Journal of Family and Community Medicine

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 20  |  Issue : 2  |  Page : 77--82

Impact of an education program on patient anxiety, depression, glycemic control, and adherence to self-care and medication in Type 2 diabetes


Ayman A Al Hayek1, Asirvatham A Robert2, Mohamed A Al Dawish1, Marwan M Zamzami3, Asirvatham E Sam4, Aus A Alzaid1 
1 Department of Diabetes and Endocrinology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
2 Research Center, Sultan Bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia
3 Medical Affairs, Sultan Bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia
4 Knowledge Management Cell, Health Systems Research India Initiative, Trivandrum, India

Correspondence Address:
Ayman A Al Hayek
Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, P. O. Box 7897, Riyadh 11159
Saudi Arabia

Background: Diabetes mellitus (DM) requires continuous medical care, patients«SQ» self-management, education, and adherence to prescribed medication to reduce the risk of long-term complications. The aim of this study was to assess the benefits of an education program on diabetes, patient self-management, adherence to medication, anxiety, depression and glycemic control in type 2 diabetics in Saudi Arabia. Materials and Methods: This was a prospective study, conducted among 104 diabetic patients at a major tertiary hospital in Riyadh, Saudi Arabia, between May 2011 and October 2012. Education materials given to diabetic patients included pamphlets/handouts written in Arabic, the national language. Special videotapes about DM were made and distributed to all participants. In addition, specific educational programs through the diabetes educators and one-on-one counseling sessions with the doctor were also arranged. Patients were interviewed using a structured interview schedule both during the baseline, and after 6 months of the program. The interview schedule included, socio-demographics, clinical characteristics, diabetes self-management, adherence to medication, anxiety, and depression. Glycemic control was considered poor, if hemoglobin A1c (HbA1c) was ≥ 7%. Results: The mean age of the study population was 57.3 ΁ 14.4 years. Seventy one were males (68.3%) and 33 (31.7%) were females. After six months of the diabetes education program, there were significant improvements in patients«SQ» dietary plan (P = 0.0001), physical exercise (P = 0.0001), self-monitoring of blood glucose (SMBG) (P = 0.0001), HbA1c (P = 0.04), adherence to medication (P = 0.007), and depression (P = 0.03). Conclusions: Implementation of education programs on diabetes among type 2 diabetic patients is associated with better outcomes such as their dietary plan, physical exercise, SMBG, adherence to medication, HbA1c and depression.


How to cite this article:
Al Hayek AA, Robert AA, Al Dawish MA, Zamzami MM, Sam AE, Alzaid AA. Impact of an education program on patient anxiety, depression, glycemic control, and adherence to self-care and medication in Type 2 diabetes.J Fam Community Med 2013;20:77-82


How to cite this URL:
Al Hayek AA, Robert AA, Al Dawish MA, Zamzami MM, Sam AE, Alzaid AA. Impact of an education program on patient anxiety, depression, glycemic control, and adherence to self-care and medication in Type 2 diabetes. J Fam Community Med [serial online] 2013 [cited 2019 Sep 19 ];20:77-82
Available from: http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2013;volume=20;issue=2;spage=77;epage=82;aulast=Al;type=0