Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care
Abstract Background Diabetes is one of the most common chronic diseases that severely reduce a patient’s quality of life. Effective self-care and management are critical for maintaining blood glucose levels and preventing complications. Aim This study evaluates the effectiveness of a structured diab...
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2024-12-01
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| Online Access: | https://doi.org/10.1186/s12912-024-02573-w |
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| author | Ateya Megahed Ibrahim Fatma Abd El Latief Gano Hassanat Ramadan Abdel-Aziz Nora H. Elneblawi Donia Elsaid Fathi Zaghamir Lobna Mohamed Mohamed Abu Negm Rasha Kamal Mohamed Sweelam Safaa Ibrahim Ahmed Heba Ahmed Osman Mohamed Fathia gamal elsaid hassabelnaby Aziza Mohamed Kamel |
| author_facet | Ateya Megahed Ibrahim Fatma Abd El Latief Gano Hassanat Ramadan Abdel-Aziz Nora H. Elneblawi Donia Elsaid Fathi Zaghamir Lobna Mohamed Mohamed Abu Negm Rasha Kamal Mohamed Sweelam Safaa Ibrahim Ahmed Heba Ahmed Osman Mohamed Fathia gamal elsaid hassabelnaby Aziza Mohamed Kamel |
| author_sort | Ateya Megahed Ibrahim |
| collection | DOAJ |
| description | Abstract Background Diabetes is one of the most common chronic diseases that severely reduce a patient’s quality of life. Effective self-care and management are critical for maintaining blood glucose levels and preventing complications. Aim This study evaluates the effectiveness of a structured diabetes self-management education program on patients’ self-management behaviors, empowerment, and activation levels. Methods This study employed a quasi-experimental design involving 100 participants aged 30–65 to improve diabetes self-management and empowerment. Over 16 weeks, the program included three phases: a two-week pre-test phase for recruitment and baseline assessments using the Diabetes Self-Management Questionnaire (DSMQ), Diabetes Empowerment Scale (DES), and Patient Activation Measure (PAM); a 12-week intervention phase featuring weekly 90-minute educational sessions on topics such as diet, exercise, medication adherence, stress management, and self-empowerment; and a two-week post-test phase for follow-up assessments using the same tools. Data were analyzed using descriptive statistics, chi-square tests for PAM levels, and paired t-tests for DSMQ and DES scores, with statistical significance set at p < 0.05. Results The study demonstrated significant improvements in participants’ self-management, empowerment, and activation levels after the intervention. DSMQ scores increased from 64.5 to 68.6 (p < 0.001), DES scores rose from 65.4 to 70.0 (p = 0.001), and the number of participants at the highest PAM activation level (Level 4) grew from 30 to 50 (p = 0.016). Positive correlations among DSMQ, DES, and PAM scores suggest these improvements are interrelated. Conclusion The structured diabetes self-management education programme significantly impacted participants’ self-management behaviors, empowerment, and activation levels. The findings underscore healthcare professionals’ need to implement targeted interventions that facilitate patient engagement in diabetes care. Recommendation Future interventions should be designed to address the specific needs of diverse populations, paying attention to those facing socio-economic challenges. It is vital to facilitate greater access to diabetes self-management education to enhance health outcomes for these demographic groups. |
| format | Article |
| id | doaj-art-ba00f6745bc341218a7bfa40738726ef |
| institution | OA Journals |
| issn | 1472-6955 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-ba00f6745bc341218a7bfa40738726ef2025-08-20T02:31:44ZengBMCBMC Nursing1472-69552024-12-0123111310.1186/s12912-024-02573-wTailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes careAteya Megahed Ibrahim0Fatma Abd El Latief Gano1Hassanat Ramadan Abdel-Aziz2Nora H. Elneblawi3Donia Elsaid Fathi Zaghamir4Lobna Mohamed Mohamed Abu Negm5Rasha Kamal Mohamed Sweelam6Safaa Ibrahim Ahmed7Heba Ahmed Osman Mohamed8Fathia gamal elsaid hassabelnaby9Aziza Mohamed Kamel10Family and Community Health Nursing Department, Faculty of Nursing, Port Said UniversityMedical Surgical Nursing Department, Faculty of Nursing, Mansoura UniversityCollege of Nursing, Prince Sattam Bin Abdulaziz UniversityDepartment of Medical and Surgical Nursing, College of Nursing, Taibah UniversityCollege of Nursing, Prince Sattam Bin Abdulaziz UniversityEmergency & Intensive Care Nursing Department, Faculty of Nursing, Northern Border UniversityPsychiatric and mental health nursing Department, faculty of nursing, Northern border universityMaternity and Child Health Nursing Department, Faculty of Nursing, Northern Border UniversityMaternal and Child Health Nursing Department, College of Nursing, Northern Border UniversityPublic Health Nursing Department, College of Nursing, Northern Border UniversityCollege of Nursing, Prince Sattam Bin Abdulaziz UniversityAbstract Background Diabetes is one of the most common chronic diseases that severely reduce a patient’s quality of life. Effective self-care and management are critical for maintaining blood glucose levels and preventing complications. Aim This study evaluates the effectiveness of a structured diabetes self-management education program on patients’ self-management behaviors, empowerment, and activation levels. Methods This study employed a quasi-experimental design involving 100 participants aged 30–65 to improve diabetes self-management and empowerment. Over 16 weeks, the program included three phases: a two-week pre-test phase for recruitment and baseline assessments using the Diabetes Self-Management Questionnaire (DSMQ), Diabetes Empowerment Scale (DES), and Patient Activation Measure (PAM); a 12-week intervention phase featuring weekly 90-minute educational sessions on topics such as diet, exercise, medication adherence, stress management, and self-empowerment; and a two-week post-test phase for follow-up assessments using the same tools. Data were analyzed using descriptive statistics, chi-square tests for PAM levels, and paired t-tests for DSMQ and DES scores, with statistical significance set at p < 0.05. Results The study demonstrated significant improvements in participants’ self-management, empowerment, and activation levels after the intervention. DSMQ scores increased from 64.5 to 68.6 (p < 0.001), DES scores rose from 65.4 to 70.0 (p = 0.001), and the number of participants at the highest PAM activation level (Level 4) grew from 30 to 50 (p = 0.016). Positive correlations among DSMQ, DES, and PAM scores suggest these improvements are interrelated. Conclusion The structured diabetes self-management education programme significantly impacted participants’ self-management behaviors, empowerment, and activation levels. The findings underscore healthcare professionals’ need to implement targeted interventions that facilitate patient engagement in diabetes care. Recommendation Future interventions should be designed to address the specific needs of diverse populations, paying attention to those facing socio-economic challenges. It is vital to facilitate greater access to diabetes self-management education to enhance health outcomes for these demographic groups.https://doi.org/10.1186/s12912-024-02573-wDiabetesSelf-managementPatient empowermentPatient activationDiabetes educationChronic disease management |
| spellingShingle | Ateya Megahed Ibrahim Fatma Abd El Latief Gano Hassanat Ramadan Abdel-Aziz Nora H. Elneblawi Donia Elsaid Fathi Zaghamir Lobna Mohamed Mohamed Abu Negm Rasha Kamal Mohamed Sweelam Safaa Ibrahim Ahmed Heba Ahmed Osman Mohamed Fathia gamal elsaid hassabelnaby Aziza Mohamed Kamel Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care BMC Nursing Diabetes Self-management Patient empowerment Patient activation Diabetes education Chronic disease management |
| title | Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care |
| title_full | Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care |
| title_fullStr | Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care |
| title_full_unstemmed | Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care |
| title_short | Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care |
| title_sort | tailoring nursing interventions to empower patients personal coping strategies and self management in type 2 diabetes care |
| topic | Diabetes Self-management Patient empowerment Patient activation Diabetes education Chronic disease management |
| url | https://doi.org/10.1186/s12912-024-02573-w |
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