<p>Diabetes Self-Management Education (DSME) – Effect on Knowledge, Self-Care Behavior, and Self-Efficacy Among Type 2 Diabetes Patients in Ethiopia: A Controlled Clinical Trial</p>

Abstract

PurposeDiabetes patients must be equipped with the necessary knowledge to confidently undertake appropriate self-care activities. We prepared a diabetes self-management education (DSME) intervention and assessed how it affected patients’ self-reported levels of diabetes knowledge, self-care behaviors, and self-efficacy.Patients and methodsA before-and-after, two-group intervention study was conducted at Jimma University Medical Centre among adult patients with type 2 diabetes. At baseline, we randomly assigned 116 participants to the DSME intervention and 104 to a comparison group. Six interactive DSME sessions supported by an illustrative handbook and fliers, experience-sharing, and take-home activities were administered to the intervention group by two nurses during a six-month period. Diabetes knowledge, self-care behaviors, and self-efficacy were measured at baseline and at nine months following the commencement of DSME intervention (endpoint) in both groups.ResultsAt the endpoint, data from 78 intervention group participants and 64 comparison group participants were included in final analysis. The difference in the mean Diabetes Knowledge Scale scores before and after the DSME intervention was significantly greater in the intervention group (p = 0.044). The measured self-care behaviors included diet, exercise, glucose self-monitoring, footcare, smoking, alcohol consumption, and khat chewing. The mean number of days per week on which the intervention group participants followed general dietary recommendations increased significantly at the endpoint (p = 0.027). The intervention group followed specific dietary recommendations (p = 0.019) and performed footcare (p = 0.009) for a significantly greater number of days. There were no significant differences within or between the groups in other self-reported diabetes self-care behavior regimens or in diabetes self-efficacy.ConclusionOur study found significant improvements in the intervention participants’ diabetes knowledge scores and in their adherence to dietary and footcare recommendations. This demonstrates that our DSME intervention may be of clinical importance in developing countries such as Ethiopia.Trial registrationClinicalTrials.gov, Identifier NCT03185689, retrospectively registered on June 14, 2017: https://clinicaltrials.gov/ct2/show/NCT03185689.

Effectiveness of Diabetes Self-Management Education (Dsme) in Type 2 Diabetes Mellitus (T2Dm) Patients: Systematic Literature Review

“…The DSME intervention given to T2DM patients in Ethiopia had a positive impact, such as an increase in knowledge and adherence to diet therapy, exercise, glucose monitoring, and wound care. 10 In line with that, another study explained that DSME significantly improved medication adherence, self-management behavior, knowledge, self-efficacy, and quality of life. 11-13 Several studies show that DSME interventions improve the quality of life.…”

Hubungan Pengetahuan dengan Praktik Perawatan Diri pada Pasien Diabetes Mellitus Tipe 2 di Surakarta

“…Pengetahuan pasien tentang penyakit dan praktik perawatan diri ditemukan penting bagi pasien untuk mencapai target pengobatan yang diinginkan dan berkontribusi secara bermakna dalam pengelolaan penyakit. Pengetahuan diabetes dianggap sebagai hal yang penting untuk melaksanakan kegiatan perawatan diri yang efektif demi hasil kesehatan yang baik seperti mencegah komplikasi dan kematian (Hailu, Moen and Hjortdahl, 2019).…”

Educational Model for Cadres and Housewives Against Changes in Family Knowledge and Behavior in Efforts to Prevent Complications of Type II DM in Bunut Wetan Village, Malang Regency

“…Visual education (through pictures) can offer patients more details about DM pathogenesis, dangers, complications, and treatment, thereby increasing knowledge about the importance of controlling risk factors. In addition, through on-site visits, patients can gain general knowledge about the effects of treatment on the body, various dietary diets, alternative treatment options, self-injection of insulin, prescription instructions, warning signs of hypoglycemia, and carbohydrate counting techniques (5) . Better knowledge about diabetes can control and treat diabetes in a timely manner, thereby minimizing the likelihood of developing diabetes complications and thereby reducing morbidity and mortality in diabetics.…”