Medical and Biological Sciences XXVI/1 - Collegium Medicum ...

Tasks of a nurse in seniors' preparation for self-care in the course of type 2 diabetes 127character. The basic part of the questionnaire consistedof 27 questions and it referred to manners in the fieldof self-care presented by seniors in the course of type 2diabetes.RESULTSAmong 60 respondents, women made 71.7%, andmen 28.3%. The biggest group consisted of seniorsaged between 71 and 80 (50% of persons underresearch). Persons at the age of 65-70 constituted 20%,and patients above 81 – 30% of the respondents. More,than a half of the researched persons (55%) lived incities, and 45% came from the countryside. Majority ofthe respondents (53.3%) had the professional educationand 18.3% - secondary education. 28.3% claimed tohave primary education. Among the researchedpersons, there were no university graduates. A largegroup of women (46.4%) and men (58.8%) claimedthat they had been suffering from diabetes for 6-10years whereas within the last 5 years, the disease wasrecognised at 39.5% of women, and 23.5% of men.Diabetes recognised within the last 11-20 yearsreferred to 17.6% of men and 11.6% of women. Only 1woman stated that the disease had been recognised inher case more than 21 years ago.Both gender and the place of residence did not havemuch influence on the self-evaluation of seniors in thefield of the preparation for self-care in the course ofdiabetes. More than a half of seniors (women- 53.5%,men -52.9%) determined their self-dependence in thefield of care rendered in relation to the disease atsatisfactory level. Men (70.6%) more often thanwomen (48.8%) stated that their family was alsoinvolved in the process of preparation for self-care.Seniors significantly more often pointed to theemployees of the hospital – the nurse and the doctor -as persons preparing them for self-dependent care inrelation to diagnosing diabetes, which is shown in tableI. Nevertheless, women more often stressedparticipation of the nurse in such activities (62.8%),whereas men – of the doctor (41.2%).Inhabitants of cities (57.6%) significantly moreoften (p=0.019) declared systematic visits of aspecialist in a diabetes outpatient clinic thaninhabitants of the countryside, who in a large part(77.8%) did not make use of such visits. Seniors fromcities also more often proved to have the knowledge ofthe usage of an injection pen and appropriate storage ofinsulin (p=0.047), as well as knowledge of reasons forhypo- and hyperglycaemia (p=0.023).Table I. Professionals preparing seniors for self-care inrelation to diagnosing diabetesTab. I. Profesjonaliści przygotowujący seniorów dosamoopieki w związku z rozpoznaniem cukrzycyProfessionalspreparing seniors forself-care in relationto diagnosing thediseaseProfesjonaliściprzygotowującyseniorów dosamoopieki wzwiązkuz rozpoznaniemchorobyFamily doctorLekarz rodzinnyDoctor in a hospitalLekarz w szpitaluNurse in a hospitalPielęgniarka wszpitaluFamily nursePielęgniarkarodzinnaTotalRazemWomenKobietyMenMężczyźnin % n %4 9.3 5 29.411 25.6 7 41.227 62.8 5 29.41 2.3 0 0.043 100.0 17 100.0p0.016Age significantly influenced the scope of selfdependenceof seniors in the field of care in the courseof diabetes. Majority of the respondents between age of65 and 70 (83.3%) evaluated their preparation for selfcareas good one, whereas the satisfactory evaluationof these abilities was stated most often (p=0.000) byolder persons between the age of 71 and 80 (60%) andmore than 81 (77.8%). In the age groups of 65-70(75%) and of 71-80 (50%), respondents more often(p=0.028) made use of preparation for self-care inresult of educational activities performed byprofessionals with the use of information brochures, aswell as presentations and exercises. Persons older than81 (66.7%) preferred individual conversations with adoctor/nurse, connected with analysis of informationmaterials. Respondents at the age of 65-70,significantly more often confirmed making use ofregular visits in the diabetes outpatient clinic(p=0.049). They also had more detailed knowledge onreasons and the substance of the disease (p=0.002),correct values of the contents of glucose in blood(p=0.017), reasons for hypo- and hyperglycaemia(p=0.024). They also more often declared to have theability to make the measurements of glucose with theuse of glucometer by themselves (p=0.001), theknowledge of rules for controlling and taking care of