Impact of a health educational guidelines on the knowledge, self-management practice and self-efficacy of patients with type-2 diabetes

Abstract

Background: Diabetes is a common costly condition associated with significant morbidity and mortality. The process of teaching individuals to manage their diabetes had been considered an important part of the clinical management. The goals of self-management education are to optimize metabolic control, prevent acute and chronic complications, and optimize quality of life; Aim: To evaluate the impact of a health education intervention guidelines for T2DM on Patients' knowledge, self-efficacy, and self-management practices. Methods: Design: quasi-experimental uncontrolled design on 50 patients evaluated at pre-intervention, post-intervention, and 6-month follow-up. Setting: The study was carried out in the outpatient clinics of Endocrinology and Metabolism at Zagazig University Hospital. Tools: three tools were used, 1st tool was an interview questionnaire to assess socio-demographic data and patients' knowledge, self-efficacy scale and patients' self-reported self-management behaviors concerning self-care practices. Results: There were statistically significant improvements in patients' knowledge (p < .001), self-efficacy (p < .001), and selfmanagement (p < .001), which continued through follow-up. Multivariate analysis showed that the knowledge and self-efficacy scores positively predicted the scores of self-management. Conclusions: The study demonstrates the effectiveness of health educational intervention guidelines in improving T2DM patients' self-management behaviors and self-care practices through provision of sound information and fostering their self-efficacy. The slight decline at the follow-up phase indicates the need for periodic booster doses of the intervention. Therefore, the study recommends generalization of such educational guidelines in all health care settings providing services to T2DM patients. Such guidelines should particularly address the patients with low educational attainments, long history of T2DM, and those residing in rural areas. More research is needed to investigate the long-term effect of such educational interventions.

A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients

“…The present study also found a significant improvement of mean score for PBC after educational intervention in the experimental group. These results are in consistence with those obtained by Beyranvand et al (2016) and as well as other researchers [ 44 , 45 , 50 ]. With regard to the results of investigations, a strong comprehension of disease controllability is likely to be accompanied by stronger self-regulatory behaviors.…”

“…Amongst the TPB constructs used in this study, the mean score of attitudes of the experimental group significantly improved after the intervention, which is in agreement with the results of previous investigation [ 44 , 45 ]. Generally, adopting health behaviors in diabetic patients will arise from an individual’s evaluation of positive and negative consequences of the recommended behavior, perceived benefits and barriers, understanding the outcomes of not following the advised behavior, the severity of the complications, and the perceived risk [ 49 ].…”

Effect of Instructional Program on Patients' Knowledge Regarding Adherence to Therapeutic Regimen of Type 2 Diabetes Mellitus

“…Concerning the studied sample's knowledge about diabetes and its regimen, the current study revealed that there were highly significant improvement between pre and posttest. In this regard, these results were in agreement with Taha, Zaton, Abd Elaziz (2016) who conducted a study "Impact of Health Educational Guidelines on the Knowledge, Self-Management Practice and Self-efficacy of Patients with Type -2 Diabetes" in Zagazig, and mentioned that patients' knowledge about diabetes was generally low at the pre-guidelines phase, and the post-test showed significant improvements in all aspects of patient's knowledge about diabetes.…”

Self Management Pasien Diabetes Melitus dengan Komplikasi Kardiovaskular dan Implikasinya terhadap Indikator Klinik

“…Menariknya bila dilihat dari riwayat pernah tidaknya responden menerima informasi terkait pengelolaan DM, baik pasien yang mengaku pernah maupun tidak pernah samasama memiliki proporsi self-management kategori buruk yang hampir sama (54,5% dan 54,2%). Temuan ini tidak sejalan dengan penelitian Taha, Zaton, & Elaziz (2016) yang menemukan bahwa pemberian informasi terbukti dapat meningkatkan pengetahuan dan self-efficacy pada pasien DM yang selanjutnya akan memfasilitasi pasien melakukan self-management yang lebih baik (Gao dkk., 3013;Kurniawan & Yudianto, 2016). Dengan demikian, temuan dalam penelitian ini mengindikasikan bahwa informasi yang selama ini diberikan pihak rumah sakit bisa jadi belum sepenuhnya menjawab kebutuhan pasien dan meningkatkan self-efficacy ataupun kemampuan pasien dalam menjalankan perilaku selfmanagement yang diharapkan.…”