THE EFFECT OF EDUCATION ON KNOWLEDGE, SELF MANAGEMENT BEHAVIOURS AND SELF EFFICACY OF PATIENTS WITH TYPE 2 DIABETES SYSTEMIC REVIEW
Main Article Content
Keywords
Diabetes Mellitus, Complications, Self-Management, Outcomes
Abstract
Introduction: The prevalence of diabetes mellitus in Saudi Arabia was dramatically increased from 3.4 % in 1996 to 19.42% in 2012 and reached to 23.9% in 2013. The Saudi Press Agency (SPA) reported that the annual cost of diabetic care and its complication is exceeding four billion Saudi Riyals. Despite of the importance of diabetic educational programs in reducing the health care expenditure and improving the quality of care. This study aimed to review the evidence regarding the impact of self-management on the outcomes of diabetic mellitus.
Methods: A systematic search of articles focused on diabetes self-management education and support services was conducted. Articles were included if published between January 2013 and January 2022. We searched MEDLINE, CINAHL, EMBASE, ERIC, and PsycINFO for interventions which included elements to improve participants’ knowledge, skills, and ability to perform self-management activities as well as informed decision-making around goal setting.
Results: Previous systematic reviews and meta-analyses sought to find evidence that self-management intervention using educational or behavioral strategies stimulates the individual’s performance of diabetes self-care to increase target behavior actions such as blood glucose monitoring, diet care, physical activity and medical care among adults. These studies indicated modest but significant improvements in glycemic control in educational and behavioral interventions in diabetes, although, the improvement on glycemic control seemed to decrease over time.
Conclusions: The effect of self-management intervention on reduction in glycated hemoglobin seemed to be affected by baseline values of HbA1c. The higher baseline values of HbA1c, the greater the control of hyperglycemia after implementation of self-management.
References
2. International Diabetes Federation,2011.diabtes at glance ,.midle east and north Africa region (MENA), 2012.
3. Aldossary A. Health care and nursing in Saudi Arabia, 2008.
4. World Health Organization. Prevention of diabetes mellitus. Report of a WHO Study Group. Geneva: World Health Organization; No. 844, 1994.
5. Ahmed AM, Ahmed NH, Abdulla ME. Pattern of hospital mortality among diabetic patients in Saudi Arabia. Practice Diabetes Int; 17: 41-3, 2000.
6. Ahmed AM. Diabetes mellitus in Saudi Arabia: size of the problem and possibilities of efficient care. Practice Diabetes Int; 18: 324-7, 2001.
7. Elbagir M, Eltom MA. A population-based study on prevalence of diabetes in northern Saudi Arabia. Diabetes Care; 24: 1126-8, 1996.
8. Alzaid A. Time to declare war on diabetes. Ann Saudi Med; 17:154–155, 1997.
9. Fatani HH, Mira SA, El-Zubier AG. Prevalence of diabetes mellitus in rural Saudi Arabia. Diabetes Care;10:180–183. doi: 10.2337/diacare.10.2.180, 1987.
10. El-Hazmi M, Warsy A, Al-Swailem A, Sulaimani R. Diabetes mellitus as a health problem in Saudi Arabia. East Mediterr Health J; 4:58–67, 1998.
11. Gilles CL, Abrams KR, Lambert PC, Cooper NJ, Sutton AJ, Hsu RT, Khunti K. Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis. BMJ.;334:299. doi: 10.1136/bmj.39063.68937 5.55, 2007
12. Wilson GA, Gyi AA. The status and perspective of diabetes health education in China: inspiration from Australia. Int J Nurs Pract; 16:92–98. doi: 10.1111/j.1440-172X.2010.01817.x, 2010.
13. Al-Nozha MM, Al-Mazrou YY, Al-Maatouq MA, Arafah MR, Khalil MZ, Khan NB, Al-Marzouki K, Abdullah MA, Al-Khadra AH, Al-Harthi SS, Al- Shahid MS, Al-Mobeireek A, Nouh MS. Obesity in Saudi Arabia. Saudi Med J; 26:824–829, 2005.
14. Al-Nozha MM, Arafah MR, Al-Mazrou YY, Al-Maatouq MA, Khan NB, Khalil MZ, Al-Khadra AH, Al-Marzouki K, Abdullah MA, Al-Harthi SS, Al- Shahid MS, Nouh MS, Al-Mobeireek A. Coronary artery disease in Saudi Arabia. Saudi Med, 004;25:1165–1171, 2005.
15. Al-Nozha MM, Abdullah M, Arafah MR, Khalil MZ, Khan NB, Al-Mazrou YY, Al-Maatouq MA, Al-Marzouki K, Al-Khadra A, Nouh MS, Al- Harthi SS, Al-Shahid MS, Al-Mobeireek A. Hypertension in Saudi Arabia. Saudi Med J,;28:77–84, 2007.
16. Funnel MM, Anderson RM. Empowerment and Self-Management of Diabetes. Clinical, 2012
17. Orem DE. Nursing: Concepts of Practice. 4th ed. St. Louis, MO: Mosby-Year Book Inc.; 1991.
18. Hoy B, Wagner L, Hall EO. Self-care as a health resource of elders: an integrative review of the concept. Scand J Caring Sci; 21(4):456-466, 2007.
19. Joslin EP. A diabetic manual for the doctor and patient. 8th ed. Philidelphia: Lea & Fibiger; 1948.
20. Reiber GE, King H. Guidelines for the development of a national programme for diabetes mellitus. Geneva, World Health Organization, Division of non-communicable diseases and health technology, 1991
21. Peyrot M, Rubin RR, Lauritzen T, Snoek FJ, Matthews DR, Skovlund SE. Psychosocial problems and barriers to improved diabetes management: results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabetes Medicine; 22(10):1379-1385, 2005.
22. Steed L, Cooke D, Newman S. A systematic review of psychosocial outcomes following education, self-management and psychological interventions in diabetes mellitus. Patient Educ Couns; 51(1):5-15, 2003.
23. Type 2 diabetes. Health Technology assessment of screening, diagnosis and treatment. 2005. Copenhagen, Denmark, National Board of Health, Danish Centre for Evaluation and Health Technology Assessment. Danish Health Technology Assessment 2005.
24. Van Dam HA, van der Horst F, van den Borne B, Ryckman R, Crebolder H. Provider-patient interaction in diabetes care: effects on patient self-care and outcomes. A systematic review. Patient Educ Couns; 51(1):17-28, 2003
25. Coates VE, Boore JR. Self-management of chronic illness: implications for nursing. Int J Nurs Stud; 32(6):628-640, 1995.
26. Shojania KG, Ranji SR, McDonald KM, Grimshaw JM, Sundaram V, Rushakoff RJ et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control: a metaregression analysis. JAMA; 296(4):427-440, 2006.
27. Patientutbilding vid diabetes. En systematisk litteraturöversikt. SBU. Statens beredning för medicinsk utvärdering. Self-management in diabetes care, 2009.
28. Deakin T, McShane CE, Cade JE, Williams RD. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev;( 2):CD003417, 2005.
29. Gary TL, Genkinger JM, Guallar E, Peyrot M, Brancati FL. Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes. Diabetes Educ; 29(3):488- 501, 2003.
30. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomized controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet 2004; 363(9421):1589-1597.
31. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care; 24(3):561-587, 2001.
32. Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care; 25(7):1159-1171, 2002.