Effect of Instructional Program on Patients' Knowledge Regarding Adherence to Therapeutic Regimen of Type 2 Diabetes Mellitus | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 12, Volume 8, Issue 2, June 2021, Page 204-222 PDF (964.84 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2021.186883 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Karema Abd El-Rhman Mohamed1; Nagat Said Habib2; Gehad Mohamed3; Mamdouh Radwan El-Nahas4; Fatma El-emam Hafez5 | ||||
| 1M.Sc. in Public Health Nursing, Faculty of Nursing, Benha University | ||||
| 2Professor of Community Health Nursing, Faculty of Nursing, Cairo University | ||||
| 3Professor of Family and Community Health Nursing, faculty of nursing port-said University | ||||
| 4Professor of Internal medicine, Faculty of Medicine, Port Said University4 | ||||
| 5Assistant professor of Family and Community Health Nursing, Faculty of Nursing, Port Said University | ||||
| Abstract | ||||
| Background: Type 2 diabetes mellitus is considered a serious, an increasing global health burden, and leading cause of premature morbidity and worldwide mortality due to its complications. Aim: This study aimed to examining the effect of instructional program on knowledge regarding adherence to therapeutic regimen among type 2 diabetic patients. Subjects and method: Design: A quasi-experimental research design was utilized. Setting: This study was carried out at diabetic out-patient clinic in Medical Specialized Hospital affiliated to Mansoura University. Subjects: a sample of 53 participants who fulfilled the inclusion criteria of the study was selected. Tool: A structured interview which included four parts was used in carrying out this study. Results; 73.6% of the studied patients were females; and 79.2% had low socioeconomic level. Regarding the total score level of knowledge, 84.9% of the studied sample had satisfactory score level after applying the instructional program, 98.1% of them had satisfactory beliefs after applying the instructional program. And, 58.5% of the sample had high score level of adherence after applying the instructional program. The mean ±SD of glycosylated hemoglobin of the subjects was decreased significantly from 9.5±1.7 to 7.9±1.2 after applying the instructional program. Conclusion and Recommendations; improving diabetic patients' knowledge regarding type 2 diabetes mellitus was very important for improving adherence to the therapeutic regimen .Developing instructional plan based on issues related to diabetic regimen and personal perceptions that militate against adherence. | ||||
| Keywords | ||||
| Adherence; Health Belief Model; Type 2 diabetes mellitus | ||||
| References | ||||
|
Al-Haj Mohd, M.; Phung, H.; Sun, J.; and Morisky, D. (2016): Improving adherence to medication in adults with diabetes in the United Arab Emirates, BioMed Central Public Health, 16:857.
Al-Hayek, A.; Robert, A.; Al Dawish, M.; Zamzami, M.; Sam, A'; and Alzaid, A. (2013): Impact of an Education Program on Patient Anxiety, Depression, Glycemic Control, and Adherence to Self-care and Medication in Type 2 Diabetes, Journal of Family Community Medicine, 20(2):77-82.
Brundisini, F.; Vanstone, M.; Hulan, D.; DeJean, D.; and Giacomini, M. (2015): Type 2 Diabetes Patients' and Medication Nonadherence: A Qualitative Metasynthesis, BMC Health Services Research, 15:516.
Cooper, K.; and Gosnell, K. (2015): Foundations and Adults Health Nursing, 7th ed., Canada, Elsevier Mosby Comp., P1752,1768-1769.
Crowley, L. (2014): Essentials of Human Disease, USA, Jones & Bartlett Learning, P391.
El-Gilany, A.; El-Wehady, A.; and El-Wasify, M. (2012): Updating and Validation of the Socioeconomic Status Scale for Health Research in Egypt, Eastern Mediterranean Health Journal, 18(9):962-968.
Given, C.W.; Given, B. A.; Gallin, R. S.; and Condon, J. W. (1983): Development of Scales to Measure Beliefs of Diabetic Patients, Research in Nursing and Health Journal, (6): 127-141.
Goldstein, B. and Wieland, D. (2016): Type 2 Diabetes: Principles and Practice, 2nd ed., USA, CRC Press, Pp8,506.
Hassan, B. (2012): Effect of an Educational Program on Self Efficacy for Patients with Type 2 Diabetes Mellitus, Unpublished Doctorate Thesis, Faculty of Nursing, Benha University, Pp50.
Hegazi, R.; El-Gamal, M.; Abdel-Hady, N.; and Hamdy O. (2015): Epidemiology of and Risk Disease Knowledge Factors for Type 2 Diabetes in Egypt, Ann Glob Health, 81(6): 814-820.
International Federation of Diabetes, (2015): Diabetes in Egypt, available at: http://www.idf.org/membership/mena/egypt
Jones, B., (2016): Comprehensive medical terminology, 5th ed., USA, Cengage Learning Comp., p580.
Kassahun, T; Gesesew, H.; Mwanri, L.; and Eshetie, T. (2016): Diabetes Related Knowledge, Self-Care Behavior and Adherence to Medications among Diabetic Patients in Southwest Ethiopia: a Cross-Sectional Survey, BioMed Central Endocrine Disorder, 16 (28), Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933997/
Morisky, D.E.; Krousel-Wood, M.; Islam, T.; Webber, L.S.; Re, R.N.; and Muntner, P. (2009): New Medication adherence Scale Versus Pharmacy Fill Rates Seniors with Hypertension, The American Journal of Managed Care, 15(1):59-66.
Nies, M.; and McEwen, M. (2014): Community/Public Health: Promoting the Health of Populations, 6th ed., USA, Elsevier Health Science, P323.
Shams, M.; and Barakat, E. (2010): Measuring the Rate of Therapeutic Adherence among Outpatients with T2DM in Egypt, Saudi Pharmaceutical Journal, 18 (4):225-232.
Sweileh, W.; Zayoud, S.; Abu Nab'a, R.; Deleq, M.Enaia, M., Nassar, S.; and Al-jabi, S. (2014): Influence of Patients' Disease Knowledge and Beliefs about Medicines on Medication Adherence: Findings from a Cross-Sectional Survey among Patients with Type 2 Diabetes Mellitus in Palestine, BioMed Central Public Health Journal, 14 (94).
Taha, N.; Zaton, H.; and Abd Elaziz, N. (2016): Impact of Health Educational Guidelines on the Knowledge, Self-Management Practice and Self-efficacy of Patients with Type -2 Diabetes, Journal of Nursing Education and Practice, 6(9):46-55.
Zibaeenezhad, M.; Aghasadeghi, K.; Bagheri, F.; Khalesi, E.; zamirian, M. ; Moaref, A.; and Abtahi, F. (2015): The Effect of Educational Interventions on Glycemic Control in Patients with Type 2 Diabetes Mellitus, International Cardiovascular Research Journal, 9(1):17-21. | ||||
|
Statistics Article View: 243 PDF Download: 305 |
||||
