The effect of self-care education program on reducing HbA1c levels in patients with type 2 diabetes

Abstract

Background:Diabetes as the most common diseases caused by metabolic disorders is an important global challenge. This is a disease that requires lifelong self-care because self-care and improved quality of life is cost effective. This study is aimed to determine the impact of self-care education program on reducing HbA1c, type 2 diabetic patients and was conducted in Zahedan.Materials and Methods:This is an experimental study done on 138 diabetic female patients in Zahedan city, in 2011 (1390). This sampling method of patients was based on inclusion and exclusion criteria of the Diabetes Center, at Hazrat Ali Asghar Hospital (AS) in Zahedan. Samples were divided randomly in to two groups: 69 cases and 69 controls. Data collected included validity and reliability confirmed questionnaire. Checklist was based on patients ‘performance of reporting and (HbA1c) testing. Before the educational intervention, the checklist of questions for recording the (HbA1c) test for both the groups were completed, and study samples received 5 sessions of education (with the group discussion and film show) for a month. However, the control group received only routine training. Three months after the educational intervention, both groups completed the questionnaire and the check list and data using SPSS software and the appropriate tests were analyzed.Results:Findings showed that the mean domain scores of area of knowledge, attitude and practice educational groups, were recorded as (46.6 ± 8.57, 46.5 ± 0.86 and 29.06 ± 10.02), respectively. And after education scores of knowledge, attitude and practice were recorded as (52.80 ± 2.20, 12.98 ± 1.02 and 39.69 ± 4.74), respectively, and in study group significant difference (P < 0/001) was seen.Conclusion:Self-care training in striation leads to improve knowledge, attitude and self-care performance of the study samples and also improves the average (HbA1c). Because it seems to increase the active participation of learners in their care that they have experienced with this training method and their motivation enhanced them to learn better self-care. So this type of care education should be given to the attention of nurses and healthcare's staff.

<p>Self-Care Adherence And Barriers To Good Glycaemic Control In Nepalese Type 2 Diabetes Mellitus Patients: A Hospital-Based Cross-Sectional Study</p>

“…The lesser extent of the patient–physician relationship was an independent factor for poor glycaemic control concordance to other studies5,31,32 The physician can motivate patients on patient-report outcomes, be responsive to patient preferences, provide psychological support and understanding regarding diabetes-related distress, medication plan adherence and lifestyle and set a treatment goal to improve the hyperglycaemic state of the patient. Therefore, level of controlling for baseline HbA 1c and other measures of diabetes severity highly depends on physicians’ characteristics 31–33. As well, a patient who followed the advice of a physician regarding medication, meal plan and exercises had better control over diabetes in our population parallel with other studies 34,35.…”

The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior

“… Self - care questionnaire the self-care information was gathered using Toobert and Glasgow scale [ 23 ]. It is to be noted that this questionnaire have been utilized in several studies in Iran, where its reliability and validity have been approved [ 4 , 24 ]. In the Toobert and Glasgow self-care questionnaires, the patients report their self-care behaviors in 7 days.…”

The effectiveness of stress management training on blood glucose control in patients with type 2 diabetes

“…Type 2 diabetes is a chronic disease that is expanding at an alarming rate in the world. The International Diabetes Federation reports that the prevalence of diabetes has reached a global epidemic level [ 1 ].…”

“…The direct costs include doctor visits, paraclinical tests, medication, surgery, hospital stays, etc. while the indirect costs include reduced productivity, disability and early death [ 1 ].…”