Title Utjecaj strukturirane edukacije na regulaciju glikemije u osoba sa šećernom bolešću tip 2
Title (english) The impact of structured education on glycemic control in people with type 2 diabetes
Author Ana-Marija Maslarda
Mentor Jelena Vučak Lončar (mentor)
Committee member Dario Nakić (predsjednik povjerenstva)
Committee member Klaudia Duka Glavor (član povjerenstva)
Committee member Jelena Vučak Lončar (član povjerenstva)
Granter University of Zadar (Department of Health Studies) Zadar
Defense date and country 2024-09-23, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Uvod: Prema najnovijim epidemiološkim podacima oko 537 milijuna ljudi diljem svijeta (otprilike 61 milijun na području Europe) boluje od šećerne bolesti. Broj oboljelih od ove bolesti značajno se povećao posljednjih desetljeća. Posebice se to odnosi na šećernu bolest tipa 2, od koje boluje čak 90% osoba sa šećernom bolesti. Prema rezultatima epidemioloških studija, u oko 36 % osoba šećerna bolest nije otkrivena te se ne tretira na adekvatan nači. Navedeno zabrinjava, kao i podatak o velikom broju osoba sa šećernom bolešću koje ne uspijevaju postići dobru kontrolu glikemije, koja bi inače mogla i trebala biti ključ poboljšanja kvalitete njihovog života i smanjenja rizika razvoja komplikacija ove bolesti. Cilj ispitivanja: Ispitati utjecaj strukturirane edukacije na regulaciju glikemije u osoba sa šećernom bolešću tip 2. Materijali i metode: Provedeno je retrospektivno istraživanje pretraživanjem elektronske medicinske dokumentacije Opće bolnice Zadar. Pretraživala se i analizirala elektronska dokumentacija te specifični parametri ključni za procjenu kontrole bolesti osoba sa šećernom bolešću tip 2 obrađenih i educiranih u Dnevnoj bolnici za dijabetes te potom pregledanih na kontrolnom pregledu u Ambulanti za endokrinologiju, dijabetes i bolesti metabolizma. Rezultati: U svim analiziranim grupama, bez obzira na spol i dob, zabilježeno je značajno sniženje vrijednosti HbA1c te redukcija tjelesne mase i ITM-a između dva mjerenja. Starije skupine i oni mlađi od 50 godina imaju nešto slabiju statističku značajnost glede navedenih promjena, što može ukazivati na manju promjenu ili veću varijabilnost unutar tih skupina. Rezultati su pozitivni jer ukazuju na generalno poboljšanje ispitivanih zdravstvenih parametara kroz sve grupe ispitanika. Zaključak: Strukturirana edukacija utječe na bolju regulaciju glikemije, postignute „bolje vrijednosti“ u drugome aktu mjerenja, nakon obavljene edukacije, potvrda su njezinog doprinosa boljoj kontroli šećerne bolesti, a time i smanjenju akutnih i/ili kroničnih komplikacija, kao i razvoja drugih komorbiditeta koji se mogu javiti uslijed loše glukoregulacije.
Abstract (english) Introduction:According to the latest epidemiological data, around 537 million people worldwide (approximately 61 million in Europe) suffer from diabetes. The number of people suffering from this disease has increased significantly in recent decades. This especially applies to type 2 diabetes, which affects as many as 90% of people with diabetes. According to the results of epidemiological studies, in about 36% of people, diabetes is not detected and therefore is not treated adequately. The above is worrying, as is the information about a large number of people with the disease who fail to achieve good glycemic control, which otherwise could and should be the key to improving their quality of life and reducing the risk of developing complications of this disease. Aim: To examine the impact of structured education on glycemic regulation in people with type 2 diabetes. Materials and methods: A retrospective study was conducted by searching the electronic medical records of the Zadar General Hospital. Electronic documentation and specific key parameters for the assessment of disease control of people with type 2 diabetes treated and educated in the Daily Hospital for Diabetes and then examined at a control examination in the Outpatient Clinic for Endocrinology, Diabetes and Metabolic Diseases were searched and analyzed. Results: In all analyzed groups, regardless of gender and age, a significant decrease in HbA1c values and a reduction in body weight and BMI were recorded between the two measurements. Older groups and those younger than 50 years have somewhat weaker statistical significance regarding the mentioned changes, which can be shown by a smaller change or greater variability within these groups. The results are positive because they indicate a general improvement of the tested health parameters across all groups of respondents. Conclusion: Structured education affects better regulation of glycemia, hence "better values" have been achieved in the second act of measurement, following the education, confirming its contribution to better control of diabetes and consequently reduction of acute and/or chronic complications, as well as the development of other comorbidities that can occur due to poor glucoregulation.
Keywords
šećerna bolest tip 2
edukacija
regulacija glikemije
medicinska sestra/tehničar
Keywords (english)
type 2 diabetes
education
glycemic control
nurse/technician
Language croatian
URN:NBN urn:nbn:hr:162:124369
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: sveučilišni/a magistar/magistra sestrinstva (sveučilišni/a magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2024-09-24 13:34:38