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
