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.
Highlights
Diabetes is a disorder of the pancreas in which the beta cells of the islets of Langerhans of the pancreas fail to produce an adequate amount of insulin, or use insulin appropriately, resulting in the body's inability to metabolize carbohydrates, fats, and proteins appropriately (Jones, 2016).Type 2 diabetes mellitus (T2DM) was previously called non-insulin dependent diabetes mellitus, it may accounts for about 85% to 95% of all diagnosed cases of diabetes; it is resulted from a combination of resistance to the action of insulin, and insufficient insulin produced by the pancreas (Detels et al, 2015).The exact cause of diabetes is unknown
The mean age of the studied sample with type 2 diabetes mellitus (T2DM) was 48.50±8.21 years, their ages ranged between 29-60 years
More than two quarters had unsatisfactory health beliefs relevant to adherence to the therapeutic regimen, and less than one fifth of the subjects had a high score level of medication adherence
Summary
Diabetes is a disorder of the pancreas in which the beta cells of the islets of Langerhans of the pancreas fail to produce an adequate amount of insulin, or use insulin appropriately, resulting in the body's inability to metabolize carbohydrates, fats, and proteins appropriately (Jones, 2016).Type 2 diabetes mellitus (T2DM) was previously called non-insulin dependent diabetes mellitus , it may accounts for about 85% to 95% of all diagnosed cases of diabetes; it is resulted from a combination of resistance to the action of insulin, and insufficient insulin produced by the pancreas (Detels et al, 2015).The exact cause of diabetes is unknown. 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. Setting: This study was carried out at diabetic out-patient clinic in Medical Specialized Hospital affiliated to Mansoura University. 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
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