Effect of Counteracting Lifestyle Barriers through Health Education in Egyptian Type 2 Diabetic Patients
| Autor: | Asmaa M. Fathy, Ammal M. Metwally, Aida M. Abdelmohsen, Maha M. Saber, Dalia M. Elmosalami, Wafaa A. Kandeel, Noha Asem, Mona M. Soliman |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:Medicine 030209 endocrinology & metabolism Type 2 diabetes Psychological barriers 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Intervention (counseling) medicine 030212 general & internal medicine Blood glucose monitoring medicine.diagnostic_test business.industry lcsh:R General Medicine Anthropometry Lifestyle medicine.disease Type 2 Diabetes Health education Physical therapy Egypt Public Health business Barriers Cohort study |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences, Vol 7, Iss 17 (2019) Open Access Macedonian Journal of Medical Sciences; Vol 7 No 17 (2019): Sep 15 (OAMJMS); 2886-2894 |
| ISSN: | 1857-9655 |
| DOI: | 10.3889/oamjms.2019.624 |
| Popis: | BACKGROUND: Egypt is among the world top 10 countries in diabetes prevalence. It is the first country among the MENA region. Healthy lifestyle education and support help people with diabetes to improve health outcomes. Many physical and psychological barriers can hinder patients from following a healthy lifestyle. AIM: This study aimed to examine the effect of lifestyle modification educational sessions in helping Egyptian patients to overcome main barriers of diabetes self-management through improving nutritional behaviours, physical activity, medication compliance, and blood glucose monitoring. METHODS: A cohort study included 205 patients with type 2 diabetes. Baseline assessment of patients' lifestyle behaviours and barriers using personal diabetes questionnaire of Louisville University, with both anthropometric and blood glucose assessment. Interventional lifestyle health education was provided weekly through multiple integrated techniques, followed by a post-intervention assessment to evaluate the effect of the health education sessions. Statistical analysis was done to identify any statistically significant difference before and after the health education intervention. RESULTS: There was a significant improvement of the post-education mean scores of the studied behaviours when compared with the pre-education scores of the participants’ behaviours (p < 0.001). There was also a significant reduction in the barriers facing patients to diabetes self-management including nutritional barriers (P < 0.001), medication compliance barriers (P < 0.001) with a percent change (43%), physical activity barriers (p < 0.001), and blood glucose monitoring (p < 0.001) with a percent change (44%).There was a statistically significant positive correlation between improvement of medication compliance (P = 0.027), blood glucose monitoring(P = 0.045), and glycated haemoglobin of the study participants CONCLUSION: lifestyle modification education of type 2 diabetic patients can overcome the main barriers of following a healthy lifestyle and improve their anthropometric measures and blood glucose level. |
| Databáze: | OpenAIRE |
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