55.05 The effect of patient education on knowledge, self-management behaviours and self-efficacy of patients with type 2 diabetes

Tuesday, April 28, 2009
Nusret Fisek (The Hilton Istanbul Hotel )
Nazli Atak Ankara University, Turkey
Tanju Gurkan The American University, Cyprus, Turkey
Kenan Kose Ankara University, Medical Faculty, Turkey
Objective: The study was conducted to evaluate the effect of patient education on knowledge, self-management behaviours and self-efficacy of patients with type 2 diabetes.
Design: A randomised single blind controlled study was designed to assess the effect of patient education using a pre and post test design.
Setting: The study was conducted in an outpatient clinic, the Department of Endocrinology and Metabolism, Faculty of Medicine, Ankara University between November 2005-January 2006.
Subjects: The study population consisted of eighty patients with type 2 diabetes who were randomly assigned to the intervention or control group by recruitment number.
Intervention:  An education program was developed and delivered to the intervention group. Knowledge and self-reported self-management behaviours were tested before and after the education program. For the evaluation of self-efficacy of patients with type 2 diabetes, mean scores of diabetes self-efficacy scale were analysed. The control group received the usual treatment.
Main outcome measures: The improvements in knowledge and in self-reported self-management behaviours were measured by knowledge test and self- efficacy of patients was measured by mean scores of diabetes self-efficacy scale.
Results: There were significant differences between the intervention and the control groups. Improvements were observed in taking regular walks (p= 0.043), recognising nutrients with high caloric content (p= 0.037), recommended daily fat distribution (p= 0.024), regulating blood glucose levels to avoid complications (p= 0.002), and in diabetes self-efficacy mean scores (p= 0.006).
Conclusions: Patient education had a limited effect on knowledge and self-reported self-management behaviours but a significant effect on self-efficacy of patients with type 2 diabetes.
Key words: Patient education, knowledge, self-management behaviours, self-efficacy, type 2 diabetes


Learning Objectives: 1. To describe the effect of patient education on knowledge of patients with type 2 diabetes 2. To evaluate the effect of patient education on self-management behaviors of patients with type 2 diabetes 3. To recognize the self-efficacy of patients with type 2 diabetes

Sub-Theme: Public Health and Research: Evidence Based Policy on Health