Abstract
Background:Although enthusiasm is growing for diabetic education programs for older people, data regarding their effectiveness and their long-term impact on self-management were neglected.Purpose:To systematically review diabetes mellitus education that has long-term effects on the self-management of older diabetic people.Data Sources:The authors searched multiple sources dated through September 2012, including the Cochrane Library, MEDLINE, PsycINFO, Nursing and Allied Health databases, and the bibliographies of 50 previous reviews.Methods and Data Extraction:Electronic databases were searched for controlled studies in English, published from 1987 to 2012, assessing the effects of long-term education for older people. Reviewers extracted study data using a structured abstraction form. Aggregated information about the effects of long-term education programs on older people with diabetes was used for making adjustments in the review.Results:The pooled estimate of the long-term effects of education was a 0.5 percentage point reduction (95% confidence interval), modest but significant improvement. The evidence also supports that long-term education is beneficial for improving diabetic patient self-care management in terms of glycemic control.
Highlights
Chronic diseases are the main cause of death in the population today
There were some new findings located that suggest that in the last 10 years, most concepts related to health care or education programs mostly focused on the professional perspective which concentrated on ways to tell the patient to do whatever that the health care team had knowledge of but was not concerned about patient satisfaction and all other factors that may be associated with diabetes
There are some studies that have supported the idea that patient education diabetes education can be provided as an effective program through new technology such as telemedicine
Summary
Chronic diseases are the main cause of death in the population today. In a recent study, it was argued that since the beginning of the 20th century, the relative distribution of somatic illness in the population has changed and today chronic illnesses predominate. Diabetes potentially leads to disability and death for the people who have been diagnosed with it, as well as affects their family, who may have difficulties maintaining normal family life This is because diabetes is a difficult condition to live with, and it is essential that the patient has knowledge about their illness in order to be able to control and cope with their situation, otherwise it might cause long-term complications. Even today with advances in medical technology and the large amounts of research that have been done to establish supporting evidence to try addressing this problem, the number of people who have been diagnosed is still increasing every year This will become a significant problem if we cannot control the progression of the disease. Data Sources: The authors searched multiple sources dated through September 2012, including the Cochrane Library, MEDLINE, PsycINFO, Nursing and Allied Health databases, and the bibliographies of 50 previous reviews
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