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Diabetes Patient Education in Sri Lanka

Diabetes Patient Education in Sri Lanka

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Published by Nel Otting
This essay is an account of my research in the field of diabetes patient education in Sri Lanka. From September to December 2002 I investigated the availability of patient education in three places on the island, and interviewed patients to determine their knowledge regarding diabetes and their motivation to learn. For the first seven weeks of the fieldwork period I was a guest at the National Diabetes Center (NDC) in Rajagiriya, the headquarters of the Diabetes Association of Sri Lanka (DASL). The research was extended to the General (teaching) Hospitals in Galle and in Peradeniya, respectively, for three and two weeks.
This essay is an account of my research in the field of diabetes patient education in Sri Lanka. From September to December 2002 I investigated the availability of patient education in three places on the island, and interviewed patients to determine their knowledge regarding diabetes and their motivation to learn. For the first seven weeks of the fieldwork period I was a guest at the National Diabetes Center (NDC) in Rajagiriya, the headquarters of the Diabetes Association of Sri Lanka (DASL). The research was extended to the General (teaching) Hospitals in Galle and in Peradeniya, respectively, for three and two weeks.

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Published by: Nel Otting on Jun 07, 2009
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01/20/2014

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Page 2
Table of contents
Preface............................................................................................................................41. Introduction................................................................................................................62. Sri Lanka....................................................................................................................9Geography..................................................................................................................9Early history...............................................................................................................9Colonial times..........................................................................................................11Independence...........................................................................................................12The population.........................................................................................................13Economy..................................................................................................................14Sickness and healthcare...........................................................................................153. The disease Diabetes Mellitus and patient education..............................................17The chronic disease diabetes mellitus......................................................................17Types of diabetes.....................................................................................................17Complications and symptoms..................................................................................18Therapy....................................................................................................................19Diabetes patient education; an historical overview.................................................204. Diabetes patient education; theoretical background................................................22The importance of diabetes education.....................................................................22The providers of education......................................................................................22The receivers of education.......................................................................................241. Psychosocial factors.............................................................................................252. Enabling factors...................................................................................................273. Socio-demographic factors..................................................................................275. Research questions, definitions and research design...............................................29Research questions...................................................................................................29Definitions................................................................................................................30Research design; the providers of education...........................................................31Research design; the receivers of education............................................................326. Research methods....................................................................................................34The methods applied at the NDC.............................................................................34The methods applied in the hospitals.......................................................................36Remarks on the research methods............................................................................367. The providers of education; an inventory................................................................39The National Diabetes Center and the Diabetes Association of Sri Lanka.............39Clinical services at the NDC....................................................................................39Educational services at the NDC.............................................................................40Other activities of the NDC.....................................................................................41The General (teaching) Hospitals in Galle and Peradeniya.....................................43Other sources of information...................................................................................458. The receivers of education; socio-demographic features.........................................47Sex and age distribution...........................................................................................47Ethnicity and religion...............................................................................................49Marital status and children.......................................................................................50Level of education and profession...........................................................................51Medical factors.........................................................................................................54Enabling factors.......................................................................................................559. The motivation and the diabetic knowledge of the patients....................................56
 
Page 3Oral information by doctors and nurses...................................................................56Written information and teaching sessions..............................................................57Other sources of information...................................................................................60Knowledge test results of the whole panel..............................................................63Knowledge in three places of research....................................................................66The knowledge of insulin dependent patients..........................................................6710. Psycho-social features of the respondents.............................................................69Degree of acceptance of the disease........................................................................69The locus of control.................................................................................................71Health value.............................................................................................................74Social support...........................................................................................................7611. Multivariate analyses.............................................................................................7812. Conclusions............................................................................................................84Diabetes patient education.......................................................................................84Motivation and knowledge......................................................................................85Flaws and recommendations....................................................................................86Bibliography................................................................................................................88Appendix 1...................................................................................................................91Appendix 2...................................................................................................................99Appendix 3.................................................................................................................102

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