Effect of an Educational Intervention on Self-Care Management among Type II Diabetic Patients: A Randomized Clinical Trial
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Abstract
Background: Diabetes Mellitus self-management education (DSME) is highly effective in establishing and implementing the principles of diabetes care, DSME improve patient diabetes knowledge, DSM behaviors, adherence to medications, self-efficacy, and quality of life. Several studies have demonstrated that DSME is associated with clinical benefits in persons with T2DM. Aim of the study: to assess knowledge and practice of type 2 diabetic patients towards self-care management before intervention and to evaluate the effect of health education program on changing self-care management among intervention group and to compare it with that of the control group.
Subjects & Methods: A randomized clinical trial (RCT) was carried out on 58 diabetic patients by dividing them into two groups of diabetic patients; a control group and an intervention group for implementation of educational program, An initial assessment of knowledge, practice and initial investigations (HbA1c and FBS) were done on both groups then health education program was delivered on the intervention group only and after three months reassessment of knowledge, practice and investigations were done for both groups the same as in the pre intervention stage. Results: There was statistically significant improvement among intervention group about diabetes self-management regarding knowledge, HbA1C and practice regarding (medication compliance ,meal plan ,eating snacks, exercise and checking blood glucose) post intervention, but there was no statistically significant difference among control group about diabetes self-management regarding knowledge, HbA1C, practice pre-posttest.
There was highly statistical significant difference between intervention and control groups regarding total score for diabetes self- management post intervention.
Conclusion: The study results indicated the effect of diabetes health education program on improving self-care management.