Volume 24, Issue 105, September - October, 2020

Consumer-Oriented Evaluation of the Clinical Service Provided in Diabetic Health Education: A Prospective Observational Study

Yasser Sabr^♦

Assistant Professor, Consultant Maternal Fetal Medicine Division, Department of Obstetrics and Gynaecology, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia / Prince Sattam Bin Abdul Aziz Research Chair for Epidemiology and Public Health, College of Medicine, Riyadh, King Saud University, Saudi Arabia

^♦Corresponding author
Yasser Sabr, MBBS, MHSc, MMEd. Assistant Professor, Consultant Maternal Fetal Medicine Division, Department of Obstetrics and Gynaecology, King Khalid University Hospital, College of Medicine, King Saud University, P.O BOX 376588, Riyadh 11335, Saudi Arabia. Email: ysabr@ksu.edu.sa Phone +966 11 4692859, Mobile +966 505 496628

ABSTRACT

Background: Lack of knowledge and understanding about diabetes are important barriers to cure. Treatment of diabetes alone without education is not sufficient. Patient education could meet us today on our cell phones. Aim: Our aim is to establish an educational model for diabetic patients and evaluate its effectiveness in the clinical patient outcome. The theme of this study is diabetes education. And to know how far the prompt well-structured education could affect the clinical status and the quality of life of a poorly controlled diabetic patients. Methods: 702 patients with type 1 diabetes were followed for 2 years (2019, 2020), by condensed friendly education and training sessions. A conventional model groups (498 patients) were enrolled as comparative group. Our activities were mainly through direct individual approach and social media, structured in the form of visits. The study was done in a specialized clinics of diabetes (SDC) in a tertiary university hospital. We evaluated the clinical status, psychological, sociocultural and satisfaction of the patients, pre and post education, through patient satisfaction survey. We assessed our patients at the beginning of the study, throughout, and at the time of discharge. Quantitative and qualitative data were compared statistically by paired t test and chi-square test at 0.05 level of significance. Results: Patients were evaluated 2 years after the interventional program. 96.7% of our patients were completely satisfied by what they have achieved through this project. The average HbA1C become less than eight in 54% of patients. Mean HbA1C drop was 2.7%. Patients with HbA1C 8-9%, BP <140/80, and LDL <3.36 mmol/l, were 46%, 51% and 79% respectively. Normal mean blood pressure of 56% of participants were 132/77. The mean LDL level of 71% of participants was 2.25. Of the participants, 27% had mean discharge of HbA1c of 7.3. Net promotor score of SDC was 85%, were promotors, passives and detractors were 87.8%, 9.5% and 2.8% respectively, P-value <0.05. Conclusion: Training and selfmanagement assistance services are cost-effective and preferable to routine treatment. Education programs were more effective in lowering HbA1c. The attendees would find it useful and pleasant.

Keywords: Diabetic; Patients; Care; Model; Educational; Chronic

Medical Science, 2020, 24(105), 3623-3638

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