Effect Of Self-management Education Research Articles

The Effect of Self-Management Education as a Family-Based Nursing Model on Blood Pressure Control in Patients with Hypertension

The Effect of Self-Management Education as a Family-Based Nursing Model on Blood Pressure Control in Patients with Hypertension

Effect of self-management education using pictogram-based content of health information on outcomes in Korean patients with chronic obstructive pulmonary disease: A randomized controlled trial

ObjectivesThis study aimed to evaluate the effects of pictogram-based self-management education on the symptom experience, self-efficacy, self-management adherence, and health-related quality of life (HRQoL) in individuals with chronic obstructive pulmonary disease (COPD). MethodsSixty COPD patients were enrolled from a pulmonology clinic at C hospital in southwestern Korea and subsequently randomized into two groups. ResultsA significant improvement in self-efficacy scores was noted (t = −2.16, p = .035) in the intervention group compared to the control group. No significant differences were observed in symptom experience (t = 0.48, p = .637), self-management adherence (t = −0.33, p = .742), and HRQoL (t = −0.52, p = .608). ConclusionOur findings suggest that the utilization of pictogram-based content in self-management education can be an effective tool for enhancing self-efficacy among COPD patients. Further research is required to evaluate the long-term effects on a broader sample size.

THE EFFECTS OF SELF-MANAGEMENT EDUCATION ON PATIENT OUTCOMES: A LITERATURE REVIEW

Background: Self-management programs have been reported to help patients manage symptoms for chronic diseases such as asthma. Asthma self-management education combining with behavior therapy is considered to be more effective.
 Objective: The purpose of this review was to identify of current published literature on asthma self management programs to astablished self management strategies.
 Design: This research type was literature review. Article as reference searched in google scholar with key word “self management” and “asthma” and science direct engine with key word; “asthma” and “self management”; and also with “asthma” and “self management and “behaviour” in science direct. Inclusion criteria are quantitative research in journal or scientific work about asthma self management education as independent variable. Exclusion criteria were literature article.
 Data Sources (include search dates): Google Scholar and Science Direct are data based used to explore the article on May 2022.
 Review Methods: PECOT/PICOT framework P(patient/problem): Asthma; E/I(exposure/implementation): Asthma self-management education; C(control): routine care; O(outcome): patient outcome.
 Results: limitation search are years, and population. Seventeen articles are found 13 of them are second sources. Four articles was explain there was an effect of self management education on patient outcomes: self efficacy, knowledge, and quality of life.
 Conclusion: Asthma self management education was effective to increase patient outcome: asthma knowledge, the quality of asthma control, self efficacy, and quality of life.

Effects of self-management education on COVID-19 prevention in patients undergoing hemodialysis

AimTo develop self-management education for preventing coronavirus disease 2019 (COVID-19) in patients on hemodialysis and to verify its effects. BackgroundDuring the current pandemic, studies on various areas, such as infection control in dialysis units, infection rates, clinical characteristics, treatment progress, and the emotional and psychological states of dialysis patients, have been actively reported. However, experimental research verifying the effects of interventions on infection prevention in hemodialysis patients is very rare. MethodsThis study included 34 patients on hemodialysis in a South Korean general hospital (18 in the experimental group and 16 in the control group). Data were collected from September to October 2021. The experimental group was provided with self-care behavior for infection prevention education for 8 weeks, and the control group was provided with usual nursing care. ResultsThe patients on hemodialysis showed moderate fear of COVID-19, good compliance with patient role behavior and self-management efficacy, and poor handwashing practice. After the intervention, there were no significant differences concerning fear of COVID-19, compliance with patient role behavior, and self-management efficacy between the experimental and control groups. However, confidence in handwashing (subjective norm) and proper handwashing practice improved significantly in the experimental group compared with the control group. ConclusionThe infection prevention education developed in this study positively affected confidence in handwashing and proper handwashing practice in patients undergoing hemodialysis. This intervention can be used in various clinical settings where care is provided for patients with chronic illness, including those on hemodialysis.

The effects of self-management education and support on self-efficacy, self-esteem, and quality of life among patients with epilepsy

Introduction: Epilepsy is a chronic disease and the most prevalent neurologic condition after stroke. Self-management (SM) is one of the main components of chronic disease management. It actively engages patients in the management of their problems. This study aimed to evaluate the effects of SM education and support on self-efficacy, self-esteem, and quality of life among patients with epilepsy (PWE). Methods: This quasi-experimental study was conducted in 2019. The participants were seventy PWE conveniently recruited from four healthcare centers in Shahrekord, Iran, and randomly allocated to a control (n = 35) and an intervention (n = 35) group. Study intervention was an educational-supportive SM program implemented in eight ninety-minute sessions followed by a three-month follow-up program. Data were collected before, immediately after, and three months after the intervention. Data collection instruments were the demographic questionnaire, Sherer Self-Efficacy Scale, Rosenberg Self-Esteem Scale, and Quality of Life in Epilepsy inventory. Results: Totally, 33 participants in the intervention group and 34 participants in the control group completed the study. There were no significant between-group differences regarding the pretest mean scores of self-efficacy, self-esteem, and quality of life (P > 0.05). Additionally, the variations of these mean scores across the three measurement time points in the control group were insignificant (P > 0.05), while the variations of all these mean scores in the intervention group were significant (P < 0.05). The between-group differences regarding the variations of these mean scores across the three measurement time points were also significant (P < 0.05). Conclusion: SM education and support intervention are effective in significantly improving the self-efficacy, self-esteem, and quality of life in PWE.

Perception and knowledge of Covid 19 in Indonesia: An intervention study

more deeply about the awareness in healthy behavior and covid prevention 19. Coronavirus 2019 (Covid 19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), in Indonesia corona virus transmission still occurs in the community, a total of cases, 49.009 (at time of writing). The purpose of this study is the effect of selfmanagement education on changes perceptions and knowledge transmission covid 19 patients in hospital at East Java. Data were obtained from 150 patients coming to clinic clinics in East Java, since December 2019 - May 2020. Sampling through simple random sampling technique. Pretest data collection to identify perceptions and knowledge, then the intervention of selfmanagement education was carried out and finally posttest conducted. Pretest and posttest data collection included closed questionnaire, data analysis was performed with independent T test. Changes of perception after intervention selfmanagement education was to treatment group. Selfmanagement educationable to change the perception and knowledge of patients about covid transmission 19. In the future it is necessary to research

Effect of Self Management Education on Knowledge and Self Efficacy of pulmonary TB Clients in Timor Tribal Community

Background: Pulmonary Tuberculosis (TB) disease is still the main cause of death among the poor with low knowledge. Knowledge and self efficacy are the keys to the successful management of pulmonary TB. Objective: The purpose of this study was to investigate the effect of self management education (SME) by emphasizing the five pillars of TB management on knowledge and self efficacy of pulmonary TB clients in the Timor tribal community in Kupang, Indonesia. Methods: This quasi experimental study was conducted on 30 primary pulmonary tuberculosis patients who undergoing treatment for 6 months. The research was conducted from January to October 2020 in the working area of the Naibonat Community Health Center, Kupang Regency. Data were collected using a questionnaire on demographic data, knowledge and self efficacy which had been tested for validity and reliability.. Data were analyzed by the Paired T-test with SPSS 21.  Results: The mean score of pre test knowledge and self efficacy of clients with pulmonary TB, respectively, 5.23 ± 1.04 and 4.77 ± 1.07 increased significantly to 6, 33 ± 1.18, and 7.13 ± 0.94 on the post test (P &lt;0.001). Conclusion and recommendation: giving SME by emphasizing the five pillars of pulmonary TB management increases the knowledge and self-efficacy of pulmonary TB clients in the Timor tribal community. The recommendation of this study is that SME interventions can be used as one of the nursing interventions in the public health center in community empowerment based pulmonary TB management

Self Management Education Healthy Life Behavior towards changes in perception and knowledge of COVID transmission 19

Covid 19 is a deadly infectious disease caused by the corona virus, which is still a global pandemic. The purpose of this study is to determine the effect of self management education on changes in people's perceptions and knowledge in East Java. One effort to change perceptions and knowledge of the breaking of the covid 19 chain was carried out with a self management education approach. Methods: Quasi-experiment one group pre and post design in patients who visited polyclinic 3 hospitals in East Java as many as 150 respondents were divided into 2 groups: 75 respondents in the control group and 75 respondents in the treatment group. Sampling through simple random sampling technique. Pretest data collection to identify perceptions and knowledge, then the intervention of self management education was carried out and finally posttest conducted. Pretest and posttest data collection included closed questionnaire, data analysis was performed with Mann Whitney U test and Wilcoxon signed rank test. Result: Changes in perception and knowledge a significant after self management education in hospitals at East Java. Conclusion: self management education able to change the perception and knowledge of patients about covid transmission 19. In the future it is necessary to research more deeply about the behavior of the community towards the breaking of the covid 19.

THE INFLUENCE OF FAMILY SUPPORT AMONG UNCONTROLLED TYPE II DIABETES MELLITUS PATIENTS

Across the Worldwide, the prevalence of type 2 diabetes mellitus (T2D) is rising significantly. Continuing diabetes mellitus (DM) treatment allows both patients and family members to undergo appropriate self-management instruction and support. This study aimed to review and describe the effect of self-management education for diabetes mellitus (DSME) involving close relatives on patient outcomes associated with patient health habits and perceived self-efficacy on self-management, such as medication adherence, tracking blood glucose, improvements in diet and exercise, health outcomes including psychological well-being and self-efficacy, and physiological indicators like body mass index. Three databases, PubMed, CINAHL, and Scopus, have been reviewed for relevant articles.&#x0D; Keywords: close relatives, self-management; family support; uncontrolled glycaemia; type 2 DM.

The effect of self-management education on quality of life of clients with coronary heart disease

Coronary Heart Disease (CHD) is still the number one cause of death in the world with 17.3 million deaths each year. CHD provides an impact in the form of physical and psycho-emotional symptoms, it will affect the quality of life of the client and self-management is a controlling factor to increase client satisfaction in living life. This study aims to identify the influence of education about self- management on the quality of life of clients with coronary heart disease in the Poly Heart of RSUD Dr. Drajat Prawiranegara Serang. Quasi-experimental research with a one-group design pre-post test. The number of samples is 25 CHD clients with the method of taking using purposive sampling. Data collection tool to measure the quality of life using the WHOQOL BREF instrument. Univariate analysis is presented in the form of mean, standard deviation, percentage and frequency distribution, while bivariate analysis uses t-dependent test (paired sample t-test). Univariate analysis results obtained mean ± SD of quality of life before being given self-management education 38.52 ± 5.53. While the mean quality of life after being given education was 59.64 ± 3.067. The results of the bivariate analysis obtained the mean ± SD difference of 21.12 ± 6.26 with p value = 0,000. There is an influence of self-management education on quality of life for clients with coronary heart disease. Nursing staff should be able to apply health education to CHD clients as a medium for the development of interventions in the event of decreased quality of life experienced by CHD clients. Pengaruh Edukasi Tentang self Management Terhadap Kualitas Hidup Pasien Dengan Penyakit Jantung Koroner Abstrak Penyakit jantung koroner (PJK) masih menjadi penyebab kematian nomor satu di dunia dengan 17,3 juta kematian setiap tahun nya. PJK memberikan dampak berupa gejala fisik dan psikoemosional, hal tersebut akan mempengaruhi kualitas hidup klien dan self management merupakan faktor pengendali untuk meningkatkan kepuasan klien dalam menjalani hidup. Penelitian ini bertujuan untuk mengidentifikasi adanya pengaruh edukasi tentang self management terhadap kualitas hidup pada klien dengan penyakit jantung koroner di Poli Jantung RSUD dr. Drajat Prawiranegara Serang. Penelitian berjenis quasi eksperiment dengan pre-post test one-group design. Jumlah Sampel sebanyak 25 klien PJK dengan metode pengambilan menggunakan purposive sampling. Alat pengumpulan data untuk mengukur kualitas hidup menggunakan instrumen WHOQOL BREF. Analisis univariat disajikan dalam mean, Standar deviasi, persentasi dan distribusi frekuensi, sementara, analisis bivariat menggunakan uji t-dependent (paired sample t-test). Hasil analisis univariat didapatkan nilai mean(SD) kualitas hidup sebelum diberikan edukasi self management 38,52(5,53). Sementara nilai mean kualitas hidup setelah diberikan edukasi didapatkan 59,64(3,067). Hasil analisis bivariat didapatkan nilai selisih mean(SD) sebesar 21,12(6,26) dengan p vaue=0,001. Ada pengaruh edukasi self management terhadap kualitas hidup pada klien dengan penyakit jantung koroner. Tenaga keperawatan sebaiknya dapat menerapkan edukasi kesehatan kepada klien PJK sebagai media untuk pengembangan intervensi pada kejadian penurunan kualitas hidup yang dialami oleh klien PJK.

Effect of self-management education on the self-care ability and quality of life of patients with SCCI

目的 探讨自我管理教育对自闭保护性回肠造口患者插管造口时期自护能力和生活质量的影响。 方法 将湖州市第一人民医院胃肠外科2015年6月至2017年6月行自闭保护性回肠造口手术的患者60例采用随机数字表法分为观察组和对照组各30例，对照组术后接受常规健康教育，观察组在对照组基础上实施自我管理教育，比较两组患者术后插管造口时期自护能力及生活质量。 结果 干预后，观察组自我概念评分、自护责任感评分、自我护理技能评分、健康知识水平评分、自护能力总分分别为(21.34±2.16)分、(18.28±2.74)分、(35.67±5.32)分、(60.22±3.92)分、(135.51±8.27)分，对照组分别为(17.05±2.45)分、(15.81±1.62)分、(28.56±2.92)分、(53.12±2.85)分、(114.54±4.69)分，两组均差异有统计学意义(t＝2.535、2.438、2.645、3.982、5.312，均P<0.05)；观察组患者生理健康评分、心理健康评分、社会健康评分、精神健康评分分别为(68.23±10.32)分、(70.58±12.26)分、(98.32±22.35)分、(57.41±10.11)分，对照组分别为(65.02±9.32)分、(66.92±10.33)分、(88.47±25.69)分、(52.84±8.61)分，两组均差异有统计学意义(t＝2.228、2.164、2.801、3.319，均P<0.05)。 结论 自我管理教育能增强自闭保护性回肠造口患者在插管造口时期的自护能力，提高生活质量。

Effect of self-management education on the improvement of self-management behavior of patients with maintenance hemodialysis

目的 探讨自我管理教育对维持性血液透析患者自我管理行为的改善作用。 方法 将舟山医院2017年1－12月收治的维持性血液透析患者120例按照随机数字表法分为对照组与观察组各60例。对照组实施常规治疗和管理；观察组于常规治疗和管理基础上实施自我管理教育。比较两组干预前后运动自我效能评分、疲乏量表各项项目得分、抑郁得分及自我管理量表各项目得分。计算两组患者非标准化60 s坐－站次数(STS-60)。 结果 观察组患者干预后运动自我效能评分为(62.14±10.44)分，明显高于对照组的(51.74±9.11)分，差异有统计学意义(t＝5.813，P＝0.000)；观察组患者干预后STS-60为(29.79±8.01)次，明显多于对照组的(27.14±5.72)次，差异有统计学意义(t＝2.085，P＝0.039)。观察组行为严重程度、情感、感知及认知情绪评分分别为(4.68±1.14)分、(4.81±1.69)分、(3.98±1.70)分、(3.02±0.87)分，明显低于对照组的(6.17±1.30)分、(6.62±1.32)分、(5.98±1.05)分、(5.12±0.62)分，差异均有统计学意义(t＝6.675、6.538、7.753、15.226，P＝0.000、0.000、0.000、0.000)。观察组干预后抑郁评分为(47.12±3.31)分，明显低于对照组的(53.69±4.41)分，差异有统计学意义(t＝9.229，P＝0.000)；观察组患者干预后问题解决、执行自我管理、伙伴关系及情绪处理评分分别为(2.81±0.41)分、(2.83±0.46)分、(3.02±0.61)分、(2.86±0.64)分，明显高于对照组的(2.39±0.39)分、(2.39±0.42)分、(2.68±0.35)分、(1.72±0.50)分，差异均有统计学意义(t＝5.749、5.471、4.556、10.872，P＝0.000、0.000、0.000、0.000)。 结论 自我管理教育应用于维持性血液透析患者中可有助于提高患者运动积极性和自我效能感，改善抑郁症状，减轻疲乏状况，提高自我管理行为。

The Effect of Self Management Education and Support in Improving The Self-Efficacy of Patients with Type 2 Diabetes Mellitus

The Effect of Self Management Education and Support in Improving The Self-Efficacy of Patients with Type 2 Diabetes Mellitus

Effects of Self-Management Education on Self-Efficacy and Quality of Life in Patients with Ulcerative Colitis: A Randomized Controlled Clinical Trial

ABSTRACTBackground: Self-management (SM) as a dynamic process enables Ulcerative colitis (UC) patients to live with this chronic illness. The present study aimed to investigate the effect of SM education on self-efficacy (SE) and quality of life (QoL) in patients with UC. Methods:This randomized controlled clinical trial study was conducted on 64 patients with UC from December 2016 to February 2017 at Motahari clinic, Shiraz. Patients were randomly divided into two groups of intervention and control. The education program included six 90-minute sessions in 3 weeks and one month telephone follow-up. Before, immediately and one month after the intervention, the participants filled out the Strategies Used by People to Promote Health (SUPPH) for SE, and the Inflammatory Bowel Disease Questionnaire-9 (IBDQ-9) for Qol. Then, data were entered into SPSS 18.0 and analyzed using independent samples t-test, Chi-square, repeated measures ANOVA and Pearson’s correlation coefficient. Results: A significant increase was observed in terms of the overall mean score for SE and its dimensions in the intervention group (P<0.001). These scores were significantly higher than those of the control group (P<0.001), except for positive attitude (P=0.15). The scores for overall Qol and its dimensions significantly increased in the intervention group immediately and one month after the intervention (P<0.001), and the difference between the two groups was significant (P<0.001). There was a significant positive correlation between SE and Qol (r=0.32, P=0.01). Conclusion: SM improved the SE and Qol in patients with UC. SM educatoin is recommended in nursing care of patients with UC. Trial Registration Number: IRCT2016092429823N1

Effects of self-management education on sharp instruments operation behavior of nursing staff

Objective To explore the effects of self-management education on sharp instruments operation behavior of nursing staff. Methods Form January to June 2017, 231 nurses were given the self-management education on sharp instruments operation. The general self-efficacy, the self-management ability and the accuracy of sharp instruments operation behavior of nurses were compared before and after the education. Results After the self-management education, the general self-efficacy, the total score of self-management ability in sharp instruments operation, the control operation, the emotion management, the operation information management, occupational health management, the operation environment management and the accuracy of sharp instruments operation behavior of nurses also improved apparently than before, and the differences were statistically significant (P<0.05) . Conclusions The self-management education can improve the self-management ability and the accuracy of sharp instruments operation behavior of nurses. Key words: Nursing staff; Self-management education; Sharp instruments operation; Behavior

The Effect of Self-Management Education on Distress of Type 2 Diabetes Mellitus Patients in Ulin General Hospital Banjarmasin, South Kalimantan, Indonesia

Abstract: The purpose of this study was to analyze the effect of diabetes self management education (DSME) on distress of type 2 diabetes melitus patients which is hospitalized in Ulin General Hospital. This Study used Pre-Experiment with One Group Pretest-Posttest Design. The sample size was 32 patients. The results showed that the average of emotional burden before and after DSME was decrease, with difference number 0.325. The result of Distress among healthcare services before and after DSME was increase (0.211). The result of distress due to diabetes management before and after DSME was decrease (0.119). The result of distress interpersonal relationship before and after DSME was up (0,021). The analysis used Wilcox on Sign Rank test with p= 0,135 (p&gt; 0,05) for emotional distress, p = 0,443 (p&gt; 0,05) for Distress healthcare worker, p = 0.656 (p&gt; 0.05) for distress due to diabetes management. P=0,527 (p&gt;0,05) for Distress interpersonal relationship. The conclusion was there is no significant difference of distress level before and after DSME. It is shown that there is no effect of DSME on distress among patients with diabetes mellitus. Keywords: Diabetes Mellitus, Distress, Diabetes Self-Management Education (DSME)

Effects of self-management education on pain, negative emotions and quality of life of nurses with low back pain

Objective To explore the effects of pain self-management education on pain, negative emotions and quality of life of nurses with low back pain. Methods A total of 120 nurses in a class Ⅲ grade A hospital from September 2015 to March 2016 were randomly divided into the control group and the experimental group, 60 cases respectively. Nurses in the control group were given usual occupational low back pain education, while nurses in the experimental group were given individual interventions based on the stage of pain self-management guided by the stages of change model. The stage distribution of pain self-management behavior, pain, negative emotions and quality of life were evaluated and compared between the two groups before and after the intervention. Results After the intervention, the rates of action period and maintenance period in pain self-management behavior of nurses in the experimental group were significantly higher than those in the control group (χ2=28.065, P 0.05). After the intervention, the scores of pain and negative emotions in the experimental group were lower than those in the control group, the score of quality of life was higher than that in the control group. The differences were statistically significant (P<0.05). Conclusions Pain self-management can improve the intention and capacity of nurses in the pain self-management, reduce the low back pain, ameliorate the negative emotion and promote the quality of life of nurses. Key words: Nurses; Quality of life; Negative emotion; Low back pain; Self-management

Effects of Self-management Education Through Telephone Follow-up in Diabetic Patients.

It is expected that the number of people living with diabetes rise especially in low- and middle-income countries. In Iran, more than four million adults have diabetes mellitus, and self-management education is essential for effective diabetes self-care. This study aimed to investigate the effect of self-management education with telephone follow-up in diabetic patients of rural areas of Fars province in Lamerd city, Iran. In this experimental study, 64 participants were randomly assigned to intervention and control groups (32 patients for each group). In the intervention group, the participants attended four educational sessions, each lasting 90 minutes. The control group received the usual care. Outcome measures were clinical variables and the patients' scores in Diabetes Self-Management Questionnaire (DSMQ) in the preintervention and postintervention phases. Effects of the intervention were analyzed using Mann-Whitney U test and analysis of covariance. Data of 60 patients (30 in each group) were analyzed. There were significant differences between the two groups in fasting blood sugar after 3 months of intervention. There was a significant difference between the intervention and control groups in DSMQ sum scale after adjusting for baseline value. In subscales of DSMQ, there were significant differences between the intervention and control groups in glucose management, dietary control, and physical activity, whereas no significant difference was found in health care use between the intervention and control groups. Self-management education with telephone follow-up in diabetic patients in rural areas is effective, especially in improving fasting blood sugar level and increasing scores of patients based on DSMQ.

The Effect of Self-Management Education Following Mild Stroke: An Exploratory Randomized Controlled Trial

Abstract Date Presented 3/31/2017 This study was a randomized controlled trial to see if self-management intervention is feasible and has an effect on health outcomes in persons with mild stroke. Participants who received the intervention had improved health care utilization and physical health quality of life ratings compared with control participants. Primary Author and Speaker: Timothy Wolf Additional Authors and Speakers: Meghan Doherty

Effect of self-management education on medication compliance and self-efficacy of patients with schizophrenia in rehabilitation period

Objective To observe the effect of medication compliance and self-efficacy of schizophrenia patients with diabetes by continuing self-management education. Methods A total of 60 patients with schizophrenia with diabetes diagnostic criteria were divided into experimental group (30 cases) and control group (30 cases) by the admission number, 2 groups received conventional drug treatment, the control group received general preaching health education pattern, were each issued a health education manual, with schizophrenia and diabetes health knowledge division, the test group on the basis of the continuation of the implementation of self-management education, followed up 12 months after discharge, compared 2 groups of patients with medication compliance and recurrence rate, with General Perceived Self-Efficacy Scale (GSES) assessment level of 2 groups of patients with self-efficacy, fasting blood glucose (FPG) was determined by automatic biochemical analyzer, 2 hours postprandial blood glucose (2 hPBG). Results Six months after discharge, 82.1%(23/28) cases were complete compliance, 14.3%(4/28) cases of partial compliance, 3.6%(1/28) cases of non-compliance, 55.2%(16/29)cases of the control group complete compliance, 27.6%(8/29) cases of partial compliance, 17.2%(5/29) cases of non-compliance, the differences between two groups were statistically significant (χ2=37.41, P<0.05). The 12 month test group of full compliance discharged 75.0%(21/28) cases, 14.3%(4/28) cases of partial compliance, 10.7%(3/28) cases of non-compliance, 31.0%(9/29) cases of the control group complete compliance, 31.0%(9/29) cases of partial compliance, 37.9%(11/29) cases of non-compliance, the test group compliance was higher than the control group (χ2=11.27, P<0.05). The score after 6 months and 12 months respectively for the test group general self-efficacy scored 35.32±2.02, 34.18±1.77, control group scored 24.03±3.04, 22.48±2.01, the differences between two groups were statistically significant (t=16.445, 23.304, P<0.01). After 6 months in test group FPG and 2 hPBG were (5.71±1.05), (9.46±1.37) mmol/L, control group were (7.79±1.05), (12.28±2.07) mmol/L, the differences between two groups were statistically significant (t=7.483, 6.023, P<0.01). 12 months after discharge in test group FPG and 2 hPBG respectively (5.89±1.13), (9.68±1.09) mmol/L, control group (9.14±1.19), (13.17±1.42) mmol/L, test group FPG and 2 hPBG were lower than the control group (t=10.550, 7.431, P<0.01). After 6 months and 12 months, the recurrence rate of experimental group were 7.1% (2/28) and 24.1% (7/29) respectively, and control group were 14.3% (4/28) and 44.8% (13/29), the recurrence rate of experimental group was lower than the control group, there was significant difference between 2 groups (χ2=4.326, 6.225, P< 0.05 or 0.01). Conclusions Self-management education can improve the medication compliance and self-efficacy, improve mental symptoms and sugar metabolism, and reduce the recurrence rate. Key words: Schizophrenia; Diabetes mellitus; Patient compliance; Self-efficacy; Follow up study; Continuing nursing