mellitus; Diabetic retinopathy; Health profile; Health knowledge, attitudes, practice; Epidemiology da população urbana entre 30 e 69 anos apresentem DM, sendo que 46% destes não sabem ser portadores (3) . Vários órgãos podem ser acometidos pelo DM, sendo comum a presença de nefropatia, neuropatia e retinopatia (4) . As afecções oculares são frequentes e graves no paciente diabé-tico, sendo a retinopatia diabética (RD) a mais comum, presente em 29 a 40% dos casos (5) . É considerada a principal causa de cegueira legal em adultos em idade produtiva (6) . Estima-se que o número de pessoas com risco de sofrer perda de visão decorrente do diabetes dobre nos próximos 30 anos (7) . A RD é uma das maiores causas de cegueira irreversível no mundo, e a principal entre pessoas em idade produtiva (8) , sendo considerada uma das complicações mais temidas pelos pacientes diabéticos. Estima-se que, após 15 anos de doença, 80% dos portadores de DM tipo 2 e 97% dos DM tipo 1 apresentem algum grau de retinopatia (9)(10) . A eficácia do tratamento para DM com controle adequado de complicações a curto e longo prazo não depende apenas da intervenção médica. O conhecimento, assim como as crenças do paciente sobr...

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Verbesserungen in der Versorgung von Patienten mit Typ-2-Diabetes?

Schunk

Stark

Reitmeir

et al. 2011

Bundesgesundheitsbl.

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To evaluate the quality of diabetes care, processes and outcomes of health care for type 2 diabetes were compared across three population-based surveys in Germany with cross-sectional and longitudinal perspectives. The surveys were conducted in the Augsburg region, southern Germany, in 1999-2001, 2003-2005, and 2006-2008 and included physical examinations, an interview, self-administered diabetes questionnaires, and laboratory tests. Quality indicators derived from guidelines for type 2 diabetes managed care programs in Germany served as the evaluation framework. Multiple regression models were used for analysis, adjusting for age, sex, education, diabetes duration, and cardiovascular comorbidity. Results show that medical examinations of eyes (61-71%) and feet (38-55%) and the use of antihypertensives, antiplatelet drugs, and lipid-lowering medications were reported more frequently over time. There was no increase in patient self-care behaviors or diabetes education. Blood pressure and cholesterol outcome targets were achieved more frequently over time. In conclusion, medical care and drug therapy of type 2 diabetes have improved; however clinical practice has failed to intensify patient participation and health behavior.

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Wie viel wissen stationär behandelte Diabetiker über ihre Erkrankung?

Cited by 3 publications

References 3 publications

Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

Perfil epidemiológico e nível de conhecimento de pacientes diabéticos sobre diabetes e retinopatia diabética

Verbesserungen in der Versorgung von Patienten mit Typ-2-Diabetes?

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