February 21, 2022Open Access

The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital

Q: What is the clinical evidence from this study?

Study design: Other. Population: Type 2 Diabetes (n=120). Intervention: Web-based education program (Diabetic-N-Care) vs. Routine diabetes treatment. Primary outcome: Diabetic self-efficacy management (DSEM) score (p=0.000).

Key Result

The web-based Diabetic-N-Care education program significantly improved diabetic self-efficacy management, self-care behavior, and quality of life compared to routine care (p=0.000).

Structured PICO

Does a web-based education program improve diabetic self-efficacy management, self-care behavior management, and quality of life in type 2 diabetes patients?

Population

120 adults aged 20 to 59 years with type 2 diabetes and no vision or hearing problems, followed for 34 days.

Intervention

Diabetic-N-Care web-based education program (via Google Sites) covering diet, medication, exercise, physical assessment, mental management, and adherence, accessed via QR code, plus WhatsApp reminders, over 34 days.

Comparator

Routine diabetes treatment including assessment, health education, and treatment by orthopedic doctor and clinic nurses.

Outcome

Diabetic self-efficacy management (DSEM), diabetic self-care behavior management (DSCM), and quality of life (QoL) measured at 34 days.patient reported

A web-based education program significantly improved self-efficacy, self-care behavior, and quality of life in type 2 diabetes patients compared to routine care.

Main Result

p-value: p=0.000

Limitations

Conducted at a single hospital and clinic (Orthopedic clinic, HSNZ Kuala Terengganu).
Limited population and sample size due to compliance with COVID-19 standard operating procedures.

Abstract

Abstract Background: Changing to an intervention method in health education is a very challenging process and requires various transformations. Complications from the increasingly complicated diagnosis of type 2 diabetes cause diabetic patients to experience a deterioration in aspects of diabetic self-efficacy management (DSEM), diabetic self-care behavior management (DSCM) in their quality of life (QoL). Unsuitable environmental factors, increased amputation rates, and lack of information resources of choice for patients, researchers have innovated in type 2 diabetic health education through web-based Diabetic-N-Care education as a moderator to DSEM, DSCM, and QoL and as a method, an alternative to face to face education in Hospital Sultanah Nur Zahirah Kuala Terengganu. Objective: This study aims to identify the effects of web-based educational programs on diabetic self-efficacy management (DSEM), diabetic self-care behavior management (DSCM) in quality of life (QoL) among type 2 diabetes patients in public hospitals. Method: This study used a quantitative quasi-experimental design of pre-test and post-test. Diabetic-N-Care program was conducted at Orthopedic Clinic Hospital Sultanah Nur Zahirah Kuala Terengganu for 34 days, where purposive sampling involved type 2 diabetic patients who were divided into intervention groups (IG) (n = 60) and control group (CG) (n = 60). Respondents are the same individual for each phase of measurement. Results: Data analysis method the general linear model repeated measures ANOVA, Split-plot ANOVA (SPANOVA) and paired t-test was conducted on 120 patients to see the effect of using Diabetic-N-Care on IG. The results of Split - plot ANOVA analysis showed a significant overall effect of DSEM, DSCM, and QoL (p = 0.000) on IG. Meanwhile, paired t-test analysis there was a significant mean difference in DSEM, DSCM, and QoL at pre-test and post-test (p = 0.000) to IG compared to CG. Conclusion: Web-based health education can have an impact on DSEM, DSCM in the QoL of type 2 diabetic patients were greater than before confidence, change the old behavior to new behavior to improve quality of life in the long term planning. Therefore, this study concludes that web-based methods such as Diabetic-N-Care need to be widely adapted in current health education methods.

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Cite This Study

Malek et al. (Mon,) conducted a other in Type 2 Diabetes (n=120). Web-based education program (Diabetic-N-Care) vs. Routine diabetes treatment was evaluated on Diabetic self-efficacy management (DSEM) score (p=0.000). The web-based Diabetic-N-Care education program significantly improved diabetic self-efficacy management, self-care behavior, and quality of life compared to routine care (p=0.000).

synapsesocial.com/papers/6a1f6b6215b3aae2e02ac85e https://doi.org/https://doi.org/10.21203/rs.3.rs-1381251/v1

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