Self-management and Quality of Life in Individuals With Type 2 Diabetes Mellitus

The Effect of Education Provided According to Social Cognitive Learning Theory on Diabetes Self-management and Quality of Life in Individuals With Type 2 Diabetes Mellitus

The study was conducted in order to study the effect of the training given according to social-cognitive learning theory (SCLT) upon diabetes self-management and quality of life among type 2 diabetes mellitus individuals.

The study was done as a randomized-controlled experimental study at Internal Diseases Polyclinics of Afyonkarahisar Public Hospital between November 2021 and August 2022. The study was completed with 60 patients -experimental group (30 patients) and control group (30 patients)- who met inclusion criteria. The data were gathered using Information Request Form and Metabolic Variables Form, Diabetes Self-Management Scale (DSMS) for Type 2 Diabetic Patients, Multidimensional Scale of Perceived Social Support (MSPSS), Type 2 Diabetes Mellitus Self-Management Questionnaire (SMQ), WHOQOL-BREF (WHO- Quality of Life Scale- Short form). A theoretical and practical training based on SCLT was provided to the experimental group for the first five weeks -one module for each week- through power point presentations and afterwards, SMS reminders were sent every fifteen days for seven weeks and at the end of the twelfth week the training was completed. The control group received a standard training from diabetes nurse. The data were assessed using statistical methods.

Inclusion Criteria:

• 18 years and over
• Being diagnosed with Type 2 diabetes mellitus,
• Being on insulin therapy,
• Being open to verbal communication,
• Being literate
• Not to have an obstacle to continue the implementation phase of the research (for example, pregnancy plan, changing province, etc.)
• Not having hearing-vision problems and diabetes-related serious neuropathy (amputation, etc.),
• Patients who agreed to participate in the study.

Exclusion Criteria:The patient has a perception disorder and psychiatric disorder that prevents communication,

• Being pregnant,
• Individuals with serious complications such as retinopathy and neuropathy at the level of blindness were excluded from the study.

Research Termination Criteria

• Not performing the specified applications properly during the study,
• Unreachable in follow-ups,
• Those who want to quit working,
• Serious complications related to comorbid diseases and diabetes that occur during the working process,
• The study was terminated with patients who were moved out of the province during the study.