Department of Nursing Science, School of Health Care Sciences, University of Limpopo, Polokwane 0700, South Africa.
Faculty of Health Sciences, University of Limpopo, Polokwane 0700, South Africa.
Int J Environ Res Public Health. 2020 Dec 11;17(24):9263. doi: 10.3390/ijerph17249263.
In South Africa (SA), home-based carers (HBCs) play a crucial role at the community level for non-communicable diseases (NCDs) including diabetes mellitus (DM) public health care. The work of HBCs requires them to be knowledgeable about diabetes, and lack of knowledge has implications on their roles for the provision of health information and dietary advice. HBCs need to be provided with specific training to develop their knowledge and skills necessary to enable them to provide care to people with diabetes (PWD) because organizations need to benefit from a pool of well-trained HBCs. Therefore, a training program was developed to improve care for chronic conditions based on local needs.
To implement and evaluate the training program for the HBCs for PWD in Ga-Dikgale village.
HBCs working at Ga- Dikgale villages in four clinics-namely, Dikgale, Seobi Dikgale, Sebayeng, and Makotopong-participated voluntarily. Fifty-five (55) HBCs who attended the training program completed satisfaction survey tools, and furthermore, 45 HBCs completed both pre-training and post-training knowledge questionnaires. Training divided into two sessions which each lasted for two days was conducted. Satisfaction with the training, improvement of knowledge, and perceived impact on daily practice were evaluated using both qualitative and quantitative approaches.
Quantitative results indicate that 72% had poor knowledge of pre-training and only 9% post-training. They scored more in a post-test with the following differences: Post-test (mean = 6.00, SD = 1.26); pre-test (mean = 3.31, SD = 1.77). The -test results indicated the difference to be significant, t = -9.241, = 0.000. From the qualitative results, the themes that emerged during data analysis from group discussions were HBCs' achievements from the training, challenges related to diabetes and diet, and suggestions for further training.
A context-specific training increased diabetes knowledge among the HBCs for PWD. The results highlighted the importance of training in improving the knowledge of HBCs about the care of PWD. The improvement in diabetes knowledge among HBCs needs to be maintained and sustained to achieve major health benefits for PWD.
在南非（SA），家庭护理员（HBC）在社区一级对包括糖尿病（DM）在内的非传染性疾病（NCD）的公共医疗保健起着至关重要的作用。HBC 的工作要求他们了解糖尿病，而缺乏知识会影响他们提供健康信息和饮食建议的角色。需要为 HBC 提供特定的培训，以发展他们提供糖尿病患者（PWD）护理所需的知识和技能，因为组织需要受益于一群训练有素的 HBC。因此，开发了一项培训计划，以根据当地需求改善对慢性病的护理。
在 Ga-Dikgale 村实施和评估针对 PWD 的 HBC 培训计划。
在 Ga-Dikgale 村的四个诊所，即 Dikgale、Seobi Dikgale、Sebayeng 和 Makotopong 工作的 HBC 自愿参与。55 名参加培训计划的 HBC 完成了满意度调查工具，此外，45 名 HBC 完成了培训前和培训后的知识问卷。培训分为两部分，每部分持续两天。使用定性和定量方法评估对培训的满意度、知识的提高以及对日常实践的感知影响。
定量结果表明，72%的人对培训前的知识了解较差，只有 9%的人在培训后了解。他们在测试中得分更高，以下是具体差异：后测（平均值=6.00，标准差=1.26）；前测（平均值=3.31，标准差=1.77）。t 检验结果表明差异显著，t=-9.241， =0.000。从定性结果来看，在数据分析期间从小组讨论中出现的主题是 HBC 从培训中取得的成就、与糖尿病和饮食相关的挑战以及对进一步培训的建议。
特定于上下文的培训提高了 PWD 的 HBC 对糖尿病的知识。结果强调了培训在提高 HBC 对 PWD 护理知识方面的重要性。需要维持和保持 HBC 对糖尿病知识的提高，以实现对 PWD 的重大健康益处。
