5598
Asmaa Mohamed Fathy Abd El Rahman Hassan
Community Based Behavioural Intervention For Promoting Life Style Of Diabetic Adults In An Egyptian Village
Type 2 DM, Health Education, life style modification, interventional study, Egypt, Village
Background: Egypt is among the world top 10 countries which has patients with diabetes. It is the first country among the middle east & north africa (MENA) with about 8.5 million patients. life style behavioural intervention promote health and prognosis of diabetic patients through improving dietary behaviours ,physical activity, medication use, and blood glucose monitoring. Aim: The current interventional study was conducted to test the effectiveness of life style modification on control type 2 diabetes. Objectives: To identify current risky practices including dietary behaviours, physical inactivity, and medication maluse among the target group, to develop the appropriate messages needed for the intervention, to intervene through educational sessions, to evaluate the intervention procedure through pretest- post test design. Subjects and methods: One hundred and ninety seven type 2 diabetes patients were recruited in an interventional study performed at El-Ibrahimia El-Qiblia Village- Damietta governorate to assess the effect of life style modification on the health of adult type 2 diabetic patients. Baseline lifestyle behavior assessment was performed. This was followed by providing interventional life style health education sessions regarding healthy nutritional behaviors, medication compliance behaviors, blood glucose monitoring, and exercise compliance. Post intervention assessment was done to evaluate the effect of the health education sessions. Comparison was done between baseline assessment and the post intervention assessment. Results: showed baseline low mean scores of Nutritional behaviors , Medication use behaviors, Blood glucose monitoring behaviors , Physical activity behaviors among the particpants with bad glycated heamoglobin and anthropometric measures There was a significant improvement of the mean scores at the postintervention phase. A significant improvement was detected in HbA1c, BMI, and Waist/hip ratio. There was also positive significant correlation between HBA1C with healthy nutritional behaviors, medication compliance, blood glucose monitoring and physical activity. Conclusion: Health education of type 2 diabetes patients about healthy life style including nutrition, exercise, and diabetes care education is beneficial in improving their health status and prognosis. Recommendation: Health education , communication and community awareness should be an integral part of diabetes management and should be included in (SOP) of diabetes care to be implemented at all levels of care
2018
M.D
Cairo
Medicine