Authors (including presenting author) :
MAK CK(1)
Affiliation :
(1)Department of Rehabilitation and Extended Care, TWGHs Wong Tai Sin Hospital
Introduction :
Type 2 Diabetes mellitus (DM) is one of the most common diseases worldwide but it is found out that the self-management skills of type 2 DM patients, developed from DM education by DM nurses, gradually deplete over time. In TWGHs Wong Tai Sin Hospital, nurses refer patients who are under rehabilitation to the DM nurses in Our Lady of Maryknoll Hospital to reinforce their DM knowledge through re-assessment and re-education. Patients need about two weeks’ time to await DM nurses in OLMH to follow up and some might discharge before DM nurse assessment.
Objectives :
(1)To fill the service gap between general practice nurse and specialty nurse which would promote health knowledge to the DM patients and caregivers more effective and shorten the time waiting for the DM specialty nurse; (2)To maximize the self-care ability of type 2 DM patients and their caregivers.
Methodology :
The programme is a time-series design to evaluate the effectiveness of the programme by comparing the pre- and post result of DM knowledge, insulin injection techniques and subject’s satisfaction of type 2 DM patients and caregivers during patients’ rehabilitation period. DM knowledge and insulin techniques would be assessed during admission. The empowerment session would last for two weeks for continuous evaluation, encouragement and education. DM knowledge, insulin injection techniques and subject’s satisfaction will be evaluated after the programme. Reinforcement and referral to DM nurse will be given if necessary.
Result & Outcome :
Results: Conducted from 1st June 2017 till December 2019, the programme recruited 120 male patients and 20 caregivers, in which 90 patients and 10 caregivers fit the inclusion criteria. A comparison of pre- and post-programme scores in questionnaire was analyzed by paired t-test. Statistical analyses were performed by SPSS Statistical Software. The type I error rate was set at 0.05. The questionnaire score of patients and caregivers in post-programme is significantly higher than that in pre-programme (p=0.001). 70% participants rated natural to very agree for having benefit from the programme. Conclusions: These results demonstrated that the refreshment programme could effectively enhance their DM knowledge and techniques of patients and their caregivers. Regarding the recruitment of large amount of target group for patients’ education, in-patient hospitals, with the greatest number of DM patients and the most effective education, would be the best place to perform DM education.
