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The experience of the "School of self-control for patients with type 2 diabetes" (SSCD2) at the outpatient stage

Session Poster Session III - Friday 08:30 - 12:30

Speaker Associate Professor Iryna Valentynivna Tyshchenko

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : preventive cardiology
  • Sub-topic : Diabetes and the Heart
  • Session type : Poster Session

Authors : EN Martsynik (Dnipropetrovsk,UA), LN Pastarus (Dnipropetrovsk,UA), LD Kalashnikova (Dnipropetrovsk,UA), MA Chukmasova (Dnipropetrovsk,UA), VN Burchak (Dnipropetrovsk,UA), IV Tyshchenko (Dnipropetrovsk,UA)

Authors:
EN Martsynik1 , LN Pastarus2 , LD Kalashnikova3 , MA Chukmasova4 , VN Burchak2 , IV Tyshchenko1 , 1SE Dnipropetrovsk medical academy - Dnipropetrovsk - Ukraine , 2CE Dnipropetrovsk city clinical hospital 9 - Dnipropetrovsk - Ukraine , 3Dnipropetrovsk Regional Society of patients with diabetes - Dnipropetrovsk - Ukraine , 4Dnipropetrovsk Regional Clinical Hospital - Dnipropetrovsk - Ukraine ,

Citation:

Purpose: to study the importance of SSCD as a guide to action for patients (pts) with type 2 diabetes (D) on ways to improve the efficiency of treatment and quality of life (QL).

Methods: SSCD was organized in 2001 under the auspices of the Society pts with diabetes. Pts were informed about SSCD by district endocrinologists, during admission and through media. Lessons of 45-60 minutes once in 2 weeks in groups of 30-60 pts were held at different  sites by leading endocrinologists and specialists in diabetic foot (DF) and retinopathy. The cycle of 6 lessons included lectures, questions and answers, the issuance of booklets, brochures, definition using glucometer glycemia (G) to all pts, training of calculation individual diets and correction of medication in different situations. Topics: the concept and diagnosis of D, self-control (SC), HbA1c monitoring, diet and physical activity in D, diabetic drug therapy and its correction, diagnosis and monitoring of chronic complications, the patient's behavior in unusual situations. All the participants with their consent were surveyed using specially designed questionnaire.

Results: during 10 yrs 2243 listeners were registered. Each year SSCD was visited by 223 ± 25 pts with D (36.6% men, 63.4% women, mean age 58.3 ± 3.4 yrs). 89.5% of participants - the inhabitants of Dnipropetrovsk, 10.5% - the inhabitants of the nearby districts. 60.8% of registered pts visited full course, 11.8% listened to course 2-3 times. After determining of G 39.8% of pts needed individual counseling of the doctor to correct medication and diet and about 3% required urgent hospitalization. All surveyed pts had raised awareness about D and assessed the usefulness of the training: 74.3% for self-construction diet, 81.2% for self-foot care and prevention of DF, 88.9% for the understanding of necessity of regular SC. 44.8% pts expressed a desire to continue learning. For many pts SSCD became a kind of Club where they shared their experiences of life with D. 65.2% of participants noted the positive socio-psychological impact of SSCD: the increasing interest in communication, improving mood, reducing negative attitudes towards D. 41.3% of pts noted: use of the acquired knowledge helps them better to live with D.

Conclusions: SSCD had demonstrated expediency of the work. Training in the SSCD had raised the awareness of pts about D, contributed to the understanding of their role in the health-care process and of the importance of SC to improve the QL. To improve the efficiency the work of SSCD should be systematic, constant, and innovative, with using educational and analytical tools.

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