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The Effects of the 2019 Lockdown for Coronavirus Disease (COVID-19) on Glycaemic Control of Patients With Type 2 Diabetes Mellitus: Implications for Nursing Education /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	The Effects of the 2019 Lockdown for Coronavirus Disease (COVID-19) on Glycaemic Control of Patients With Type 2 Diabetes Mellitus: Implications for Nursing Education // Odai Hamed Al-Ma'aitah.
作者:	Al-Ma'aitah, Odai Hamed,
面頁冊數:	1 electronic resource (520 pages)
附註:	Source: Dissertations Abstracts International, Volume: 86-09, Section: B.
提要註:	Background: Many countries, including Jordan, implemented lockdowns as a COVID-19 pandemic public health strategy. However, little is known about the effect of these strategies for diabetes self-management in people with Type 2 Diabetes Mellitus (T2DM). This study aimed to 1) synthesize the current evidence about glycaemic control and associated factors in people with T2DM in the Middle East and North Africa, 2) determine measurements indicative of glycaemic control in people with T2DM, and identify whether glycaemic control differed in people with T2DM before and after the first COVID-19 lockdown in Jordan, 3) determine factors predictive of the level of glycaemic control during the pandemic (before and after lockdown) in Jordan and 4) create a consensus of expert opinions regarding the recommendations to be drawn from the findings of this study for nursing education and practice preparation for any future pandemic.Methods: This mixed-methods study unfolded in three phases. Phase I analysed routine blood glucose data for people with T2DM from multi-regional hospitals in Jordan, comparing values six months pre-lockdown with three months post-lockdown. Phase II evaluated characteristics that might be affected by the COVID-19 pandemic and its management, investigating their influence on glycaemic management in people with T2DM. Phase III entailed a modified Delphi consultation to generate recommendations for nursing education and practice.Results: In Phase I, 323 people with T2DM were studied, mean age was 57.8 ± 11.7 years, and 51.4% were female. Post-lockdown, HbA1c values increased significantly (8% vs. 7.7%, p 7%; 78.6% vs. 68.4%, p < 0.002) compared to six months pre-lockdown. Pre-lockdown, insulin usage and hypertension were associated with poor glycaemic management; post-lockdown, insulin/Glimepiride use, severe anxiety, mild to moderate stress, higher Body Mass Index (BMI), and physical activity were associated with an increased risk of inadequate glycaemic management.In Phase II, Participants expressed fears of contracting the virus and reduced their exercise and consistency with healthy diets. During the Delphi Round, experts recommended home-based exercise programs and emphasized the essential role of telehealth systems in T2DM care. Future pandemic management plans should include home-based exercise programs and provide upskilling and systems to support telehealth delivery. There was a unanimous call for a national workshop to learn from nurses' responses to COVID-19. Experts underscored the need for adaptable nursing education and updated curricula to prepare nurses for future pandemics.Conclusion: Sanctions for COVID-19 containment in Jordan, particularly lockdowns, resulted in significant deterioration in glycaemic management among people with T2DM, highlighting the necessity to include diabetes self-care support programs in future pandemic management plans. Nursing curricula could be updated to better prepare nurses to support people with diabetes during future pandemics.
Contained By:	Dissertations Abstracts International86-09B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31876585
ISBN:	9798304988537

The Effects of the 2019 Lockdown for Coronavirus Disease (COVID-19) on Glycaemic Control of Patients With Type 2 Diabetes Mellitus: Implications for Nursing Education /
Al-Ma'aitah, Odai Hamed,

The Effects of the 2019 Lockdown for Coronavirus Disease (COVID-19) on Glycaemic Control of Patients With Type 2 Diabetes Mellitus: Implications for Nursing Education /Odai Hamed Al-Ma'aitah. - 1 electronic resource (520 pages)

Source: Dissertations Abstracts International, Volume: 86-09, Section: B.

Background: Many countries, including Jordan, implemented lockdowns as a COVID-19 pandemic public health strategy. However, little is known about the effect of these strategies for diabetes self-management in people with Type 2 Diabetes Mellitus (T2DM). This study aimed to 1) synthesize the current evidence about glycaemic control and associated factors in people with T2DM in the Middle East and North Africa, 2) determine measurements indicative of glycaemic control in people with T2DM, and identify whether glycaemic control differed in people with T2DM before and after the first COVID-19 lockdown in Jordan, 3) determine factors predictive of the level of glycaemic control during the pandemic (before and after lockdown) in Jordan and 4) create a consensus of expert opinions regarding the recommendations to be drawn from the findings of this study for nursing education and practice preparation for any future pandemic.Methods: This mixed-methods study unfolded in three phases. Phase I analysed routine blood glucose data for people with T2DM from multi-regional hospitals in Jordan, comparing values six months pre-lockdown with three months post-lockdown. Phase II evaluated characteristics that might be affected by the COVID-19 pandemic and its management, investigating their influence on glycaemic management in people with T2DM. Phase III entailed a modified Delphi consultation to generate recommendations for nursing education and practice.Results: In Phase I, 323 people with T2DM were studied, mean age was 57.8 ± 11.7 years, and 51.4% were female. Post-lockdown, HbA1c values increased significantly (8% vs. 7.7%, p 7%; 78.6% vs. 68.4%, p < 0.002) compared to six months pre-lockdown. Pre-lockdown, insulin usage and hypertension were associated with poor glycaemic management; post-lockdown, insulin/Glimepiride use, severe anxiety, mild to moderate stress, higher Body Mass Index (BMI), and physical activity were associated with an increased risk of inadequate glycaemic management.In Phase II, Participants expressed fears of contracting the virus and reduced their exercise and consistency with healthy diets. During the Delphi Round, experts recommended home-based exercise programs and emphasized the essential role of telehealth systems in T2DM care. Future pandemic management plans should include home-based exercise programs and provide upskilling and systems to support telehealth delivery. There was a unanimous call for a national workshop to learn from nurses' responses to COVID-19. Experts underscored the need for adaptable nursing education and updated curricula to prepare nurses for future pandemics.Conclusion: Sanctions for COVID-19 containment in Jordan, particularly lockdowns, resulted in significant deterioration in glycaemic management among people with T2DM, highlighting the necessity to include diabetes self-care support programs in future pandemic management plans. Nursing curricula could be updated to better prepare nurses to support people with diabetes during future pandemics.

English

ISBN: 9798304988537Subjects--Topical Terms:

186574
Nursing.
Subjects--Index Terms:

Glycaemic control

The Effects of the 2019 Lockdown for Coronavirus Disease (COVID-19) on Glycaemic Control of Patients With Type 2 Diabetes Mellitus: Implications for Nursing Education /
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