Diabetes Awareness And Screening Programme

A DIABETES AWARENESS AND SCREENING PROGRAMME

INTRODUCTION !

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RESEARCH QUESTION ! "

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OBJECTIVES ( "

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TABLE 1: IMPACT OF EDUCATIONAL INTERVENTION AWARENESS ABOUT ORGANS AFFECTED IN DIABETES No Of Correct Answers s.No

Organs

Pretest

Post test

Chi

01.

Eyes

17

35

15.9

<0.001

02.

Heart

6

39

52.01

<0.001

03.

Kidney

23

40

-----

------

04.

Leg

15

37

24.23

<0.001

05.

Nerves

2

28

36.05

<0.001

squa res

P Value

OBSERVATION: The results of interventional study suggests that many people were initially aware of kidney being affected in diabetics. However their knowledge on effect of diabetes on other organs like heart, leg, nerves being affected was significantly low.

120 100 80 60 40 20 0 EY E HE S AR KI T DN EY N E LEG RV ES

S C OR E S %

INTERVENTIONAL SCORES ON AWARENESS ABOUT ORGANS AFFECTED IN DIABETES

PRE TEST POST TEST

TABLE 2:IMPACT OF EDUCATIONAL INTERVENTION AWARENESS ABOUT FOOD ITEMS TO BE AVOIDED TO PREVENT THE COMPLICATIONS OF DIABETES S.No

Food Items

No of Correct answers Pre Test

Post test

Chi squares

P Value

1

Sugar products

21

36

11.96

<0.001

2

Milk & its products

4

36

48.05

<0.001

3

Oil foods

8

39

53.15

<0.001

4

Large amt of rice

15

39

30.14

<0.001

5

Non –vegetarian foods

1

21

25.08

<0.001

6

Fast foods

0

15

18.46

<0.001

Educational programme conducted among them has made them realize that other food items also have a role in predisposing to diabetes and post- test score shows that there has been a significant increase in their knowledge about the effects of oil foods and rice on diabetes.

INTERVENTIONAL SCORES ON AWARENESS ABOUT FOOD ITEMS TO BE AVOIDED TO PREVENT COMPLICATIONS OF DIABETES

FAST FOODS NON VEG RICE

POST TEST PRE TEST

OIL MILK SUGAR

0

50

100

SCORES %

150

TABLE 3:IMPACT OF EDUCATIONAL INTERVENTION AWARENESS ABOUT THE FOOD ITEMS THAT ARE SAFE FOR CONSUMPTION IN DIABETICS S.No

Food Items

No of Correct answers Pre Test

Post test

Chi squares

P Value

1

Green leafy vegetables

16

38

25.13

<0.001

2

Whole grains

17

32

11.85

<0.001

3

Vegetarian foods

12

30

16.24

<0.001

4

Fruits

11

33

24.44

<0.001

OBSERVATION: Their knowledge about the role of vegetables and fruits in preventing development of complications of diabetes was average. The educational intervention has proved to be effective in increasing their knowledge about the good effects of fruits and vegetables.

S CO RE S %

INTERVENTIONAL SCORES ON AWARENESS ABOUT FOOD ITEMS THAT ARE SAFE FOR CONSUMPTION IN DIABETICS

100 90 80 70 60 50 40 30 20 10 0

PRE TEST POST TEST

GREEN LEAFY VEG

WHOLE GRAINS

VEG FOODS

FRUITS

TABLE 4: IMPACT OF EDUCATIONAL INTERVENTION AWARENESS ABOUT GESTATIONAL DIABETES

QUESTION

Can pregnant women get diabetes?

NO OF CORRECT ANSWERS

PRE TEST

POST TEST

CHI

18

30

7.50

SQU ARE

P VALUE

0.006

INTERVENTIONAL SCORES ON AWARENESS ABOUT GESTATIONAL DIABETES

80 70 SCO RES %

60 50 40 30 20 10 0 PRE TEST

POSTTEST

TABLE 5: IMPACT OF EDUCATIONAL INTERVENTION KNOWLEDGE ABOUT THE ROLE OF PHYSICAL ACTIVITIES IN PREVENTING DIABETES

QUESTION

Can exercise help to prevent diabetes? How?

NO OF CORRECT ANSWERS

PRE TEST

POST TEST

17

39

CHI

SQUA RE

26.25

OBSERVATION: The table shows that there was a marked increase in knowledge among the subjects about the role of physical activities in preventing diabetes. We were successful in educating 98% of subjects about role of physical activities.

P VALUE

<0.00 1

INTERVENTIONAL SCORES ON KNOWLEDGE ABOUT THE ROLE OF PHYSICAL ACTIVITIES IN DIABETES 120

SCORES %

100 80 60 40 20 0 PRE TEST

POST TEST

TABLE 6: IMPACT ON EDUCATIONAL INTERVENTION AWARENESS ABOUT THE RISK FACTORS OF DIABETES RISK FACTORS

NO OF CORRECT ANSWERS

CHI

SQUAR E

P VALUE

PRE TEST

POST TEST

1. Obesity

1

37

61.40

<0.001

2. High blood cholesterol

1

35

55

<0.001

3. Smoking

2

29

20.86

<0.001

4.Hypertention

5

30

31.75

<0.001

5. Heredity

21

39

19.27

<0.001

6. Reduced insulin secretion

1

25

32.82

<0.001

7. Physical inactivity

3

35

48.17

<0.001

HI GH HY

YS I L O C AL P O H W SM ER OBL E T E ER IN IN A S O ES TE K I NT E D S U C T IT RO N G IO I T L I IV Y L Y N IT N Y

CH

PH

INTERVENTIONAL SCORES ON AWARENESS ABOUT RISK FACTORS OF DIABETES POST TEST PRE TEST

0

50 100

SCORES % 150

SUMMARY OF RESULTS 8 8 *

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SUMMARY OF RESULTS 100 SCORE %

80 60 40 20 0 PRE TEST

POST TEST

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REFERENCE 1.Joslin.E.P.L.T. Dublin & H.H.Marks. STUDIES IN DIABETES MELLITUS ; 4TH edition; 192:9(1936) American Journal of Medical Sciences. 2.Newburgh, L.H. & J.W. Conn. A NEW INTERPRETATION OF HYPERGLYCEMIA IN OBESE MIDDLE AGED PERSONS. 112:7(1939) ; Medical Clinics of North America; vol.8, no.5, 1964. 3.Williams.R.H. TEXTBOOK ON ENDOCRINOLOGY 3RD edition; 609(1962); W.B.Saunders company. 4.Hudley.J.M. DIABETES AND OVERWEIGHT IN THE USA 32:418(1956); Journal of American Diabetic Association. 5.Paulin J.H. & H.C.Sauls. A STUDY OF GLUCOSE TOLERANCE TEST IN OBESE. 15:249(1922); Southern Medical Journal. 6.John.H.J.: A summary of the findings of the 1100 glucose tolerance estimations.: TEXTBOOK OF ENDOCRINOLOGY 13:388(1929)

7.Ashrya et al.: TEXTBOOK OF DIABETES MELLITUS Published in 2002 by Research society for study of diabetes in India. 8.Sherta Hill Golden et al 1110: DIABETES CARE; Vol. 26; No.4; April 2003. 9. DIABETES MELLITUS- A FUNDAMENTAL AND CLINICAL TEXT; 2ND edition; Lippincott & Williams publications. 10. Stone .D.B.; A STUDY ON INCIDENCE AND CAUSES OF POOR CONTROL IN PATIENTS WITH DIABETES. American Journal of Medical Sciences; 241-436(1961) 11. Leverduski et al: IMPACT OF NUTRITIONAL EDUCATION IN A COMMUNITY-BASED DIABETES EDUCATION PROGRAMME. 12. Nicholas et al, Department of public health & primary care, University of Cambridge. British Journal of Medicine; 2001; 322:986-988. 13. David.C. Zeimer et al. Journal of Diabetes Care 26:1719-1724,2003. 14. Engelgau MM et al. SCREENING FOR TYPE-2 DIABETES; Diabetes Care 2000 0ctober ;23(10) :1563-80 ;PMID:11023153. 15.Angela M.Kemple et al. CDC; PREVENTING CHRONIC DISEASE; 2005,Nov.2:A07.

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