title: Implementing diabetes self-management education (DSME) in a Nigerian population: perceptions of practice nurses and dieticians.
abstract: Hyperglycaemic complication is the most common cause of hospitalization amongst diabetes patients in Nigeria. Research showed that diabetes self-management education (DSME) assists in controlling hyperglycaemia in diabetes patients. We assessed the opinions of practice nurses and dieticians on implementing DSME in a Nigerian population. 517 nurses and dieticians completed a self-administered questionnaire tool. Results showed that the majority of the participants agreed that DSME in a Nigerian population will assist patients (88.3%) and assist to reduce diabetes complications (91.4%). While only 34% of all participants believed that their establishments were prepared to implement DSME, a large proportion of the participants agreed that their work places do not have enough qualified health personnel (62.4%), educational facilities (65.8%) and economic resources (65.6%) to embark on DSME. These constitute significant barriers for effective DSME and demand that strategic investment in human and material resources for DSME is needed in this population of a developing country.
authors.affiliation: Faculty of Health Sciences and Technology, Nnamdi Azikiwe University , Nnewi Campus , Nigeria , and.
authors.forename: Clementina U
authors.initials: CU
authors.lastname: Nwankwo
authors.forename: Chidum E
authors.initials: CE
authors.lastname: Ezenwaka
authors.forename: Philip C
authors.initials: PC
authors.lastname: Onuoha
authors.forename: Nneka R
authors.initials: NR
authors.lastname: Agbakoba
mesh_terms: D000328:Adult; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D009722:Nurse Practitioners / Q000523:psychology*; D064686:Nutritionists / Q000523:psychology*; D010353:Patient Education as Topic; D012648:Self Care / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
chemical_list: D007004:Hypoglycemic Agents
keywords: Developing countries; diabetes complications; diabetes education; diabetes self-management