标题：Effect of locally-contextualized nurse-led diabetes self-management education on psychosocial health and quality of life: A controlled before-after study
期刊名称：International Journal of Africa Nursing Sciences
印刷版ISSN：2214-1391
出版年度：2021
卷号：15
页码：100325
DOI：10.1016/j.ijans.2021.100325
出版社：Elsevier
摘要：Our study evaluated the potential of nurse-led, locally contextualized diabetes self-management education (DSME) to modify psychosocial symptoms and health-related quality of life (HRQoL) in a resource-limited setting. Thus, a controlled, two-group, before-after study was conducted among people with type 2 diabetes mellitus (T2DM). At the baseline, 116 participants were randomly assigned to the intervention, and 104 to the comparison group. The intervention consisted of six interactive DSME sessions administered by nurses for six months. At the endline, data from 78 (67%) intervention and 64 (62%) comparison group participants were included in the final analysis. Statistically, no significant differences were observed in depressive symptoms, stress, and HRQoL. Even though statistically not significant the proportion of participants who had eye examination at the endline was slightly greater in the intervention group, which is clinically significant in reducing the risk of diabetes retinopathy complication. Moreover, intervention group participants reported the DSME sessions to be helpful for the management of stress and depressive symptoms. We discuss different reasons that may explain the non-significant findings, most specifically, gaps in the adaptation of the education materials for a resource-limited setting, and modifications for low-literacy. Despite the non-significant findings in this part of our study, our overall project paved a way to design and test contextualized DSME programs in resource-limited settings of Africa. This clinical trial was retrospectively registered on.
关键词：Depressive symptoms ; Diabetes self-management education ; Health-related quality of life ; Nurse-led ; Perceived stress ; ADA American Diabetes Association ; DSME diabetes self-management education ; DSMS diabetes self-management support ; HRQoL health-related quality of life ; IDF International Diabetes Federation ; JMC Jimma Medical Centre ; OHAs oral hypoglycaemic agents ; PHQ-9 Patient Health Questionnaire 9 ; PSS perceived stress scale ; T2DM type 2 diabetes mellitus
