nach oben

Journal of Diabetes & Metabolic Disorders

Erschienen in:

23.01.2021 | Research article

Effect of community and peer support based healthy lifestyle program (CP-HELP) on self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus

verfasst von: Wahyu Sukma Samudera, Ferry Efendi, Retno Indarwati

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Type 2 diabetes mellitus (T2DM) was one of chronic disease that remain global concern including in Indonesia. Healthy lifestyle is a part of diabetes mellitus treatment to achieve the highest health status and to prevent diabetes complication. Purpose: This study aimed to examine the effect of community and peer support based healthy lifestyle program (CP-HELP) on self-care behavior and fasting blood glucose in patient with T2DM. Methods: The research design was used quasi experimental pre and post-test design. 163 participants with T2DM were divided into two groups, 83 participants as intervention group were given CP-HELP intervention and 80 participants as control group were given usual care. Measurement of self-care behavior used Diabetes Self-Management Questionnaire (DSMQ). Furthermore, measurement of fasting blood glucose was measured by capillary blood test. This study was used paired t test and multivariate analysis of variance. Results: An increase of mean value of self-care behavior was occurred in both of group intervention and control. A significant different between pre-test and post-test in intervention group (p = 0.000). Results of statistical test used paired t test in control group, was not showed significantly different (p = 0.249). Improved of fasting blood glucose only occurred in intervention group (p = 0.020). Results of multivariate statistic test was showed in both outcomes obtained significant value less than 0.05, self-care behavior (p = 0.010), fasting blood glucose (p = 0.042). Conclusion: CP-HELP may be a promising interventional strategy to improve self-care behavior and improving of fasting blood glucose in patient with T2DM. The research results can be used as an important reference for improving self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus.

ADA. Standards of medical care in diabetes 2017. Diabetes Care. 2017;40:511–34.

Adachi M, Yamaoka K, Watanabe M, Nishikawa M, Kobayashi I, Hida E. Effects of lifestyle education program for type 2 diabetes patients in clinics: a cluster randomized controlled trial. BMC Public Health. 2013;13(1):467.CrossRef

Ahmadi Z, Sadeghi T, M L. The effect of peer education on self-care behaviors among diabetic patients. Iran J Diabetes Metab. 2016;15(6):382–91.

Amendezo E, Walker Timothy D, Karamuka V, Robinson B, Kavabushi P, Ntirenganya C, … Bavuma C. Effects of a lifestyle education program on glycemic control among patients with diabetes at Kigali University Hospital, Rwanda: A randomized controlled trial. Diabetes Res Clin Pract. 2017;126:129–37. https://doi.org/10.1016/j.diabres.2017.02.001.CrossRefPubMed

Aminuddin HB, Jiao N, Jiang Y, Hong J, Wang W. Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis. Int J Nurs Stud. 2019. https://doi.org/10.1016/j.ijnurstu.2019.02.003.CrossRefPubMed

Assah FK, Atanga EN, Enoru S, Sobngwi E, Mbanya JC. Short report: Care Delivery community-based peer support significantly improves metabolic control in people with Type 2 diabetes in Yaounde. 2015:886–889. https://doi.org/10.1111/dme.12720.

Azami G, Soh KL, Sazlina SG, Salmiah MS, Aazami S, Mozafari M, Taghinejad H. Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes. J Diabetes Res. 2018. https://doi.org/10.1155/2018/4930157.

Boothroyd I, Fisher EB. Peers for Progress: promoting peer support for health around the world. 2010:62–68. https://doi.org/10.1093/fampra/cmq017.

Caro JF, Fisher EB. A solution might be within people with diabetes themselves, (December); 2015. https://doi.org/10.1093/fampra/cmn082.

10.

Coria MCDF. Diabetes mellitus in promoting metabolic control. Int J Nurs Stud. 2019. https://doi.org/10.1016/j.ijnurstu.2019.103417.CrossRef

11.

Deng K, Ren Y, Luo Z, Du K, Zhang X, Zhang Q. Peer support training improved the glycemic control, insulin management, and diabetic behaviors of patients with type 2 diabetes in rural communities of Central China: A randomized controlled trial. Med Sci Monit. 2016;22:267–75. https://doi.org/10.12659/MSM.895593.CrossRefPubMedPubMedCentral

12.

Edraki M, Zarei A, Soltanian M, Moravej H. The effect of peer education on self-care behaviors and the mean of glycosylated hemoglobin in adolescents with type 1 diabetes: A randomized controlled clinical trial. Int J Commun Based Nurs Midwifery. 2020;8(3):209–19. https://doi.org/10.30476/ijcbnm.2020.82296.1051.CrossRef

13.

Ferrer-García JC, Sánchez López P, Pablos-Abella C, Albalat-Galera R, Elvira-Macagno L, Sánchez-Juan C, Pablos-Monzó A. Benefits of a home-based physical exercise program in elderly subjects with type 2 diabetes mellitus. Endocrinol Nutr. 2011;58(8):387–94. https://doi.org/10.1016/j.endonu.2011.05.010.CrossRefPubMed

14.

Fisher BEB, Boothroyd RI, Coufal MM, Baumann LC, Mbanya JC, Rotheram-borus MJ, … Tanasugarn C. Peer support for self- management of diabetes improved outcomes in international settings. Health Aff (Millwood). 2012;31(1):130-9

15.

Gyawali B, Neupane D, Vaidya A, Sandbæk A, Kallestrup P. Community-based intervention for management of diabetes in Nepal (COBIN-D trial): study protocol for a cluster-randomized controlled trial. BMC Health Serv Res. 2018;19(579):1–10.

16.

Hass L, Maryniuk M, Beck J, Cox CE, Duker P, Edwards L, Youssef G. National standards for diabetes. Diabetes Care. 2012;35(July):1630–7. https://doi.org/10.2337/dc12-1707.CrossRef

17.

International Diabetes Federation. IDF Diabetes Atlas. In: Karuranga S, Joao da Rocha Fernandes R, Huang JY, Malanda B, editors. 8th ed. Brussels: International Diabetes Federation; 2017.

18.

Inzucchi SE, Diamant M, Ferrannini E, Nauck M, Peters AL, Tsapas A, … Matthews DR. Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes ( EASD ). Diabetologia. 2012;55:1577–96. https://doi.org/10.1007/s00125-012-2534-0.CrossRefPubMed

19.

Jain V, Joshi R, Idiculla J, Xavier D. Community health worker interventions in type 2 diabetes mellitus patients: Assessing the feasibility and effectiveness in Rural Central India. J Cardiovasc Dis Res. 2018;9(3):127–33. https://doi.org/10.5530/jcdr.2018.3.29.CrossRef

20.

Kahleova H, Matoulek M, Malinska H, Oliyarnik O, Kazdova L, Neskudla T, … Pelikanova T. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with Type2 diabetes. Diabet Med. 2011;28(5):549–59. https://doi.org/10.1111/j.1464-5491.2010.03209.x.CrossRefPubMedPubMedCentral

21.

Lynch EB, Mack L, Avery E, Wang Y, Dawar R, Richardson D, … Fogelfeld L. Randomized Trial of a lifestyle intervention for urban low-income African Americans with Type 2 Diabetes; n.d.. https://doi.org/10.1007/s11606-019-04894-y.

22.

Ministry of Health Indonesia. Main results of RISKESDAS 2018. Jakarta: Balitbang Kemenkes RI; 2018.

23.

Morris E, Aveyard P, Dyson P, Noreik M, Bailey C, Fox R, Jebb SA. A food-based low-energy, low-carbohydrate diet for people with type 2 diabetes in primary care: a randomised controlled feasibility trial. Diabetes Obes Metab. 2020;22(4):512–20. https://doi.org/10.1111/dom.13915.CrossRefPubMed

24.

Motahari-tabari N, Shirvani MA, Shirzad-e-ahoodashty M. The effect of 8 weeks aerobic exercise on insulin resistance in type 2 diabetes: a randomized clinical trial. Glob J Health Sci. 2015;7(1):115–21. https://doi.org/10.5539/gjhs.v7n1p115.CrossRef

25.

Nejhaddadgar N, Darabi F, Rohban A, Solhi M. Diabetes & metabolic syndrome: clinical research & reviews the effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE-PROCEDE model. Diabetes Metab Syndr Clin Res Rev. 2019;13:440–443.

26.

Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group-based self-management education for individuals with Type 2 diabetes: a systematic review with meta-analyses and meta-regression. Diabet Med. 2017;34(8):1027–39. https://doi.org/10.1111/dme.13340.CrossRefPubMed

27.

Paz-pacheco E, Sandoval MA, Ardena GJR, Paterno E, Juban N. Effectiveness of a community-based diabetes self-management education (DSME) program in a rural agricultural setting. 2017:35–49. https://doi.org/10.1017/S1463423616000335.

28.

Peimani M, Monjazebi F, Ghodssi-Ghassemabadi R, Nasli-Esfahani E. A peer support intervention in improving glycemic control in patients with type 2 diabetes. Patient Educ Couns. 2018;101(3):460–6. https://doi.org/10.1016/j.pec.2017.10.007.CrossRefPubMed

29.

Perkeni. Pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: Pengurus Besar Perkumpulan Endokrinologi Indonesia; 2015.

30.

Radhakrishnan K. The efficacy of tailored interventions for self-management outcomes of type 2 diabetes, hypertension or heart disease: A systematic review. J Adv Nurs. 2012;68(3):496–510. https://doi.org/10.1111/j.1365-2648.2011.05860.x.CrossRefPubMed

31.

RB, da R., CS, S., &, VS C. Self-care in adults with type 2 diabetes mellitus: a systematic review. Curr Diabetes Rev. 2020;16(6):598–607. https://doi.org/10.2174/1573399815666190702161849.CrossRef

32.

Sapkota S, Brien JA, Greenfield J, Aslani P. A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes - Impact on adherence. PLoS One. 2015;10(2):1–17. https://doi.org/10.1371/journal.pone.0118296.CrossRef

33.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(1):14.CrossRef

34.

Spencer MS, Rosland A, Kieffer EC, Sinco BR, Valerio M. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Public Health. 2011;101(12):2253–60. https://doi.org/10.2105/AJPH.2010.300106.CrossRefPubMedPubMedCentral

35.

Teixeira-lemos E, Nunes S, Teixeira F, Reis F. Regular physical exercise training assists in preventing type 2 diabetes development: focus on its antioxidant and anti-inflammatory properties. Cardiovasc Diabetol. 2011;10:12.CrossRef

36.

World Health Organization. Screening for type 2 diabetes: report of a World Health Organization and International Diabetes Federation meeting. Geneva: World Health Organization; 2003.

37.

Zhao X, Yu X, Zhang X. The role of peer support education model in management of glucose and lipid levels in patients with type 2 diabetes mellitus in Chinese adults. J Diabetes Res. 2019. https://doi.org/10.1155/2019/5634030.

38.

Zhong X, Wang Z, Fisher EB, Tanasugarn C. Peer support for diabetes management in primary care and community settings in Anhui Province, China. Ann Fam Med. 2015;13:50–8. https://doi.org/10.1370/afm.1799.INTRODUCTION.CrossRef

Titel: Effect of community and peer support based healthy lifestyle program (CP-HELP) on self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus
verfasst von: Wahyu Sukma Samudera
Ferry Efendi
Retno Indarwati
Publikationsdatum: 23.01.2021
Verlag: Springer International Publishing
Erschienen in: Journal of Diabetes & Metabolic Disorders / Ausgabe 1/2021
Elektronische ISSN: 2251-6581
DOI: https://doi.org/10.1007/s40200-021-00729-y

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2021

The dynamics of metabolic syndrome development from its isolated components among Iranian adults: findings from 17 years of the Tehran lipid and glucose study (TLGS)

A case-control study to determination FBXW7 and Fetuin-A levels in patients with type 2 diabetes in Iraq

Association of ADIPOQ rs266729 and rs1501299 gene polymorphisms and circulating adiponectin level with the risk of type 2 diabetes in a population of Iran: a case-control study

Visualization of knowledge flow in interpersonal scientific collaboration network endocrinology and metabolism research institute

Polymorphic genetic markers and how they are associated with clinical and metabolic indicators of type 2 diabetes mellitus in the Kazakh population