Nurse-Led Diabetes Self-Management Education Improves Clinical Parameters in Ethiopia

Hailu, Fikadu Balcha; Hjortdahl, Per; Moen, Anne

doi:10.3389/fpubh.2018.00302

Cited by 34 publications

(95 citation statements)

References 44 publications

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“…Unexpectedly, we failed to find that NLTM had a significant impact on the decrease of FBS levels during the 12-month follow-up period, which was not consistent with previous findings that community-based diabetes self-management education could cause a significant reduction in FBS levels 36,37. Although the result was not significant between groups, the mean of FBG did drop from 8.04 mmol/L to 7.84 mmol/L in the intervention arm; whereas the mean kept the same level from 8.13 mmol/L to 8.10 mmol/L in the control arm.…”

Section: Discussioncontrasting

confidence: 86%

Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial

Guo¹,

Liu²,

Zeng³

et al. 2019

PPA

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Aim The aim of this study was to examine the feasibility and efficacy of nurse-led team management (NLTM) intervention at improving the self-management of patients with type 2 diabetes (T2D) at community settings in Changsha, Hunan, China. Background China has become the country with the largest number of patients with diabetes, and that number is growing, causing increasing pressure on the health care system. At present, the main diabetes management model in China is teamwork guided by general practitioners. However, the number of general practitioners is insufficient, and their work is overloaded, which leads to poor outcomes of diabetes management. Therefore, it is important to explore alternative methods of diabetes management, such as NLTM. Patients and methods In a randomized controlled trial, 171 T2D patients were randomized into the control or intervention arm. Participants in the control group received routine management from the community health service center, whereas the intervention group received 12 months NLTM intervention in addition to the standard care. The diabetes self-management scale, fasting blood sugar, and glycosylated hemoglobin A1c (HbA1c) were assessed at baseline and at 6 and 12 months after the start of the intervention. Results Baseline data were comparable between arms. Repeated-measurement analysis showed that self-management of the intervention group improved compared with the control group after the intervention ( P <0.05). There were no significant differences in HbA1c at 6 months, whereas after 12 months of intervention, there was a significant difference in HbA1c between the two groups (F=10.114, P <0.05). The intervention had no significant effect on fasting blood sugar. Conclusion The NLTM intervention has resulted in an impact of practical significance on T2D self-management, and was beneficial for controlling the level of HbA1c. The study has demonstrated the feasibility and efficacy of using NLTM in the management of T2D in a Chinese community.

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Section: Discussioncontrasting

confidence: 86%

Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial

Guo¹,

Liu²,

Zeng³

et al. 2019

PPA

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“…A study by Feng et al (2018) has shown that systolic blood pressure significantly decreased in diabetic Chinese patients, in intervention group after self-care education [92]. In a study conducted by Hailu et al (2018) in Ethiopia, diabetic patients in the intervention group received a significant reduction in FBS, systolic blood pressure and diastolic blood pressure in the control group after intervention [93]. This is in agreement with the results of the present study.…”

Section: Discussionmentioning

confidence: 99%

The effect of self-management education through weblogs on the quality of life of diabetic patients

Rasoul

Jalali

Abdi

et al. 2019

BMC Med Inform Decis Mak

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BackgroundSelf-management education of diabetes which is one of the most important noncommunicable diseases worldwide involves facilitating knowledge, skills, and ability required for self-care in these patients. Concerning the progressive growth of use of Internet for educating patients and absence of different studies about education through use of weblogs in patients with diabetes in Iran, the present study was conducted with the aim of determining the effect of self-management education through weblogs on the quality of life of affect the patients.MethodsThis study was performed as intervention on patients referring to diabetes clinic of Talghani hospital in Kermanshah in winter 2018 and spring 2019. The samples consisted of 98 patients with diabetes chosen through available sampling and randomly assigned into study and control groups. For data collection, diabetes quality of life (DQOL) short form clinical questionnaire, Persian version, was used. The intervention involved training self-management conducted through 60 sessions via a designed weblog. The obtained information was introduced into SPSS 21, and analyzed through Mann-Whitney, t-test, and paired t-test.ResultsAccording to the results of this study, the mean age of the examined patients was 32.1 ± 4.9 years, where the major participants were male (n = 52 in the test group, 52.5%). The results showed that after the intervention, the test and control groups were different in terms of anthropometric variables and metabolic indicators; the mean waist circumference in the test and control groups was 98.6 ± 9.8 and 101.5 ± 7.8, respectively; the mean FBS following the intervention in the test and control groups was 131.08 ± 16.04 and 238.2 ± 40, respectively; and the mean BMI postintervention in the test and control groups was obtained as 27.3 ± 3.4 and 30.1 ± 3.8 respectively, where these differences were significant according to independent t-test (p < 0.05). The mean score of quality of life postintervention in the test and control groups was obtained as 56.1 and 49.9 respectively; according to Mann-Whitney test, the difference between the two groups was significant (p < 0.05).ConclusionThe results of the present study revealed the positive effect of weblog based self-management on the quality of life of patients with diabetes following the intervention. Further, reduced levels of FBS, BMI, as well as systolic and diastolic blood pressure were also observed, which could be due to increased awareness of patients about their abilities, its risks, as well as the ways to control and treat it.

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“…Because of the nature of our DSME intervention, we could not blind the data collectors or our study participants. Our adherence to the CONSORT flowchart has been explained in detail elsewhere 24…”

Section: Methodsmentioning

confidence: 99%

“…The multifaceted intervention consisted of three main elements: a) six educational sessions, each lasting for 1.5 hrs on average, focusing on basic diabetic knowledge and self-care behavior; b) a colorful, well-illustrated educational handbook and fliers adapted to the local context; and c) extensive and interactive discussions with peers and take-home activities. A detailed description of our DSME intervention is available elsewhere 24…”

Section: Methodsmentioning

confidence: 99%

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

Hailu¹,

Moen²,

Hjortdahl³

2019

DMSO

Self Cite

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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.

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Nurse-Led Diabetes Self-Management Education Improves Clinical Parameters in Ethiopia

Cited by 34 publications

References 44 publications

<p>Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial</p>

<p>Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial</p>

The effect of self-management education through weblogs on the quality of life of diabetic patients

<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>

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