Summary
The efficacy of our current educational programme for diabetic patients was assessed. Cognitive and behavioural tests were administered to 75 Type 1 (insulin-dependent) diabetic patients, aged ⩽ 30 years attending the Diabetic Clinic of the Mater Misericordiae Hospital, Dublin, Ireland. An overall deficiency in knowledge was evident. Fifty-one patients responded incorrectly to > 20% of the items tested. Twenty-nine patients lacked the ability to communicate a simple understanding of diabetes. Whereas most (70+) correctly identified the methodology of urinalysis, uncertainty was evident concerning appropriate action needed in response to such tests. Forty-nine did not know the significance of thirst and polyuria and 20 were unaware that hyperglycaemia could progress to coma. The ability to modify insulin dosage was poor as was the ability to use exchanges. Of patients aged ⩾ 20 years, those from the Dublin region scored better than did those from surrounding towns or rural areas, (r=0.5; p< 0.01). Regular out-patient attenders scored less well than nonattenders (r=0.24; p<0.05) but had better glycosylated haemoglobin levels (r=0.3; p<0.01). Gycosylated haemoglobin showed no significant correlation with level of knowledge held.
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Strauss A (1975) Chronic illness and the quality of life. C.G. Mosby, St. Louis, pp 21–27
Etzwiler DD (1962) What the juvenile diabetic knows about his disease. Paediatrics 29: 135–141
Williams TF, Martin DA, Hogan MD, Watkins JD, Ellis EV (1967) The clinical picture of diabetic control, studied in four settings. Am J Pub Health 57: 441–451
Watkins JD, Williams TF, Martin DA, Hogan MD, Anderson E (1967) A study of diabetic patients at home. Am J Pub Health 57: 452–459
Etzwiler DD, Robb JR (1972) Evaluation of programmed education among juvenile diabetics and their families. Diabetes 21: 967–971
Nickerson D (1972) Teaching the hospitalized diabetic. Am J Nursing 72: 935–938
Watkins JD, Moss FT (1969) Confusion in the management of diabetes. Am J Nursing 69: 521–524
Etzwiler DD, Simes LK (1972) Juvenile diabetes and its management: family social and academic implications. JAMA 81: 304–308
Miller LV, Goldstein J, Nicholaison G (1978) Evaluation of patients' knowledge of diabetes self-care. Diabetes Care 1: 275–280
Whitehouse FW, Whitehouse IJ, Smith J, Hohl RD (1979) Teaching the person with diabetes: experience of a follow-up session. Diabetes Care 2: 35–38
Alleyne SL, Morrison EY St A, Richards RR (1979) Some social factors related to control of diabetes mellitus in adult Jamaican patients. Diabetes Care 2: 401–408
Lawrence PA, Cheely J (1980) Deterioration in diabetic patients' knowledge and management skills as determined during outpatient visits. Diabetes Care 3: 214–218
MacGréil M (1977) Prejudice and tolerance in Ireland. College of Industrial Relations, Dublin, pp 594–600
Hoover J (1979) The view from the other side. Diabetes Care 2: 448–450
Deckert T, Poulsen JE, Larsen M (1978) Prognosis of diabetics with diabetes onset before age of thirty-one. 11. Factors influencing the prognosis. Diabetologia 14: 371–377
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Beggan, M.P., Cregan, D. & Drury, M.I. Assessment of the outcome of an educational programme of diabetes self-care. Diabetologia 23, 246–251 (1982). https://doi.org/10.1007/BF00252849
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DOI: https://doi.org/10.1007/BF00252849