• citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:63
  • full-text downloads in 30 days:46


article: 1 from 27  
Back back to result list
2021, vol. 24, iss. 83, pp. 19-25
Structured education of patient with diabetes: A review of organizational and methodological strategies and success factors
aVisoka škola strukovnih studija u Subotici, Departman za Biomedicinske nauke, Subotica
bUniversity of Novi Sad, Faculty of Medicine, Department of Nursing, Serbia
All diabetic patients must take part in structured education to acquire the knowledge, skills and abilities needed for self-management, self-control, and change in health behaviors, to achieve ideal glucoregulation. This is of particular importance for patients with type 2 diabetes, which is associated with an inadequate lifestyle and accounts for up to 90% of all diabetes. Structured education must consider the organizational and methodological conditions and criteria of the American Diabetes Association. Education can be realized as an individual, group, or combined form of work, with clearly defined goals and outcomes. The public health approach is focused on working in small groups, due to cost-effectiveness and efficiency, which may reach more participants. The education provider may be one or more healthcare professionals, as a team. Duration of education is an important success factor, with each hour of education are resulting in a 0.04% reduction in HbA1c levels. Consequently, education of more than 10 hours has the best results in the greatest number of participants. Interactive work, active patient involvement in education, problem-solving, and group discussions promote effective education and metabolic control. However, in addition to hiring healthcare professionals, successful education requires patient participation in a constant change in life habits, and this depends on many factors: personal attitudes, health beliefs, awareness of illness and health, skills, life priorities, financial resources, family support, workplace and community. Therefore, there is a need to empower patients, motivate them to act, develop and implement the recommended behavior in daily life, for the maintenance of good health and the prevention of long-term complications of diabetes.
*** (2011) Diabetes in Adults: Quality Standard. London: National Institute for Health and Care Excellence, [updated Aug 2016; cited Aug 2016], Available from:
*** (2012) Proces zdravstvene njege bolesnika sa diabetes melitusom. Rauché zdravstveni časopis, 1 [cited Aug 2016]. Available from:
Adam, L., O'Connor, C., Garcia, A.C. (2018) Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. Can J Diabetes, 42(5): 470-477
American Diabetes Association (2019) Standards of Medical Care in Diabetes - 2019: Abridged for Primary Care Providers. Diabetes Care, 42(Suppl 1): S1-S178
Božić, A., Brestovački-Svitlica, B., Milutinović, D. (2015) Teorijski model samonege Doroteje Orem i mogućnosti njene primene. Sestrinska reč, vol. 19, br. 72, str. 2-3
Chrvala, C.A., Sherr, D., Lipman, R.D. (2016) Diabetes Self-management Education for Adults with Type 2 Diabetes Mellitus: A Systematic Review of the Effect on Glycemic Control. Patient Educ Couns, 99(6): 926-943
Grillo, M.F., Neumanna, C.R., Scaina, S.F., Rozenoc, R.F., Grossb, J.L., Leitãob, C.B. (2013) Effect of Different Types of Self-management Education in Patients with Diabetes. Rev Assoc Med Bras, 59(4): 400-405
Gwen, H. (2008) Structured Education in Diabetes. Journal of Practice Nurse, 36(5): 35-35
Hidvégi, T. (2015) Az edukációról és a betegek segítéséről 2-es típusú diabetesben. Diabetologia Hungarica, 13(4): 229-234
Hídvégi, T. (2011) Páciensedukáció - a cukorbeteg gondozás nélkülözhetetlen eleme. Orv hetil, 152: 1941-1948
Irwan, A.M., Kato, M., Kitaoka, K., Kido, T., Taniguchi, Y., Shogenji, M. (2016) Self-care Practices and Health-seeking Behavior Among Older Persons in a Developing Country: Theories-based Research. Int J Nurs Sci, 3(1): 11-23
Mensing, C.R., Norris, S.L. (2003) Group Education in Diabetes: Effectiveness and Implementation. Diabetes Spectrum, 16(2): 96-103
Ministartsvo zdravlja Republike Srbije (2009) Uredba o nacionalnom programu prevencije i rane detekcije tipa 2 dijabetesa. Službeni glasnik Republike Srbije, br. 17
Olry, D.L.L.A., Bermúdez, T.C., Pastor, M.G., Bolívar, M.J., Ruiz, P.I., Johri, M., et al. (2017) Effectiveness of an Intervention to Improve Diabetes Self-management on Clinical Outcomes in Patients with Low Educational Level. Gac Sanit, 31(1): 40-47
Powers, M.A., Bardsley, J., Cypress, M., Duker, P., Funnel, M.M., Fischl, A.H., et al. (2015) Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Educ, 20(10): 1-14
Rodriguez, K.M. (2013) Intrinsic and Extrinsic Factors Affecting Patient Engagement in Diabetes Self-Management: Perspectives of a Certified Diabetes Educator. Clin Ther, 35(2): 170-178
Simon-Tuval, T., Shmueli, A., Harman-Boehm, I. (2016) Adherence to Self-Care Behaviors among Patients with Type 2 Diabetes: The Role of Risk Preferences. Value Health, 16(6): 844-851
Sinclair, A.J. (2013) Diabetes Education-key Principles of Individual or Group Participation. Medicographia, 114(35): 35-39
Stanford Medicine (2017) Diabetes Self-Management Program. California, USA: Stanford Patient Education Research Center, [updated 2017; cited Jun 2017], Available from:
Sun, Y., You, W., Almeida, F., Estabrooks, P., Davy, B. (2017) The Effectiveness and Cost of Lifestyle Interventions Including Nutrition Education for Diabetes Prevention: A Systematic Review and Meta-Analysis. J Acad Nutr Diet, 117(3): 404-421
Špehar, B., Maćešić, B. (2013) Patronažna zdravstvena zaštita osoba oboljelih od šećerne bolesti. Sestrinski Glasnik, 18: 215-224
Teixeira, A.M., Tsukamoto, R., Lopes, C.T., Silva, C.G.E. (2017) Risk Factors for Unstable Blood Glucose Level: Integrative Review of the Risk Factors Related to the Nursing Diagnosis. Rev Lat Am Enfermagem, 25: 2893-2893
Teixeira, C.R.S., Zanetti, M.L., Pereira, M.C.A. (2009) Nursing Diagnosis in People with Diabetes Mellitus According to Orem's Theory of Self-care. Acta Paul Enferm, 22(4): 385-391
The National Institute of Diabetes and Digestive and Kidney Diseases (2018) National Diabetes Education Program: Guiding Principles for the Care of People with or at Risk for Diabetes (a program of National Institutes of Health & Centers for Disease Control and Prevention). Bethesda, Maryland, USA: U.S. Department of Health and Human Services, [updated Aug 2018, cited Mart 2019], Retrieved from
Thojampa, S., Mawn, B. (2017) The Moderating Effect of Social Cognitive Factors on Self-management Activities and HbA1c in Thai Adults with Type-2 Diabetes. Int J Nurs Sci, 4(1): 34-37
Ünsal-Avdal, E., Arkan, B. (2014) Individual and Group Education in Diabetes and Outcomes. Aquichan, 14(2): 138-147
Wallace, A.S., Perkhounkova, Y., Sussman, A.L., Hein, M., Chung, S.J., Tripp-Reimer, T. (2016) Implementation of Collaborative Goal Setting for Diabetes in Community Primary Care. Transl Behav Med, 6(2): 202-211
Weaver, R.R., Lemonde, M., Payman, N., Goodman, W.M. (2014) Health Capabilities and Diabetes Self-management: The Impact of Economic, Social, and Cultural Resources. Soc Sci Med, 102: 58-68
Wichit, N., Mnatzaganian, G., Courtney, M., Schulz, P., Johnson, M. (2017) Randomized Controlled Trial of a Family-oriented Self-management Program to Improve Self-efficacy, Glycemic Control and Quality of Life Among Thai Individuals with Type 2 Diabetes. Diabetes Res Clin Pract, 123: 37-48


article language: Serbian
document type: Review Paper
DOI: 10.5937/sestRec2183019P
received: 26/11/2021
accepted: 20/01/2022
published in SCIndeks: 19/02/2022
Creative Commons License 4.0

Related records

No related records