Impact of Structured Teaching Program on Knowledge Regarding Prevention of Diabetic Retinopathy

Ramai Palar, Sujatha G
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Abstract

Diabetes mellitus (DM) is a public health problem that affects all levels of society regardless of age, gender, ethnicity or race. Diabetic retinopathy (DR) is a long-term and most common microvascular complication of DM and is the leading cause of visual impairment in productive segments of the population. The large diabetic population and increased incidence of DR has become a significant burden on the healthcare sector in India. Patient education plays an important role in managing DM and preventing complications like DR. In the present study, a quasi-experimental, one-group pre-test-post-test design was used to assess the effectiveness of the structured teaching program on knowledge regarding prevention of DR in diabetics. A non-probability purposive sampling technique was used to select 50 diabetic patients admitted to the hospital. Data was collected from participants using an interview schedule prepared by the investigator. STP was administered on the same day. On the seventh day, the post-test was conducted using the same structured interview schedule. The mean knowledge score of the subjects in the post- test (40.94 ± 3.61) has increased significantly (t= 42.06, p<0.05) when compared to the pre- test knowledge score (15.16 ± 6.61). The data shows that the structured teaching programme is effective in increasing the knowledge score of the subjects, with the maximum enhancement being in the area of eye check-up. Nurses should place health in the hands of the patient, especially for diabetic clients as they are in need of long-term care. The teaching program developed by the investigator can be used by the nurses to educate diabetic clients on prevention of diabetic retinopathy.
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结构化教学方案对糖尿病视网膜病变预防知识的影响
糖尿病(DM)是一个影响社会各阶层的公共卫生问题,不分年龄、性别、种族或种族。糖尿病视网膜病变(DR)是糖尿病的一种长期和最常见的微血管并发症,是造成生产性人群视力损害的主要原因。庞大的糖尿病人口和不断增加的DR发病率已成为印度医疗保健部门的重大负担。患者教育在管理糖尿病和预防DR等并发症中发挥着重要作用。本研究采用准实验、单组前测后测设计来评估糖尿病患者DR预防知识结构化教学计划的有效性。采用非概率目的抽样方法,选取50例住院糖尿病患者。使用研究者准备的访谈时间表从参与者中收集数据。同日给予STP。在第7天,使用相同的结构化面试时间表进行后测。测验后被试的平均知识得分(40.94±3.61)较测验前的平均知识得分(15.16±6.61)有显著提高(t= 42.06, p<0.05)。数据表明,结构化教学方案在提高各学科知识得分方面是有效的,其中在眼科检查方面的提高最大。护士应该把健康放在病人的手中,特别是糖尿病患者,因为他们需要长期护理。研究者制定的教学计划可供护理人员使用,对糖尿病患者进行糖尿病视网膜病变预防教育。
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