The impact of structured education on knowledge and self-efficacy in type 2 diabetes mellitus patients

Erlin Sayuti, H. Malini, Devia Putri Lenggogeni
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Abstract

Patients diagnosed with Type 2 Diabetes Mellitus (T2DM) need to acquire knowledge and self-confidence to effectively engage in self-care activities. A structured education program has the potential to influence knowledge, self-efficacy, and self-care behavior. This study aimed to investigate the impact of education on the knowledge, self-efficacy, and self-care of individuals with T2DM. The research employed a quasi-experimental non-equivalent control group design with purposive sampling. The total sample size consisted of 60 participants, with 30 in each group. The intervention group attended a four-session T2DM structured education program conducted by internal medicine specialists, nurses, nutritionists, and pharmacists, while the control group continued with their usual monthly check-ups. The results of the independent t-test revealed differences in knowledge, self-efficacy, and self-care between the intervention and control groups in the post-test assessment. Education for T2DM patients was found to be effective in enhancing knowledge (p-value=0.000), self-efficacy (p-value=0.000), and self-care (p-value=0.000), making it a recommended component of self-management education to prevent complications. The implications of this study may assist hospitals in developing Standard Operating Procedures (SOPs) for implementing structured education programs for individuals with Type 2 Diabetes Mellitus as a means of enhancing patients’ management skills for T2DM.
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结构化教育对 2 型糖尿病患者知识和自我效能的影响
被诊断为 2 型糖尿病(T2DM)的患者需要获得有效参与自我护理活动的知识和自信心。有组织的教育计划有可能影响患者的知识、自我效能和自我护理行为。本研究旨在探讨教育对 T2DM 患者的知识、自我效能和自我护理的影响。研究采用了准实验性非等效对照组设计和目的性抽样。样本总数为 60 人,每组 30 人。干预组参加了由内科专家、护士、营养师和药剂师主持的为期四节的 T2DM 结构化教育课程,而对照组则继续每月进行常规体检。独立 t 检验结果显示,干预组和对照组在测试后评估中的知识、自我效能和自我护理方面存在差异。研究发现,对 T2DM 患者进行教育能有效增强其知识(p 值=0.000)、自我效能(p 值=0.000)和自我护理(p 值=0.000),因此被推荐作为预防并发症的自我管理教育的一部分。本研究的意义在于帮助医院制定标准操作程序(SOP),以实施针对2型糖尿病患者的结构化教育计划,从而提高患者管理T2DM的技能。
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