Effectiveness of Cognitive Behavioral Nursing Intervention on Compliance and Glycemic Control Among Patients with Type II Diabetes Mellitus

Abstract

Background: The concept of becoming healthy as a promotive model or maintaining an individual's health with any NCDs, particularly with a diabetic condition, adhering to the treatment strategies as a preventive model to avoid complications, is mainly in the hands of everyone. The study aimed to assess the effectiveness of the cognitive behavioral nursing intervention on compliance to the advice of the health care providers and glycemic control among patients with type II diabetes mellitus. Methods: A quantitative and true-experimental research design was used to assess the effectiveness of the cognitive behavioral nursing intervention. The study population consisted of patients with type-II diabetes mellitus. First, the villages were chosen using a simple random sampling method, and then the sample size of 208 patients was selected using the inclusion criteria from those villages. The experimental group (n1) consisted of 105 samples, and the control group (n2) =103. The data was collected using the compliance scale and analyzing the patient's fasting blood sugar, postprandial and HbA1c at 0, 3rd and 6th months of intervention from the respective samples at their residences by structured interview technique. Results: The study findings indicated that there is a significant improvement in compliance (p<0.05) and glycemic control (p<0.001) among patients with experimental group after cognitive behavioral nursing intervention. There was a significant difference in compliance and glycemic control among patients in the experimental group during the posttests compared with the pretest (p<0.05). Comparison of glycemic variables between experimental and control group, during post-test-I and II shows that the fasting blood sugar was statistically significant at p<0. 001.Compliance and FBS had negative weak correlation in posttest I (r= -0.337, p=0.028) in the experimental group. Conclusion: The results highlighted that cognitive behavioral nursing intervention effectively improves compliance and glycemic control among patients with Diabetes mellitus living in the villages.