Abstract
The aim of this study is to assess the effect of diabetes self-management education (DSME) on lowering blood glucose level, stress, and quality of life (QoL) among female patients with type 2 diabetes mellitus (T2DM) in Thailand. The burden of noncommunicable diseases has increased globally, and it has negatively affected the QoL of diabetic patients. A quasi-experimental study was conducted by including 77 T2DM patients selected from 2 public health centers in Thailand. The respondents were randomly selected 38 in control group and 39 in intervention group. Pretested, piloted, and validated tool were used during this study. Knowledge on blood glucose level, stress, and QoL was measured at baseline and then compared to end line after 3 months of the intervention. The effects of intervention were estimated by regression coefficient of intervention on blood glucose level and QoL. The study was ethically approved by the Chulalongkorn University, Thailand. Baseline characteristics of both the groups were similar before the start of the intervention and there were no significant differences observed in age, education, blood sugar monitoring behavior, medical checkup, knowledge, self-care, stress, and hemoglobin HbA1c (>0.05). However, blood HbA1c, stress level, and QoL among the T2DM patients had significant changes (<0.05) after the intervention. The control group was remained same and there was no statistically significant difference reported (>0.05). The study concluded that the designed intervention of DSME has proved effective in lowering the blood sugar level, HbA1c level, stress level, and improved QoL among T2DM patients during this limited period of time. Hence, policy-makers can replicate this intervention for diabetic patients in a similar context.
Highlights
Diabetes mellitus (DM) is considered a major public health problem that badly affects the quality of life (QoL) of patients (Inga-Britt & Kerstin, 2019)
This study aims to evaluate the effect of diabetes self-management education (DSME) on blood glucose level among adult female patients with type 2 diabetes mellitus (T2DM) in public health centers in Bangkok
There was no significant difference between groups for age, education, blood sugar monitoring behavior, medical checkup, DM knowledge, self-care, stress, and HbA1c
Summary
Diabetes mellitus (DM) is considered a major public health problem that badly affects the quality of life (QoL) of patients (Inga-Britt & Kerstin, 2019). High prevalence of DM is badly affecting the health of patients and resulting in multiple complications with poor QoL (Abedini et al, 2020). QoL is highly influenced by personal expectations, attitudes, practices, and knowledge of the patient for that particular disease (Borg et al, 2019). In this condition, endocrine system releases excess glucocorticoids hormone that would impair glucose production in the liver and reduce the sensitivity of the cells for insulin that causes hyperglycemia (Di Dalmazi et al, 2012)
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