IMPROVING SELF CARE PRACTICE FOR ADULTS WITH TYPE 2 DIABETES MELLITUS

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F. A. Mersal, “IMPROVING SELF CARE PRACTICE FOR ADULTS WITH TYPE 2 DIABETES MELLITUS”, ijmhs, vol. 3, no. 3, Oct. 2013.
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Abstract

Background: Diabetes is a common condition associated with increased morbidity and mortality. Non-pharmacological intervention strategies focusing on improve self care practices which are considered an important part of the treatment of individuals with diabetes. Therefore, the role of self-care is well recognized as a major focus of international clinical intervention and education. Aim: This study aimed at improving self care practice for adults with type 2 diabetes mellitus. Methods: A quasi-experimental intervention was conducted in different outpatient clinics on asample of 180 type 2 diabetic patients randomly divided into two equal study and control groups. Data were collected using interview questionnaire, Self care practice scores; self care guideline was developed and implemented on the study group. Data were collected at pre-post, and 3 months follow up phases. Results: The results showed that the health information needs were very high in both groups. At post and follow up tests, patients in the study group had statistically significantly higher percentages of satisfactory knowledge, 95.3% and 76.7% respectively (p<0.001), compared to 4.8% and 2.4% respectively in the control group. They also had significantly lower caloric intake (p<0.001), and significantly higher percentages of adequate practices (p<0.001), the rates of adequate practice were 81.4% and 98.8% at the post and follow up phases among patients in the study group, compared to 37.3% and 51.8% respectively in the control group. Study group patients had also statistically significant improvement in their self care practice regarding diabetes mellitus (p=0.001). Conclusion: In conclusion, the management guidelines protocol was successful improving self care practice for diabetic adults, so it is recommended to apply it in similar settings.

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