A STUDY TO ASSESS THE EFFECTIVENESS OF HOME BASED EDUCATION PROGRAMME ON SELF MANAGEMENT AMONG INDIVIDUALS WITH DIABETES MELLITUS AT SELECTED VILLAGES IN KANCHEEPURAM DISTRICT, TAMIL NADU, INDIA

Abstract

Diabetes requires extensive self-care and comprehensive knowledge. Educating patients on all aspects of diabetes mellitus (DM) is now of foremost important to control DM equitably in India. The study was aimed to assess the effectiveness of home based education on self-management among patients with diabetes mellitus in selected villages at Kancheepuram district. The design was a true experimental - community based randomized controlled trial using a quantitative approach. The study was conducted in urban villages of maraimalai nagar and rural villages around mamandoor, who satisfied the sampling criteria and voluntarily consented were used to collect the data. 398 men and women (200study+198control) who had been undergoing treatment for DM were selected by purposive sampling. Fasting blood sugar above 126 mg/dl or higher were enrolled in the 3 month education program between August 2013 and November 2014. Video coaching, training 30 minutes weekly once, for 1 month (2 hours) and with stretching exercise for 5 days (30 minutes), daily at home for 3 months was given. The result of the study revealed that there was an absolute mean change in fasting blood sugar (P<0.01), hemoglobin A (1c) (P<0.01) and basal metabolic index (BMI) (P<0.05). It has been concluded that home based education program on self management among the patients with diabetes improved fasting blood sugar, hemoglobin A (1c) and basal metabolic index levels compared to control group as hypothesized.