Quality of life, knowledge and attitude after educational program for Diabetes

Brito, Gabriela Menezes Gonçalves de; Gois, Cristiane Franca Lisboa; Zanetti, Maria Lúcia; Resende, Gabryella Garibalde Santana; Silva, José Rodrigo Santos

doi:10.1590/1982-0194201600042

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Original Article • Acta Paul Enferm. 29 (3) • May-Jun 2016 • https://doi.org/10.1590/1982-0194201600042 copy

Quality of life, knowledge and attitude after educational program for Diabetes

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To assess the quality of life, knowledge about the disease and the attitude of individuals with type 2 diabetes mellitus before and after participation in an educational program.

Methods

Quasi-experimental study conducted with 110 patients seen at the clinic of a teaching hospital. In the Control Group subjects received routine care (n=74) and in the Experimental Group received routine care and participated in educational interventions (n=36). The WHOQOL-BREF and B-PAID were used to assess the quality of life; DKN-A to assess the knowledge and the ATT-19 to assess attitude.

Results

There was improvement in quality of life after participation in the educational program, particularly in social relations domain; decrease the suffering of living with DM and knowledge acquisition were statistically significant. Attitude increase was discreet.

Conclusion

The educational program for DM2 contributed to increase quality of life, with reduction of suffering; increased knowledge about disease, treatment and better coping the disease.

Patient education; Health education; Diabetes mellitus, type 2; Quality of life

Variables	EG (n=36)		p-value	CG (n=74)		p-value
	1^st Phase	2^nd Phase		1^st Phase	2^nd Phase
	Mean (SD)	Mean(SD)		Mean (SD)	Mean (SD)
HbA1c	8.4(2)	7.9(2)	0.00*	8.72(2.13)	8.52 (2.07)	0.02*
Postprandial glycemia	189(78)	167(72)	0.13**	214.45(118.08)	221.31 (116.5)	0.33**
Fasting glycemia	164(69.5)	140(50)	0.00*	169(71.87)	166.95 (65.75)	0.65*
SBP	140(20)	135(21.5)	0.06**	135.72(23.25)	136.24 (21.66)	0.50**
DBP	83(12)	77(11)	0.01*	80.68(15.40)	82.36 (16.45)	0.22*

Variables	EG (n=36)		p-value	CG (n=74)		p-value
	1^st Phase	2^nd Phase		1^st Phase	2^nd Phase
	Mean (SD)	Mean (SD)		Mean (SD)	Mean (SD)
Whoqol-bref	13.87(1.79)	14.23(2.05)	0.34*	13.44(2.05)	13.57(1.84)	0.51*
Psichological health	14.98(2.03)	15.33(3.1)	0.93*	14.22(2.33)	14.05(2.31)	0.27*
Social relationship	13.89(3.05)	15.02(2.41)	0.01**	13.71(3.74)	14.18(2.95)	0.41**
Physical health	13.65(2.37)	13.51(2.55)	0.79*	13.54(2.64)	13.54(2.62)	1.00*
Environment	12.94(2.09)	13.06(2.2)	0.82*	12.28(2.09)	12.53(2.24)	0.21*
B-PAID	45.63(25.01)	34.38(23.05)	0.05**	56.18(23.53)	45.25(25.84)	0.00**
DKN-A	7.97(2.35)	11.72(2.83)	0.00**	8.11(2.62)	7.76(2.81)	0.12**
ATT-19	46.22(8.72)	46.25(8.68)	0.81**	50.16(9.27)	49.09(9.16)	0.08**

1^st Phase

Variables	GT (n=36)						GC (n=74)
	B-PAID		DKN-A		ATT-19	p-value	B-PAID		DKN-A		ATT-19	p-value
	r	p-value	r	p p-value	r	p-value	r	p-value	r	p-value	r	p-value
Whoqol-bref	-0.36	0.03^a	0.15	0.38^a	-0.34	0.04^a	-0.27	0.00^b	0.02	0.82^b	-0.10	0.21^b
Psichological health	-0.24	0.15^a	0.14	0.41^a	-0.34	0.05^a	-0.29	0.00^b	0.14	0.10^b	-0.15	0.07^b
Social relationship	-0.11	0.51^a	0.23	0.17^a	-0.13	0.45^a	-0.11	0.18^b	-0.05	0.58^b	-0.02	0.86^b
Physical health	-0.46	0.00^a	0.00	0.98^a	-0.31	0.07^a	-0.29	0.00^b	0.04	0.63^b	-0.11	0.18^b
Environment	-0.32	0.06^a	0.04	0.82^a	-0.30	0.08^a	-0.18	0.03^b	-0.01	0.95^b	-0.12	0.15^b
B-PAID	-	-	0.16	0.35^a	0.45	0.01^a	-	-	0.09	0.31^b	0.15	0.07^b
DKN-A	-	-	-	-	-0.19	0.28^a	-	-	-	-	-0.25	0.00^b

2^nd Phase

Variables	GT (n=36)						GC (n=74)
	B-PAID		DKN-A		ATT-19	p-value	B-PAID		DKN-A		ATT-19	p-value
	r	p-value	r	p-value	r	p-value	r	p-value	r	p-value	r	p-value

Whoqol-bref	-0.43	0.01^a	0.24	0.15^a	-0.34	0.04^a	-0.29	0.00^b	0.02	0.85^b	-0.17	0.04^b
Psichological health	-0.35	0.04^a	0.22	0.19^a	-0.49	0.00^a	-0.27	0.00^b	0.15	0.09^b	-0.30	0.00^b
Social relationship	-0.20	0.23^a	-0.22	0.20^a	-0.22	0.19^a	-0.18	0.03^b	-0.09	0.31^b	-0.11	0.19^b
Physical health	-0.50	0.00^a	0.13	0.46^a	-0.25	0.14^a	-0.21	0.01^b	0.07	0.43^b	-0.04	0.66^b
Environment	-0.35	0.04^a	0.21	0.22^a	-0.11	0.52^a	-0.23	0.01^b	-0.02	0.83^b	-0.18	0.03^b
B-PAID	-	-	-0.33	0.05^a	0.56	0.00^a	-	-	0.09	0.26^b	0.22	0.01^b
DKN-A	-	-	-	-	-0.31	0.06^a	-	-	-	-	-0.24	0.00^b

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author. Gabriela Menezes Gonçalves de Brito. Marechal Rondon avenue, unnumbered, 49100-000, SE, Brazil. gabriela.menezes.g@hotmail.com