Effect of empowerment education on self-management behavior of diabetic patients with insulin therapy

Abstract

Objective To evaluate the effect of empowerment education on self-management behavior and treatment efficiency in type 2 diabetic patients with insulin therapy.Methods Empowerment education was implemented on type 2 diabetes patients with insulin therapy,self-management behavior and treatment efficiency were assessed before and after 6 months of education.Results Score of self-management behavior was significantly improved after 6 months empowerment education compared with before [(93.42 ± 10.29) vs (75.04 ± 14.88)],and the difference was statistically significant (t =7.157,P ＜ 0.01).Every dimension of self-management behavior had also improved significantly after training,including diet control [(23.48 ± 4.24) vs (16.10 ± 5.01),t =8.596,P ＜ 0.01],regular-exercise [(16.52 ± 4.01) vs (11.30 ± 4.94),t =6.076,P ＜ 0.01],medical compliance [(13.92 ± 1.68) vs (11.78 ± 2.41),t =5.270,P ＜ 0.01],self-monitoring of blood glucose [(16.12 ± 3.11) vs (9.44 ± 3.54),t =10.057,P ＜ 0.01)],foot-care [(20.36 ± 3.60) vs (15.64 ± 3.18),t =6.689,P ＜ 0.01],and correct-treatment of hyperglycemia or hypoglycemia [(17.24 ±2.60) vs (10.78 ±3.41),t =10.329,P ＜ 0.01].Patients' HbAlc was (9.67 ± 1.36) ％ before training,and reduced to (7.83 ± 1.02) ％ at the 3rd month,and (8.70 ± 1.67) ％ at the 6th month,and the differences were statistically significant (t =7.831,9.67,respectively; P ＜ 0.01).The difference of HbA1 c between the 3rd month and the 6th month was also significant (t =8.70,P ＜ 0.01).Conclusions Empowerment education can improve the self-management ability in diabetic patients,promote their behavior change,and favor blood glucose control. Key words: Diabetes mellitus; Insulin; Empowerment; Self-management