Author : Preechasuk Lukana
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis Characteristics and Perceptions of Barriers to Diabetes Education of Healthcare Professionals in Thailand by : Preechasuk Lukana
Download or read book Characteristics and Perceptions of Barriers to Diabetes Education of Healthcare Professionals in Thailand written by Preechasuk Lukana and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Characteristics and perceptions of barriers to diabetes education of healthcare professionals in ThailandBackgroundDiabetes education is integral to successful diabetes management. However, data about characteristics and barriers of diabetes education in clinical practice in Thailand is limited.AimTo describe characteristics of diabetes education and identify perceptions of barriers to diabetes education among administrators, doctors and other healthcare professionals working as diabetes educators (DEs) in Thailand.MethodA survey was conducted in 613 hospitals (508 public and 105 private hospitals) across Thailand from December 2016 to March 2017. A self-completion questionnaire was sent to administrators, diabetes clinic doctors, and health professionals working as a DE to collect data about the workload, characteristics of diabetes education from DEs and perceived barriers to diabetes education from 3 groups of respondents.ResultsThe overall response rate was 54.8% (58.3% public and 38% private hospitals). The response rate of administrators, doctors and DEs was 48.3%, 49.9% and 65.7%, respectively. The median (IQR) number of DEs per hospital surveyed was 4 (2,6). The median (IQR) number of patients per educator per week was higher in public hospitals than private hospitals (70 [30,150] vs. 20 [10,30]).The health professionals working as a DE were outpatient nurses (84.1%), nutritionists (59.8%), pharmacists (53.6%), doctors (44.7%), inpatient nurses (34.2%), physical therapists (18.4%), health educators (15.1%), Thai traditional medicine staffs (7.7%) and dentists (3.2%). DEs self-reported the percentage+SD of patients receiving diabetes education in 30, 31-60, 61-120, 121-500 and 500 beds hospitals were 70u00b123, 73u00b121, 62u00b126, 63u00b126 and 46u00b127, respectively. Characteristics of diabetes education in public and private hospitals are presented in table 1. Self-reported factors perceived as barriers to diabetes education by respondents in public hospitals are shown in table 2.Table 1. Characteristics of diabetic education programs in public and private hospitals t Public hospitalstPrivate hospitalsCriteria to provide diabetes education, n (%) tt Patients with newly diagnosed diabetes t332 (93.5)t34 (70.8) Patients with uncontrolled diabetes t310 (87.3)t23 (47.9) Definition of uncontrolled diabetes Fasting plasma glucose (mg/dL) 183 (180,200) 150 (128,180) HbA1c (%)t 8 (7,8) 7 (7,8) Patients with diabetes complication t225 (63.4)t21 (43.8)Method of diabetes education, n (%) tt Individual education t339 (95.5)t37 (77.1) Group education t282 (79.4)t14 (29.2)Duration of education session, median (IQR), min per sessiontt Individual education t15(10,30)t30(12.5,30) Group education t30(20,30)t30(25,60)Evaluation of diabetes education, n (%) tt Successful t 89(25.6)t16 (34) Uncertain outcome t 141 (39.7)t16 (33.3) Non-evaluation t89 (25.1)t16 (33.3)Table 2. Perceptions of barriers to diabetes education among different groups of respondents in public hospitals tAdministrators(n=264)tDoctors(n=269)tDEs(n=355)Non-compliance with recommended changes of unhealthy behaviort217 (82.2)t220 (81.8)t299 (84.2)Lack of time for diabetes education by DEs due to other duties t205 (77.7)t186 (69.1)t303 (85.4)*u2020 Lack of interest in diabetes education from patients t195 (73.9)t207 (77)t275 (77.5)Lack of skill in DEs in assisting patients with behavioral change t151 (57.2)t108 (40.1)t219 (61.7)u2020Inadequate numbers of DEst115 (43.6)t118 (43.9)t203 (57.2)*u2020Lack of suitable place to provide diabetes educationt90 (34.1)t71 (26.4)t184 (51.8)*u2020Lack of budget to support effective diabetes educationt64 (24.2)t61 (22.7)t106 (29.9)u2020Lack of suitable educational materialt53 (20.1)t42 (15.2)t147 (41.4)*u2020Data are presented as n (%). *p0.05 comparing between administrators and DEs, u2020 p