Zeitschrift für fortgeschrittene Praktiken in der Krankenpflege

Introduction: Diabetes represents a real public health problem due to its increasing frequency, morbidity, mortality and economic cost. The process of teaching individuals to manage their diabetes was considered an important part of clinical management. The objective of this study is to evaluate the effects of a therapeutic education program for type 2 diabetic patients on their sense of self-efficacy and on their self-care behaviors and on their glycemic control (HbA1c).

Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who were randomly divided into two groups, experimental group and control group. The study was carried out at the outpatient endocrinology department of La Rabta University Hospital in Tunis. Data were assessed by three tools, a questionnaire for sociodemographic data, DMSES for self-efficacy and DSCAS for self-care behaviors. The therapeutic education program was set up for the experimental group, then after the intervention, the results were analyzed by the Spss-22 software.

Results: Compared to the control group, participants in the experimental group showed an improvement in self-efficacy, self-care behaviors, and HbA1c levels.

Conclusion: The results showed an improvement in the experimental group in terms of self-care behaviors, feelings of self-efficacy and HbA1c levels. There is great interest in developing therapeutic education programs aimed at supporting patients in the management of their diabetes. These programs must be specific to each topic of diabetes, over a large hourly volume. It is desirable to evaluate the contribution of these programs in the short and long term.

Coronavirus is a profoundly infectious sickness brought about by the respiratory Covid SARS-CoV-2. In late 2019, the infection spread rapidly, influencing the wellbeing of many individuals all over the planet. On 11 Walk 2020, the World Wellbeing Association (WHO) proclaimed a pandemic. The main instance of SARS-CoV-2 contamination in Poland was accounted for on 4 Walk 2020, in the western piece of the nation.

Background: Expecting and keeping away from preventable intrahospital heart failure and clinical crumbling are significant needs for global medical services frameworks and organizations. One of the universally followed techniques to further develop this matter is the presentation of the Fast Reaction Frameworks (RRS). Despite the fact that there is huge proof from the global local area, the proof detailed in a Spanish setting is scant.

Methods: A cross country cross-sectional examination comprising of an intentional 31-question online study was performed. The Spanish Society of Serious, Basic and Coronary Consideration Medication (SEMICYUC) upheld the examination.

Results: We got 62 completely finished overviews disseminated inside 13 of the 17 areas and two independent urban communities of Spain. 32 of the members had a laid out Quick Reaction Group (RRT). Normal recurrence on estimating indispensable signs was somewhere around once per shift however different frequencies were mulled over (48.4%), generally founded on proficient standards (69.4%), as just 12 (19.4%) focuses utilized Early Admonition Scores (EWS) or computerized cautions on strange boundaries. In the example, specialists, medical caretakers (55%), and other medical services experts (39%) could actuate the RRT through phone, yet just 11.3% of the example authorized this at early indications of weakening. The responders on the RRT are the Emergency unit), (specialists, and medical attendants, who are accessible day in and day out more often than not. Concerning the instruction and preparing of general ward staff and RRT individuals, this differs from essential to cutting edge and explicit specific level, reproducing a developing instructive procedure among members. An extraordinary number of members have crisis revival gear (drugs, aviation route assistants, and defibrillators) in their general wards. As far as quality improvement, just 50% of the example enlisted RRT action pointers. Concerning the utilization of correspondence and cooperation strategies, the most utilized is clinical post-op interview in 29 communities.

Conclusions: As far as the idea of RRS, we found in our setting that we are in the beginning phases of the foundation cycle, as it isn't yet a summed up idea in the greater part of our clinics. The focuses that have it are in still during the time spent developing the framework and adjusting to our unique situation.