Effect of a co
Effect of a counseling program for diabetic patients on their knowledge, health promoting lifestyle practices, and psychological status
* Dalia Ali Ameen ,**Sameh Abd Elshakour,* Magda Abd-ELA ZIZ, *Hanan Said Ali
* Medical Surgical Department, Faculty of Nursing, Ain Shams University, Egypt.
** Medical Department. Faculty of Medicine, ** Cairo University, Egypt.
Abstract: Good diabetes care rests on a foundation of patient knowledge, which can modulate lifestyle. The aim of this study is to assess the effectiveness of the implementation of a bio-psychosocial counseling program for patients with diabetes mellitus (DM) in improving their knowledge and health promoting lifestyles, and consequently on their diabetes control and symptoms of anxiety and depression. This quasi-experimental study was carried out in the outpatient clinics of the National Institute of Diabetes and Endocrinology, on a convenience sample of 60 patients divided equally into a study group for implementation of the program, and a control group. Data collection was by an interview questionnaire assessing patient's knowledge, with the Health Promoting Life Style Profile (HPLP) scale, Beck Depression Inventory, and Hamilton anxiety scale. The researchers developed and implemented to the study group a counseling program responding to their identified bio-psychosocial needs. The work lasted from January to December 2007. The results showed that the study and control groups were similar in personal and disease characteristics. The knowledge in both groups had major deficiencies, but demonstrated significant improvements after the intervention in the study group (p<0.001). The group had also decreased incidence of reported attacks of hyperglycemia (p=0.004), with improvements in the scores of depression (p<0.001), anxiety (p<0.001), and all domains of health promoting lifestyle scale (p<0.001) after the program. No improvements were shown in the control group. The study concludes that a bio-psychosocial counseling program emphasizing knowledge and health promoting lifestyle practices can lead to better control of DM, with improvement in patients' levels of anxiety and depression. It is recommended to replicate the study using a true randomized clinical trial design for further confirmation. Meanwhile, specialized DM clinics should plan and implement similar counseling programs.
[Dalia Ali Ameen, Sameh Abd Elshakour, Magda Abd-ELA ZIZ, Hanan Said Ali. Effect of a counseling program for diabetic patients on their knowledge, health promoting lifestyle practices, and psychological status. J Am Sci 2012;8(10):510-518]. (ISSN: 1545-1003). http://www.jofamericanscience.org.73
Keywords: Diabetes Mellitus, Counseling, Anxiety, Depression, Lifestyle. Full Text 73