Enhancing self-care management in diabetic patients: a randomized controlled trial exploring the interplay of social support, self-efficacy, and empowerment.

IF 3.1 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Nevin F Ibrahim, Hanaa A Nofal, Hossam Tharwat Ali, Dina S El-Rafey, Noura Almadani, Rasha Mahfouz, Reda M Khodary
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Abstract

Background: Despite the significant global and Egyptian prevalence of Type 2 Diabetes Mellitus (T2DM), with the recognized importance of self-care and social support in enhancing glycemic control, there is a scarcity of studies on this topic within Egypt's especially interventional studies and role of enhancement program on diabetic self-management practice. Our objective is to evaluate the effect of a health education program on the enhancement of self-care management compared to the usual care and explore factors affecting self-care management as social support, self-efficacy, and empowerment among patients with T2DM.

Methods: A randomized control trial was conducted on 330 (165:165) T2DM patients confirmed more than one year and had regular visits to the diabetic patient clinic in our hospital. The study outcomes include diabetes knowledge, self-management practice, social support, self-efficacy, and empowerment along with body mass index (BMI), glycated hemoglobin (HbA1c), and fasting blood glucose (FBG).

Results: The intervention group had significant improvements in knowledge and self-practice with post-intervention adequate values (80.0% and 87.8%) compared to the control (40% and 55.1%) respectively (p-value < 0.001). Furthermore, a significant increase in patients with controlled FBG and HbA1c occurred in both groups (p-value < 0.001) with a significantly higher increase in the intervention group (p-value < 0.001). In total, 60.9%, 58.8%, and 25.7% of the patients had satisfactory social support, self-efficacy, and empowerment, respectively.

Conclusion: The results indicated that a diabetes self-care management education program was proven to be effective in improving patients' self-care management. Social support, self-efficacy, and empowerment could have positive roles.

加强糖尿病患者的自我保健管理:一项探索社会支持、自我效能和赋权相互作用的随机对照试验。
背景:尽管全球和埃及的2型糖尿病(T2DM)患病率很高,人们认识到自我保健和社会支持在加强血糖控制方面的重要性,但在埃及,关于这一主题的研究很少,尤其是介入研究和增强计划在糖尿病自我管理实践中的作用。我们的目的是评估健康教育计划对提高自我保健管理的效果,并与常规护理相比较,探讨影响2型糖尿病患者自我保健管理的因素,如社会支持、自我效能和赋权。方法:对330例(165:165)例确诊1年以上并定期到我院糖尿病门诊就诊的2型糖尿病患者进行随机对照试验。研究结果包括糖尿病知识、自我管理实践、社会支持、自我效能和赋权,以及身体质量指数(BMI)、糖化血红蛋白(HbA1c)和空腹血糖(FBG)。结果:干预组患者在知识和自我实践方面的干预后适足值分别为80.0%和87.8%,显著高于对照组(40%和55.1%)(p值)。结论:糖尿病自我保健管理教育项目对改善患者自我保健管理有显著效果。社会支持、自我效能感和授权可能有积极作用。
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来源期刊
Acta Diabetologica
Acta Diabetologica 医学-内分泌学与代谢
CiteScore
7.30
自引率
2.60%
发文量
180
审稿时长
2 months
期刊介绍: Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.
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