Solution Essay Example | Topics and Well Written Essays - 2250 words

Solution - Essay Example It is essential to redesign healthcare intervention toward diabetic patients, increasing their self-care behavior; especially for workers and the elderly (Bandura, 1997), and education is one key prevention strategy (Jun-Qiao Wang, 1997). Early education enables patients to prevent the disease while reducing the expense of healthcare. Many diabetic patients don't understanding the value of self-care, and helping them acquire the skills to manage their condition is important. According to the International Diabetes Alliance (IDA), more than half of diabetics know nothing about diabetes, and the American disease control center estimates 50% - 80% of diabetes complications can be prevented. Surveys show 58% of diabetics are confused by doctors' instruction, and 35% have damaged their health by not following those instructions. Also, 88% of diabetic patients gain primary knowledge from their doctors while only 9% receive it from nurses. The relationship between nurse and diabetic patient is essential; in developed countries, most diabetes education is gained through nurses rather physicians. Medication alone cannot control diabetes, and lifestyle education enables the patient to increase self-management more effectively (Li, 2002). Physical activity can reduce the risk factors, and the Daqing study shows that lifestyle intervention can improve insulin resistance by 46%. The U.S. DPP experiment showed that among 3,200 cases, lifestyle intervention reduced the incidence of diabetes by 58%. Medical intervention is less effective compared to lifestyle intervention (Pan Lizhen, Chinese Nursing Research, 2004). Liu shows intervention is able to reduce glucose and increase the sensitivity of insulin, among other benefits (Liu, 2001), while another survey reveals a 40% decrease (Bing, 2005). Just 30 minutes of walking daily can reduce the level of glucose, and large studies in other nations have recently demonstrated that exercise reduces the incidence of diabetes by more than 50%. Patients: In China, diabetic patients tend to trust drug advertisements rather than healthcare professionals, and many think the side effects of western medicine are stronger than traditional Chinese therapies. Some believethink that the more expensive the medicine, the better health outcome they can achieve; which is a huge economic burden (Jia Fen, Wang Jun, Shanghai University). Most diabetic patients are worried about having an incurable disease, long term injections of insulin, and other factors. Chinese studies show older diabetic patients dislike the outpatient service due to administration and waiting times, while others dislike the inpatient services because of unfamiliar environments. Richard Donnelly shares that most patients in China prefer to use traditional Chinese therapies, and many prefer to combine the best of traditional Chinese with Western treatment. Behavior: Ming Yeong Tan (2003) says that lack of adherence to self-care behaviors requires lifestyle changes for long-term management, and identifying the barriers to behavior is important. It is vital to increase educational programs on patient behavior to improve the quality of life. Health System: In China, health management is