Determination of learning requirements of stroke patients with type 2 diabetes in Turkey sample

Authors

  • Gonca Şengül Can T.C. Usküdar University, Institute of Health Sciences, Internal Medicine Nursing, Istanbul, Turkey; Alanya Alaaddin Keykubat University, Turkey
  • Pelin Uymaz T.C. Usküdar University, Institute of Health Sciences, Internal Medicine Nursing, Istanbul, Turkey; Alanya Alaaddin Keykubat University, Turkey https://orcid.org/0000-0002-3535-6141

DOI:

https://doi.org/10.22141/2224-0721.17.4.2021.237345

Keywords:

diabertes mellitus, stroke, patient learning needs, nursing, discharge

Abstract

Background. In the 8th Diabetes Atlas of IDF, it was determined that the diabetes prevalence of Turkey between the ages of 20–79 in 2017 was 12.8 %, IGT was 7.4 %, and diabetes health expenditures were 5.445 million dollars. This study aimed to determine the learning needs and the factors affecting the need for discharge training in patients with stroke. Materials and methods. This is a descriptive and cross-sectional study with 109 patients consisting the study sample. The study population consisted of stroke patients who were hospitalized in the Neurology Department of a university hospital between April 15 and September 15, 2018. The data were obtained using the Introductory Information Form and and the Turkish version of the “Patient Learning Needs Scale (PLNS)” by the researchers. Analysis of the data can be accessed from the computer. Results. The mean total PLNS score was 200.43 ± 34.77 (204). The drugs sub-dimension had a high importance level in the sub-dimension mean scores, and the community and follow-up sub-dimension had the lowest score with “3.63” in the significance level of sub-dimension mean scores. According socio-demographic characteristics and PLNS, among the groups, the differences were found to be statistically significant in the “Community and Monitoring” and “Skin Care” sub-dimesions. The “place”, sub-dimension of “Treatment and Complications” was found to be statistically significant. The “Health Illness” of the patients and the distribution of PLNS, “Medicines, Daily Life Activities, Community and Monitoring, Treatment and Complications, Skin Care and the difference of Total Scale Score were found to be statistically significant. İn the situation of discharge training given by whom, all sub-dimensions of the scale were found to be statistically significant regarding who the training was received from (p < 0.05). Conclusion. Consequently, the learning needs of patients with stroke were found to be high; thus, individual-specific training should be given in patient discharge education planning.

Downloads

Download data is not yet available.

References

Cramer SC, Wolf SL, Adams HP Jr, et al. Stroke Recovery and Rehabilitation Research: Issues, Opportunities, and the National Institutes of Health StrokeNet. Stroke. 2017 Mar;48(3):813-819. doi:10.1161/STROKEAHA.116.015501.

Avan A, Digaleh H, Di Napoli M, et al. Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017. BMC Med. 2019 Oct 24;17(1):191. doi:10.1186/s12916-019-1397-3.

Campbell GB, Skidmore ER, Whyte EM, Matthews JT. Overcoming practical challenges to conducting clinical research in the inpatient stroke rehabilitation setting. Top Stroke Rehabil. 2015 Oct;22(5):386-95. doi:10.1179/1074935714Z.0000000045.

Clare CS. Role of the nurse in stroke rehabilitation. Nurs Stand. 2018 Oct 1;33(7):59-66. doi:10.7748/ns.2018.e11194.

Clare CS. Role of the nurse in acute stroke care. Nurs Stand. 2020 Apr 1;35(4):68-75. doi:10.7748/ns.2020.e11482.

Hong SE, Kim CH, Kim EJ, et al. Effect of a Caregiver's Education Program on Stroke Rehabilitation. Ann Rehabil Med. 2017 Feb;41(1):16-24. doi:10.5535/arm.2017.41.1.16.

Dudka S, Winczewski P, Janczewska K, Kubsik A, Woldańska-Okońska M. The education influence on effects of rehabilitation in patients after stroke. Pol Merkur Lekarski. 2016 Nov 25;41(245):225-230. (in Polish).

Weiss ME, Sawin KJ, Gralton K, et al. Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children. J Pediatr Nurs. 2017 May-Jun;34:58-64. doi:10.1016/j.pedn.2016.12.021.

Hoek AE, Anker SCP, van Beeck EF, Burdorf A, Rood PPM, Haagsma JA. Patient Discharge Instructions in the Emergency Department and Their Effects on Comprehension and Recall of Discharge Instructions: A Systematic Review and Meta-analysis. Ann Emerg Med. 2020 Mar;75(3):435-444. doi:10.1016/j.annemergmed.2019.06.008.

Thomas DG, Bradley L, Servi A, et al. Parental Knowledge and Recall of Concussion Discharge Instructions. J Emerg Nurs. 2018 Jan;44(1):52-56. doi:10.1016/j.jen.2017.04.012.

Emes M, Smith S, Ward S, Smith A. Improving the patient discharge process: implementing actions derived from a soft systems methodology study. Health Syst (Basingstoke). 2018 Oct 2;8(2):117-133. doi:10.1080/20476965.2018.1524405.

Trombley MJ, Hassol A, Lloyd JT, et al. The Impact of Enhanced Critical Care Training and 24/7 (Tele-ICU) Support on Medicare Spending and Postdischarge Utilization Patterns. Health Serv Res. 2018 Aug;53(4):2099-2117. doi:10.1111/1475-6773.12821.

Coffey A, Leahy-Warren P, Savage E, et al. Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review. Int J Environ Res Public Health. 2019 Jul 10;16(14):2457. doi:10.3390/ijerph16142457.

Emes M, Smith S, Ward S, Smith A. Improving the patient discharge process: implementing actions derived from a soft systems methodology study. Health Syst (Basingstoke). 2018 Oct 2;8(2):117-133. doi:10.1080/20476965.2018.1524405.

Li RC, Xu WD, Lei YL, et al. The risk of stroke and associated risk factors in a health examination population: A cross-sectional study. Medicine (Baltimore). 2019 Oct;98(40):e17218. doi:10.1097/MD.0000000000017218.

Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends. J Epidemiol Glob Health. 2020 Mar;10(1):107-111. doi:10.2991/jegh.k.191028.001.

Saeedi P, Petersohn I, Salpea P, et al; IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. doi:10.1016/j.diabres.2019.107843.

Yılmaz MB, Kılıçkap M, Abacı A, et al. Temporal changes in the epidemiology of diabetes mellitus in Turkey: A systematic review and meta-analysis. Turk Kardiyol Dern Ars. 2018 Oct;46(7):546-555. doi:10.5543/tkda.2018.88225. (in Turkish).

Bubela N, Galloway S, McCay E, et al. The Patient Learning Needs Scale: reliability and validity. J Adv Nurs. 1990 Oct;15(10):1181-7. doi:10.1111/j.1365-2648.1990.tb01711.x.

Oren B, Zengin N, Yildiz N. The Turkish adaptation of scale to measure patient perceptions of the quality of nursing care and related hospital services: A validity and reliability study. North Clin Istanb. 2017 Jan 25;3(3):187-193. doi:10.14744/nci.2016.42650.

Du HS, Ma JJ, Li M. High-quality Health Information Provision for Stroke Patients. Chin Med J (Engl). 2016 Sep 5;129(17):2115-22. doi:10.4103/0366-6999.189065.

Guven B, Ibrahimoglu O, Elbuken B. Learning Needs of Patients and Their Caregivers After Ambulatory Surgery. J Perianesth Nurs. 2020 Jun;35(3):283-287. doi:10.1016/j.jopan.2019.10.012.

Temiz Z, Ozturk D, Ugras GA, Oztekin SD, Sengul E. Determination of Patient Learning Needs after Thyroidectomy. Asian Pac J Cancer Prev. 2016;17(3):1479-83. doi:10.7314/apjcp.2016.17.3.1479.

Omari A, Troelsen A, Husted H, Nielsen CS, Gromov K. Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system. World J Orthop. 2020 Oct 18;11(10):431-441. doi:10.5312/wjo.v11.i10.431.

Mosleh SM, Eshah NF, Darawad M. Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan. Int Nurs Rev. 2016 Dec;63(4):562-571. doi:10.1111/inr.12318.

Downloads

Published

2021-06-29

How to Cite

Şengül Can, G., & Uymaz, P. (2021). Determination of learning requirements of stroke patients with type 2 diabetes in Turkey sample. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), 17(4), 308–314. https://doi.org/10.22141/2224-0721.17.4.2021.237345

Issue

Section

Original Researches