Kainat Asmat - Academia.edu (original) (raw)

Papers by Kainat Asmat

Diabetes, Metabolic Syndrome and Obesity

Background: The rising burden of type 2 diabetes mellitus (DM) and its associated complications i... more Background: The rising burden of type 2 diabetes mellitus (DM) and its associated complications is affecting the functional capacity of the individuals, their quality of life and demand for healthcare services with significant economic impact on health care systems and the national economies. Given the enormous health and economic impact, preventing type 2 DM progression and reducing the risk of complications require immediate attention. Evidence from western countries suggests that self-management can slow the progression of type 2 DM and minimize the risk of major complications lowering health-care costs. Effective self-management, however, demands patients' confidence and their full commitment to perform self-care tasks necessitating a patient-centered approach. This study aims to test the efficacy of a patient-centered self-management intervention to improve glycemic control, self-efficacy and self-care behaviors in adults with type 2 DM. Patients and Methods: The study will be carried out as a parallel arm, randomized, controlled trial in four public tertiary care hospitals in Faisalabad, Pakistan. A total of 612 patients with type 2 DM will be recruited and randomly assigned to two groups: a control and an intervention group. The intervention group will receive a patient-centered self-management intervention for eight weeks duration. Subjects will be followed up for three months. The primary outcome will be glycemic control (HbA1c), and secondary outcome variables will include self-efficacy and self-care behaviors all measured at three points in time (baseline, at the end of intervention and at three months follow-up). Discussion: This randomized controlled trial will provide critical information about the efficacy of patient-centered self-management intervention in improving HbA1c, self-efficacy and self-care behaviors. If successful, this evidence-based care intervention may be provided to all DM patients by updating hospital policies.

Frontiers in Public Health

BackgroundPatient-centered care in diabetes self-management might be a significant factor in impr... more BackgroundPatient-centered care in diabetes self-management might be a significant factor in improving health outcomes of adults with type 2 diabetes, yet the supporting evidence is inadequate. This review aimed at assessing the effectiveness of patient-centered self-management care interventions on glycemic control (HbA1c) and self-care behaviors compared with usual care.MethodsCINAHL, PubMed, Cochrane Library, Google Scholar, and the HEC Digital Library were searched for studies in English language that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or older with type 2 diabetes from 2005 to 2020. Interventional studies with at least 3 months of follow-up and reporting on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors including diet control, physical activity, foot care, and medication adherence were included.ResultsOf 168 identified records, 24 were found eligible comprising 20 RCTs and fo...

DOI: 10.21276/sjmps.2018.4.7.13 Abstract: Nasogastric tube feeding (NGT) is used for those patien... more DOI: 10.21276/sjmps.2018.4.7.13 Abstract: Nasogastric tube feeding (NGT) is used for those patients who can-not sustain their oral requirements. Poor nursing adherence to evidence-based guidelines has negative consequences leading to higher mortality rates, delayed recovery and longer length of stay. Nurses play an intrinsic role in preventing these infections especially aspiration pneumonia by pursuing standard guidelines. Current study was designed to evaluate nurses’ knowledge and practices of NGT feeding in order to reduce complications. Cross-Sectional Descriptive Study design was proposed. Study population included 70 nurses working in three public sector hospitals in Lahore. Nurse’s knowledge was obtained using a self -structured questionnaire and their practices were recorded by direct observation through a checklist. Data was analyzed using SPSS 20. Data was represented in the forms of figures and tables. By knowledge and practice 60% secured under satisfactory level. Nasog...

Background: Patient-centered care in diabetes self-management might be a significant factor in im... more Background: Patient-centered care in diabetes self-management might be a significant factor in improving self-care outcomes yet the supporting evidence is inadequate. This review is aimed to assess the effectiveness of patient-centered self-management care interventions on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors in adults with type-2 diabetes compared with usual care. Methods: CINAHL, PubMed, Cochrane Library, Google Scholar and the HEC Pakistan digital library were searched for English language studies that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or above with type 2 diabetes from 1991 to 2020. Interventional studies comprising randomized controlled trials (RCT) and quasi experimental studies (QES) with at least three months follow up and reporting on self-care outcomes with glycemic control (HbA1c) as primary outcome and self-care behaviors including diet control, physical act...

Saudi Journal of Medical and Pharmaceutical Sciences, 2019

Objective: To assess nurses' knowledge and evaluate their practice for prevention of infection am... more Objective: To assess nurses' knowledge and evaluate their practice for prevention of infection among burn patients, also to suggest guidelines especially of nursing practice for prevention of infection in burn patients. Study Design: A descriptive cross sectional study. Place and Duration: Six months, from April 2017 to Sep 2017, in burn units of 03 selected hospitals of Lahore. Methods: The study included all nurses who were providing care to burn patients (N=48). Nurses' knowledge was assessed by using a self-structured questionnaire and their practices were evaluated by direct monitoring using an observational Checklist. Results: Females constituted 100% of study participants. 62.5% of nurses had a GNM whilst 37.5 % had a Nursing degree. 73% (35) of participants had less than 2 years of experience working in the Burns Unit. Knowledge regarding infection control was received by 89% of nurses but their source of information was practice not in-service educational programs. Consequently they had unsatisfactory level of knowledge and practices indicated by knowledge and practice score less than 75%. Conclusion: The findings of the current study revealed nurses' low level of knowledge and practices. Hence, healthcare settings are required to organize advanced training sessions and to develop unit specific clinical guidelines and protocols.

Diabetes, Metabolic Syndrome and Obesity

Background: The rising burden of type 2 diabetes mellitus (DM) and its associated complications i... more Background: The rising burden of type 2 diabetes mellitus (DM) and its associated complications is affecting the functional capacity of the individuals, their quality of life and demand for healthcare services with significant economic impact on health care systems and the national economies. Given the enormous health and economic impact, preventing type 2 DM progression and reducing the risk of complications require immediate attention. Evidence from western countries suggests that self-management can slow the progression of type 2 DM and minimize the risk of major complications lowering health-care costs. Effective self-management, however, demands patients' confidence and their full commitment to perform self-care tasks necessitating a patient-centered approach. This study aims to test the efficacy of a patient-centered self-management intervention to improve glycemic control, self-efficacy and self-care behaviors in adults with type 2 DM. Patients and Methods: The study will be carried out as a parallel arm, randomized, controlled trial in four public tertiary care hospitals in Faisalabad, Pakistan. A total of 612 patients with type 2 DM will be recruited and randomly assigned to two groups: a control and an intervention group. The intervention group will receive a patient-centered self-management intervention for eight weeks duration. Subjects will be followed up for three months. The primary outcome will be glycemic control (HbA1c), and secondary outcome variables will include self-efficacy and self-care behaviors all measured at three points in time (baseline, at the end of intervention and at three months follow-up). Discussion: This randomized controlled trial will provide critical information about the efficacy of patient-centered self-management intervention in improving HbA1c, self-efficacy and self-care behaviors. If successful, this evidence-based care intervention may be provided to all DM patients by updating hospital policies.

Frontiers in Public Health

BackgroundPatient-centered care in diabetes self-management might be a significant factor in impr... more BackgroundPatient-centered care in diabetes self-management might be a significant factor in improving health outcomes of adults with type 2 diabetes, yet the supporting evidence is inadequate. This review aimed at assessing the effectiveness of patient-centered self-management care interventions on glycemic control (HbA1c) and self-care behaviors compared with usual care.MethodsCINAHL, PubMed, Cochrane Library, Google Scholar, and the HEC Digital Library were searched for studies in English language that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or older with type 2 diabetes from 2005 to 2020. Interventional studies with at least 3 months of follow-up and reporting on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors including diet control, physical activity, foot care, and medication adherence were included.ResultsOf 168 identified records, 24 were found eligible comprising 20 RCTs and fo...

DOI: 10.21276/sjmps.2018.4.7.13 Abstract: Nasogastric tube feeding (NGT) is used for those patien... more DOI: 10.21276/sjmps.2018.4.7.13 Abstract: Nasogastric tube feeding (NGT) is used for those patients who can-not sustain their oral requirements. Poor nursing adherence to evidence-based guidelines has negative consequences leading to higher mortality rates, delayed recovery and longer length of stay. Nurses play an intrinsic role in preventing these infections especially aspiration pneumonia by pursuing standard guidelines. Current study was designed to evaluate nurses’ knowledge and practices of NGT feeding in order to reduce complications. Cross-Sectional Descriptive Study design was proposed. Study population included 70 nurses working in three public sector hospitals in Lahore. Nurse’s knowledge was obtained using a self -structured questionnaire and their practices were recorded by direct observation through a checklist. Data was analyzed using SPSS 20. Data was represented in the forms of figures and tables. By knowledge and practice 60% secured under satisfactory level. Nasog...

Background: Patient-centered care in diabetes self-management might be a significant factor in im... more Background: Patient-centered care in diabetes self-management might be a significant factor in improving self-care outcomes yet the supporting evidence is inadequate. This review is aimed to assess the effectiveness of patient-centered self-management care interventions on self-care outcomes such as glycemic control (HbA1c) and self-care behaviors in adults with type-2 diabetes compared with usual care. Methods: CINAHL, PubMed, Cochrane Library, Google Scholar and the HEC Pakistan digital library were searched for English language studies that assessed patient-centered self-management educational and/or behavioral interventions in adults aged 18 years or above with type 2 diabetes from 1991 to 2020. Interventional studies comprising randomized controlled trials (RCT) and quasi experimental studies (QES) with at least three months follow up and reporting on self-care outcomes with glycemic control (HbA1c) as primary outcome and self-care behaviors including diet control, physical act...

Saudi Journal of Medical and Pharmaceutical Sciences, 2019

Objective: To assess nurses' knowledge and evaluate their practice for prevention of infection am... more Objective: To assess nurses' knowledge and evaluate their practice for prevention of infection among burn patients, also to suggest guidelines especially of nursing practice for prevention of infection in burn patients. Study Design: A descriptive cross sectional study. Place and Duration: Six months, from April 2017 to Sep 2017, in burn units of 03 selected hospitals of Lahore. Methods: The study included all nurses who were providing care to burn patients (N=48). Nurses' knowledge was assessed by using a self-structured questionnaire and their practices were evaluated by direct monitoring using an observational Checklist. Results: Females constituted 100% of study participants. 62.5% of nurses had a GNM whilst 37.5 % had a Nursing degree. 73% (35) of participants had less than 2 years of experience working in the Burns Unit. Knowledge regarding infection control was received by 89% of nurses but their source of information was practice not in-service educational programs. Consequently they had unsatisfactory level of knowledge and practices indicated by knowledge and practice score less than 75%. Conclusion: The findings of the current study revealed nurses' low level of knowledge and practices. Hence, healthcare settings are required to organize advanced training sessions and to develop unit specific clinical guidelines and protocols.