LAUSR

After total pancreatectomy (TP), patients develop poorly controlled diabetes classified as type 3c diabetes. Consequently, there is a need for specific patient education to enable patients to manage insulin treatment independently upon discharge. Existing diabetes diaries designed for patients with diabetes are not tailored to this particular patient group. Therefore, the aim was to develop a diabetes diary adapted for type 3c diabetes patients who have undergone TP, to facilitate the patient's self-management and learning of insulin treatment during the initial postoperative period. Individual interviews with patients following TP (n=3), registered nurses (n=3), and assistant nurses (n=3) regarding experiences and understanding of insulin treatment, as well as the need for an adapted diabetes diary, followed by a literature review of existing diabetes diaries. Data were analysed qualitatively. The majority of patients were found to have inadequate understanding of insulin treatment and blood sugar monitoring. Nurses perceived that lack in patient knowledge could be supplemented through an adapted diary. Varying work routines among healthcare personnel hindered the use. An adapted diary could be formulated based on existing diabetes diaries with the addition of instructions and information specific to type 3c diabetes. The diary for type 3c diabetes patients has been implemented as clinical routine on the ward. Further validation of the diary and its usage is needed. Therefore, further evaluation through analysis of diary usage and interviews with patients both during hospitalization and at home is planned, to enhance understanding of how the diary can contribute to patient learning and self-management.