Abstract:

Background: The patient of diabetes in Central hospital Nampula has the prevalence of obesity, poor knowledge regarding diabetes, completely depends on the diabetic pharmacological treatment and lack of awareness of complication of diabetes. There is a need of lifestyle modification, increase knowledge of diabetes to improve obesity, glycaemic control, reduce its complication.

Methods: This is clinical intervention study,648 of the participants of diabetes mellitus taken for study in outpatient diabetic clinic in hospital central Nampula, according to inclusion and exclusion criteria, participated in the pre-test at baseline and post-test after the second follow up session of education, during each session of education body mass index and fasting blood sugar were recorded. Education commenced with instruction in groups of each session followed by individual advice sessions for each patient with different specialists. 

Results: The present study found that educational intervention of diabetes was highly effective to increase knowledge of diabetes with compare of pre-test and Post-test score (P <. 001), fasting blood sugar and body mass index significantly decreased from baseline in the second follow up (P <. 001). Age was significantly correlated with body mass index and fasting blood sugar (P<. 001,) Posttest with body mass index and fasting blood sugar were significantly correlated (P<. 01). A post hoc Turkey test on body mass index when compared with fasting blood sugar found significantly (P=. 05) at baseline, at first follow up (P=. 005) and at second follow up (P=. 005). 

Conclusion: The present study found that educational intervention was highly effective in controlling body mass index, fasting blood sugar and improves knowledge of diabetes among participants of diabetes mellitus. 

Keywords: Diabetes Mellitus, blood sugar, body mass index, effect education, control, participants

References:

[1]. Association, A. D. (2002). Standards of medical care for patients with diabetes Mellitus. Diabetes Care, 25(suppl 1), 33–49. doi:10.2337/diacare.25.2007.S33In-line Citation :( Association, 2002)

[2]. Balagopal, P., Kamalamma, N., Patel, T.G. and Misra, R. (2008) ‘A community-based diabetes prevention and management education program in a rural village in India’, Clinical Care/Education/Nutrition/Psychosocial Research, 31 (6), pp. 1097–1104. doi: 10.2337/dc07-1680. In-text citations: (Balagopal et al., 2008)

[3]. Choi, T.S.T., Davidson, Z.E., Walker, K.Z., Lee, J.H. and Palermo, C. (2016) ‘Diabetes education for Chinese adults with type 2 diabetes: A systematic review and meta-analysis of the effect on glycemic control’, Diabetes Research and Clinical Practice, 116, pp. 218–229. doi: 10.1016/j.diabres.2016.04.001. In-text citations: (Choi et al., 2016)

[4]. Disclaimer, I. D. F. (2015). Mozambique. Retrieved August 29, 2016, from http://www.idf.org/membership/afr/mozambiqueIn-line Citation:(Disclaimer, 2015)

[5]. 5.5 general diabetes self-management and education (2016) Available at: https://www.icsi.org/guideline_sub-pages/diabetes/55_general_diabetes_self-management_and_education/ (Accessed: 14 August 2016). In-text citations: (5.5 general diabetes self-management and education, 2016)

[6]. Mollaoğlu, M. and Beyazıt, E. (2009) ‘Influence of diabetic education on patient metabolic control’, Applied Nursing Research, 22 (3), pp. 183–190. doi: 10.1016/j.apnr.2007.12.003. In-text citations: (Mollaoğlu and Beyazıt, 2009)

[7]. Moattari, M., Ghobadi, A., Beigi, P. and Pishdad, G. (2012) ‘Impact of self-management on metabolic control indicators of diabetes patients’, Journal of Diabetes & Metabolic Disorders, 11 (1), p. 6. doi: 10.1186/2251-6581-11-6. In-text citations: (Moattari et al., 2012)

[8]. Ricci-Cabello, I., Ruiz-Pérez, I., Rojas-García, A., Pastor, G., Rodríguez-Barranco, M. and Gonçalves, D.C. (2014) ‘Characteristics and effectiveness of diabetes self-management educational programs targeted to racial/ethnic minority groups: A systematic review, meta-analysis and meta-regression’, BMC Endocrine Disorders, 14 (1), p. 60. doi: 10.1186/1472-6823-14-60. In-text citations (Ricci et al., 2014)

[9]. Salinero-Fort, M., Santa, C., Arrieta-Blanco, F., Abanades-Herranz, J., Martín-Madrazo, C., Rodés-Soldevila, B. and Burgos-Lunar, de (2011) ‘Effectiveness of PRECEDE model for health education on changes and level of control of HbA1c, blood pressure, lipids, and body mass index in patients with type 2 diabetes mellitus’, BMC public health., 11. In-text citations: (Salinero-Fort et al., 2011)