Título

The effects of different health education (HE) models on type 2 Diabetics self-care

Lista de autores

1º Autor

Helena Loureiro

Objetivos

Effects of different Health Education Models on type 2 Diabetics self-care.

Material y métodos

The type 2 Diabetics sample was randomly chosen, in a Health Centre file.

Two groups were formed: the Experimental Group (EG), where a Participative HE Model was implemented; the Control Group (CG), which followed a Traditional Model of health surveillance.

Resultados

Three months later, the results were:

- Self-care improved in both groups, although this was more evident in EG;

- Self-efficacy perception treatment increased in both groups, but again this was more obvious in EG [EG (p=0,002); CG (p=0,015)];

- Motivation for treatment augmented only within EG, due to the raise obtained in its controlled dimension (p=0,000);

- In the two groups, the development of Self-efficacy perception treatment was positively correlated to the development of Self-care [EG (p=0,000); CG (p=0,000)]. Within CG, it was further correlated, negatively, to the Total Cholesterol (p=0,001) and to the Iatrogenic Level (p=0,009). In EG, it was also correlated, negatively, to the Glycoside Haemoglobin (p=0,021) and the Triglycerides (p=0,009);

- In the two groups, the increase of the Motivation for treatment was positively correlated to the increase of Self-care, though in different dimensions [in EG, the autonomous one (p=0,000); in CG, the controlled one (p=0,000)];

- The Locus Control was positively correlated to the development of both the Self-efficacy perception treatment [EG (p=0,002)] and Self-care [EG (p=0,000); CG (p=0,004)].

Conclusiones

- The Participative HE Model entailed, among the type 2 Diabetics who followed it, a higher progress of Self-care, Self-efficacy perception in treatment and Motivation for treatment;

- The way in which type 2 Diabetics stated their Self-care achievement was linked to an evolution in their Self-efficacy perception in treatment and their Motivation for treatment;

- The Locus Control internal dimension proved to be a reliable forecaster of the development of type 2 Diabetics Self-care and Self-efficacy perception in treatment.