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Asian Journal of Nursing Education and Research
Year : 2020, Volume : 10, Issue : 4
First page : ( 427) Last page : ( 431)
Print ISSN : 2231-1149. Online ISSN : 2349-2996.
Article DOI : 10.5958/2349-2996.2020.00091.9

A study to assess the effectiveness of structured Teaching Programme on self-care management of patients with type 2 Diabetes mellitus and Evaluation of prognosis in selected Hospitals

Mrs. Sreedevi K*

Professor, Birla College of Nursing, Pilani, Junjhunu District, Rajasthan-333031

*Corresponding Author Email: sreedevi.prabhu@gmail.com

Online published on 27 April, 2021.

Abstract

Diabetes mellitus, long considered as a disease of minor significance to the world health, is fast emerging as one of the main threats to human health in the 21st century.1 Diabetes care is a complex balancing act. Its lifelong management requires a partnership between the health care personnel and the individual himself, because individuals with diabetes must assume much of their care themselves. Diabetes self-management is considered as the cornerstone of type 2 diabetes mellitus management and must be an integral component of care for all patients to achieve the successful diabetes and health-related outcomes.2 The present study was carried out to assess the effectiveness of structured teaching programme on self-care management of patients with type 2 diabetes mellitus and evaluation of prognosis in selected hospitals. Materials and methods: A quasi experimental study was conducted on a sample of 100 patients with type 2 diabetes mellitus attending diabetic clinic of Rajah Muthiah Medical College and Hospital as experimental group and 100 patients with type 2 diabetes mellitus attending diabetic clinic of Government Hospital as control group. Systematic sampling technique was used to select the patients for study. Pre-test was conducted by using a structured interview schedule on demographic variables and knowledge about diabetes mellitus. Body Mass Index (BMI) was calculated using Quetelet’s index and blood samples were collected for assessing Glycated haemoglobin (HbA1c) level. The structured teaching programme was administered to the experimental group. Post-test was conducted after three months. Results: The mean post-test knowledge score on general information about diabetes, diet, exercise, medication, urine test for sugar and prevention of complications in the experimental group was significantly higher than in the control group (P<0.001).There was significant reduction in post-test BMI level in the experimental group when compared to the control group (P<0.007).There was significant reduction in post-test HbA1c level in the experimental group than in the control group (P<0.002).The post-test knowledge score on general information on diabetes mellitus, medication and prevention of complications was also influenced by education, which was significant at 0.01, 0.03 and 0.001 respectively. From this study results and available literatures it is evident that education on self-care management can improve the health status of diabetic patients and reduce complications.

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Keywords

Diabetes self-management, Structured teaching program, Glycated haemoglobin (HbA1c), Body Mass Index, Quetelet’s index.

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