Diabetes Mellitus Risk Reduction among Pre-diabetics: Sustained Integrated Theory Based Nursing Intervention | ||||
| Tanta Scientific Nursing Journal | ||||
| Article 8, Volume 25, Issue 2, June 2022, Page 114-129 PDF (598.6 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2022.242255 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hassnaa Eid Shaban Mosa1; Hanady Sh. Shehata2; Eman Ahmed Elkaluby3; Badria Mahrous Abdelhameed Mohammed4 | ||||
| 1Assistant professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt. | ||||
| 2Assistant professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt | ||||
| 3Assistant professor of Community Health Nursing, Faculty of Nursing, Alexandria University, Egypt. | ||||
| 4Lecture of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt Assistant professor of Medical-Surgical Nursing, Albaha University, Faculty of Applied Medical Sciences, Saudi Arabia | ||||
| Abstract | ||||
| Background: Diabetes mellitus is a global health problem causing premature death rather than individuals, families and societies economic burden. Aim: To determine the effect of protection motivation sustained integrated nursing intervention on type 2 diabetes mellitus risk among pre-diabetics. Subjects & Methods: Purposive sample of 250 pre diabetics matched to the inclusion criteria was selected. Setting: General medical department and diabetic out-patients’ clinics at Menoufia University and Shebien El-kom Teaching hospitals. Tools: Four tools were utilized. I. Self-administered questionnaire II: Protection Motivation Theory questionnaire; III: Nutritional assessment sheet. IV: Diabetes mellitus modifiable risk assessment score. Design: A quasi-experimental with pre, posttest and follow up was utilized. Results: The mean age of studied pre-diabetics was 44 years, the percentage of good dietary health habits was improved from 18.4% in pre intervention to 39.6% in post intervention and reached to 51.6% in follow up. High statistically significant activity level improvement from 25.2% pre intervention to 42.4% post intervention with p <0.0001. Statistically significant reduction in cumulative blood glucose level among pre-diabetics in post intervention and follow up from 46% and 23 % respectively. Percentage of regular checkup of blood glucose increased from 2.4% to 39.6% then to 55.6% from pre to post then to follow up, respectively. Percentage of low risk pre-diabetics increased from 24% to 59.6% in post intervention and reached to 84% in follow up intervention with P value < 0.001. Conclusions: The protection motivation sustained integrated nursing intervention had been beneficial in decreasing total risk score of Diabetes mellitus among pre-diabetics , improving the disease related healthy behavior as consuming a healthy diet, being physically active, reducing their weight, cholesterol & cumulative glucose level and number of smoked cigarettes. Recommendation: Close monitoring, early detection and proper management of pre-diabetics should be carried out by each country-authorized personnel. | ||||
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