Effectiveness of a health promotion programme for farmers and fishermen with type-2 diabetes in Taiwan.
J Adv Nurs
; 67(9): 2060-7, 2011 Sep.
Article
em En
| MEDLINE
| ID: mdl-21535092
ABSTRACT
AIMS:
This paper is a report of a study examining the diabetes control and foot self-care capability in farmers and fishermen following introduction of a multi-stage, multi-disciplinary team and community-based small group health promotion programme.BACKGROUND:
Improving the control of diabetes is a critical issue in Taiwan because mortality rates are increasing dramatically, particularly in rural populations.METHODS:
A quasi-experimental research design was deployed from January to December 2009. A total of 387 participants living in nine rural districts with previous diagnoses of type-2 diabetes were randomly selected. Three hundred and twenty-three completed the 3-stage programme, including health assessment, health promotion education and individually tailored telephone counselling and evaluation over a 1-year period.RESULTS:
Most of the participants were fishermen or farmers who had <6 years of education (79%) and were elders (68·9 ± 9·5 years). Most of the physiological variables and foot self-care capabilities showed statistically significant improvement after the programme. Furthermore, 37 participants with severe high risk of diabetic foot accepted additional referral treatments, and their peripheral nerve and vascular functions improved.CONCLUSION:
The research outcomes support the value of community-based health promotion programmes in rural areas, incorporating a multidisciplinary health team and culturally competent materials to help the elder rural inhabitants with diabetes enjoy better health and quality of life.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pé Diabético
/
Serviços de Saúde Comunitária
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Agricultura
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Diabetes Mellitus Tipo 2
/
Promoção da Saúde
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Evaluation_studies
/
Incidence_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Adv Nurs
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Taiwan