Abstract:

Background: The Global report from the World Health Organization (WHO), published in 2016, estimated that 422 million of the adult population lives with diabetes the number of diabetic patients has dramatically increased 4 times over in the adult population.

Methods: This is Interventional study, 648 of the participants of diabetes mellitus in out-patient diabetic clinic in hospital central Nampula, the participants taken according to inclusion and exclusion criteria, completed the pre-test at baseline and post-test after the second follow up session of education, during each session of education blood pressure, urea, creatinine 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 improve blood pressure from baseline mean of 131.02/71.73 mmHg second follow up 120.95/68.79 mmHg with standard deviation of baseline 24.35 mmHg/14.66 mmHgto second follow up 19.95 mmHg/11.33 mmHg, blood urea and serum creatinine significantly decreased from baseline in the second follow up (P <. 001). A post hoc Turkey test on blood pressure, blood urea and serum creatinine when compared with dependent variable 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 blood pressure, blood urea and creatinine among participants of diabetes mellitus.

Keywords: Diabetes Mellitus, blood pressure, blood urea and creatinine, effect education, control, and 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]. Abdullah M., 2012, ‘Effects of the diabetes education program on metabolic Control among Saudi type 2 diabetic patients‘, Pakistan Journal Medical Science 2012 Vol. 28 No. 5 www.pjms.com.pk 925-930 (2012), viewed pjms.com.pk/index.php/pjms/article/view File//954

[3]. Braun, A., Sämann, A., Kubiak, T., Zieschang, T., Kloos, C., Müller, U.A., Oster, P., Wolf, G. and Schiel, R. (2008) ‘Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus’, Patient Education and Counseling, 73 (1), pp. 50–59. doi: 10.1016/j.Pec.2008.05.005. In-text citations: (Braun et al., 2008)

[4]. Burke, S., Sherr, D. and Lipman, R. (2014) ‘Partnering with diabetes educators to improve patient outcomes’, Diabetes, metabolic syndrome and obesity: targets and therapy., 7, pp. 45–53. In-text citations: (Burke, Sherr, and Lipman, 2014)

[5]. BJMP (2009) Impact of diabetes education and peer support group on the metabolic parameters of patients with diabetes Mellitus (type 1 and type 2). Available at: http://www.bjmp.org/content/impact-diabetes-education-and-peer-support-group-metabolic-parameters-patients-diabetes-mellitus-type-1-and-type-2 (Accessed: 14 August 2016). In-text citations: (BJMP, 2009)

[6]. Chrvala, C., Sherr, D. and Lipman, R. (2015) ‘Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control’, Patient education and counseling., 99 (6), pp. 926–43. In-text citations: (Chrvala, Sherr, and Lipman, 2015)

[7]. 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)

[8]. Center, J. D. (2016, August 14). Diabetes education: Why it’s so crucial to care. Retrieved August 14, 2016, from http://www.joslin.org/info/diabetes_education_why_its_so_crucial_to_care.htmlIn-line Citation: (Center, 2016)

[9]. Diabetes Education Study Group (1977) History. Available at: 

http://www.desg.org/desg/about/history/ (Accessed: 14 August 2016). In-text citations: (DESG, 1977)

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

[11]. Ellis, S.E., Speroff, T., Dittus, R.S., Brown, A., Pichert, J.W. and Elasy, T.A. (2004) ‘Diabetes patient education: A meta-analysis and meta-regression’, Patient Education and Counseling, 52 (1), pp. 97–105. doi: 10.1016/S0738-3991(03)00016-8. In-text citations: (Ellis et al., 2004)

[12]. 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)

[13]. Kent, D., Melkus, D., Stuart, P., McKoy, J., Urbanski, P., Boren, S., Coke, L., Winters, J., Horsley, N., Sherr, D. and Lipman, R. (2013a) ‘Reducing the risks of diabetes complications through diabetes self-management education and support’, Population health management., 16 (2), pp. 74–81. In-text citations: (Kent et al., 2013a)

[14]. 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)

[15]. 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)

[16]. MakkiAwouda, F., Elmukashfi, T. and Al-Tom, H. (2014) ‘Effects of health education of diabetic patient’s knowledge of diabetic health centers, Khartoum State, Sudan: 2007-2010’, Global journal of health science, 6 (2), pp. 221–6. In-text citations: (MakkiAwouda, Elmukashfi, and Al-Tom, 2014)

[17]. Merakou, K., Knithaki, A., Karageorgos, G. and Theodoridis, D. (2015) ‘Group patient education: Effectiveness of a brief intervention in people with type 2 diabetes mellitus in primary health care in Greece: A clinically controlled trial’, Health Education Research, 30 (2), pp. 223–232. doi: 10.1093/her/cyv001.In-text citations: (Merakou et al., 2015)

[18]. Mash, B., Levitt, N., Steyn, K., Zwarenstein, M. and Rollnick, S. (2012) ‘Effectiveness of a group diabetes education program in underserved communities in South Africa: Pragmatic cluster randomized control trial’, BMC Family Practice, 13 (1). doi: 10.1186/1471-2296-13-126. In-text citations: (Mash et al., 2012)

[19]. Mendes, G., Nogueira, J., Reis, C., Meiners, D. and Dullius, J. (2016) ‘Diabetes education program with emphasis on physical exercise promotes significant reduction in blood glucose, HbA1c and triglycerides in subjects with type 2 diabetes: A community-based quasi-experimental study’, The Journal of sports medicine and physical fitness., In-text citations: (Mendes et al., 2016)

[20]. Norris, S., Lau, J., Smith, S., Schmid, C. and Engelgau, M. (2002) ‘Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control’, Diabetes care., 25 (7), pp. 1159–71. In-text citations: (Norris et al., 2002)

[21]. Pereira, D.A., Ma, N., Costa, S.C., Luíza, A., Sousa, L., César, P., Jardim, V., Sanches, L. and Jardim, S. (2014) ‘Effect of an educational intervention on the metabolic control of people with type 2 diabetes’, Journal of Diabetes Nursing, 18. In-text citations: (Pereira et al., 2014)

[22]. 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)

[23]. Retrieved August 29, 2016, from https://en.wikipedia.org/.../Geography_of_Mozambi. NDEP program overview. (2016, June 24). Retrieved August 29, 2016, from https://www.niddk.nih.gov/health-information/health-communication-programs/ndep/about-ndep/ndep-overview/Pages/ndep-overview.aspxIn-line Citation:(“NDEP program overview,” 2016)

[24]. 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)

[25]. Tidy, C. (2014b) Diabetes education and self-management programs. Patient. Available at: http://patient.info/doctor/diabetes-education-and-self-management-programmes (Accessed: 14 August 2016). In-text citations: (Tidy, 2014b)

[26]. zareban, I., Niknami, S. and Rakhshani, F. (2013) ‘The effect of the self-efficacy education program on reducing blood sugar levels in patients with type 2 diabetes’, Health Education & Health Promotion, 1 (1), pp. 67–79. In-text citations: (zareban, Niknami, and Rakhshani, 2013)