None-Insulin Dependent Diabetes Mellitus Related to Self-Care Management Behaviors: A Protocol of Care

Shereen Abd Elmoneam Ahmed^1, and Madiha Hassan Nabih Mohamed²

¹Medical-Surgical Nursing Department, Suez Canal University, Ismailia, Egypt

²Medical-Surgical Nursing Department, Mansoura University, Mansoura, Egypt

Cite this paper:
Shereen Abd Elmoneam Ahmed and Madiha Hassan Nabih Mohamed. None-Insulin Dependent Diabetes Mellitus Related to Self-Care Management Behaviors: A Protocol of Care. American Journal of Nursing Research. 2019; 7(2):185-192. doi: 10.12691/ajnr-7-2-10

Abstract

Background: The incidence of diabetes is growing especially in developing countries. Implementation of a protocol of care can increase the self-care management behaviors of the patients. Aim: To evaluate the effect of a protocol of care on patients with none-insulin dependent diabetes mellitus related to self-care management behaviors. Methods: A quasi-experimental one group (pre/post-test), design was utilized in this study, on a purposeful sample of 100 adult patients aged (30-50) years old, diagnosed with (NIDDM), and were enrolled in the medical inpatient and the outpatient units affiliated to Suez-Canal University Hospitals and the Specialized Medical Hospital, Mansoura University, Egypt, between October 2016 and September, 2017. A structured interview technique used to collect the data three times throughout the study (pre-intervention, 2 weeks post, and 3 months follow-up). Patients received the diabetic protocol of care after assessing the baseline data and implementation of the program. The study instruments were the socio-demographic and medical history questionnaire; knowledge and attitudes questionnaire; the summary of diabetes self-care behaviors scale (SDSCA), and observational checklist to assess the related procedures to be practiced by the patients. Results: Significant increase in the level of the participants' knowledge, attitudes, and self-care management behaviors score was observed after implementation of the protocol of care by 2 weeks and 3-months compared with the pre-implementation scores. Conclusion/Implication for future practice: The findings of the current study concluded that there is a positive significant correlation between the study variables as the protocol of care appraised the level of self-care management behaviors among the studied patients. The current study will help the participants to manage themselves, and reduce complications of the disease that can occur with inefficient care. Recommendations: The study recommended the need for implementing a structured protocol of care at the hospitals as ordinary patient services with stress on self-care behaviors.

Keywords:
protocol of care self-care management behaviors none-insulin dependent diabetes mellitus

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References:

[1]	Albikawi, Z. F., Petro-Nustas, W., & Abuadas, M. (2015). The effect of diabetes self-efficacy enhancing intervention on diabetes self-care management behaviors among Jordanian type two diabetes patients. American International Journal of Contemporary Scientific Research, 2(4), 34-48.
[2]	American Diabetes Association, A. D. (2017). 2. Classification and Diagnosis of Diabetes. Diabetes Care, 40(Suppl 1), S11-S24.
[3]	Barasheh, N., Shakerinejad, G., Nouhjah, S., & Haghighizadeh, M. H. (2017). The effect of educational program based on the precede-proceed model on improving self-care behaviors in a semi-urban population with type 2 diabetes referred to health centers of Bavi, Iran. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 11, S759-S765.
[4]	Davari, L., Eslami, A. A., Hassanzadeh, A., Alavijeh, M. M., & Mahmoodi, G. R. (2014). Self-care Behavior Promotion among Type 2 Diabetic Patients: A Randomized Controlled Trial. Journal of Biology and Today’s World, 3(11), 242-246.
[5]	Okonta, H. I., Ikombele, J. B., & Ogunbanjo, G. A. (2014). Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients. The African Journal of Primary Health & Family Medicine, 6(1), 2-7.
[6]	Miller, S. T., Cunningham-erves, J., & Akohoue, S. A. (2016). D iabetes E ducation , S pecialty C are , and S elf -C are A dvice among O bese A frican A merican W omen with T ype 2 D iabetes. Ethnicity and Disease Journal, 26(2), 229-234.
[7]	Wichit, N., Mnatzaganian, G., Courtney, M., Schulz, P., & Johnson, M. (2017). Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes Research and Clinical Practice Journal, 123(1), 37-48.
[8]	Nejaddadgar, N., Solhi, M., Jegarghosheh, S., Abolfathi, M., & Ashtarian, H. (2017). Self-Care and Related Factors in Patients with Type 2 Diabetes. Asian Journal of Biomedical and Pharmaceutical Sciences, 7(61), 6-10.
[9]	Padma, K., Bele, S., & Bodhare, T. (2012). Evaluation Of Knowledge And Self Care Practices In Diabetic Patients And Their Role In Disease Management. National Journal of Community Medicine, 3(1), 3-6.
[10]	Rathod, G. B., & Parmar, P. (2012). Comparison Regarding Knowledge, Attitude And Practice Of Blood Donation Between Health Professionals And General Population. International Journal of Contemporary Research and Review (Ijcrr), 04(21), 114-120.
[11]	Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943-950.
[12]	Hamilton Family Health Team Registered dietitians. (2008). Injecting insulin checklist. Retrieved from http://picsolution.ir/wp-content/uploads/2013/04/Injecting-Insulin-Checklist.pdf.
[13]	F. A. Davis Company. (2007). Checking Fingerstick (Capillary) Blood Glucose Levels. In Wilkinson & & VanLeuven (Eds.), Procedure Checklists for Fundamentals of Nursing (pp. 18-19).
[14]	Payne, G. H., Leeman, J., & Farris, R. P. (2011). News from CDC (summer 2011)-translating knowledge to program action for nutrition, physical activity, and obesity interventions. Translational Behavioral Medicine, 1(3), 367-368.
[15]	West, J. F. (2014). Public health program planning logic model for community engaged Type 2 diabetes management and prevention. Evaluation and Program Planning Journal, 42, 43-49.
[16]	Guideline, J. C. (2017). Joslin Diabetes Center & Joslin Clinic.
[17]	Qi, L., Feng, L., Tang, W., Ma, X., Ding, X., Mao, D., & Li, J. (2014). A Community-Based Comprehensive Intervention Program for 7200 Patients with Type 2 Diabetes Mellitus in Chongqing (China). International Journal of Environmental Research and Public Health, 11, 11450-11463.
[18]	Ghotbi, narghes, Maddah, sadat S. B., Dalvandi, asghar, Arsalani, narghes, & Farzi, marjan. (2014). The effect of education of self care behaviors based on family-centered empowerment model in type II diabetes. Advances in Nursing & Midwifery, 23(83), 35-42.
[19]	Ghannadi, S., Amouzegar, A., Amiri, P., Karbalaeifar, R., Tahmasebinejad, Z., & Kazempour-Ardebili, S. (2016). Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis. Journal of Diabetes Research, 2016, 1-7.