Abstract
Background: Diabetes mellitus (DM) is one of the most common non-communicable diseases (NCDs) globally. There is substantial evidence that it is epidemic in many economically developing and newly industrialized countries.
Objectives: Improving health of diabetic patients by assessment of knowledge, attitude and practice of patients towards self-care management ,implementation and evaluation the health education program. Subjects and methods: An interventional study was conducted during the period from March 2019 to August 2019 on eighty two diabetic patients attending the out-patient clinic in health insurance sector in Zagazig city by dividing them into two groups of diabetic patients; a control group and an intervention group for execution of the project for initial assessment of awareness, initial examination and initial investigations (Hemoglobin A1c (HBA1c) and Fasting Blood Sugar (FBS)) then health education messages were delivered and after three months reassessment of awareness, examination and investigations were done. Results: There was statistically significant improvement (p < 0.05*) among intervention group regarding total score for adequate diabetes self-management post intervention to become (87.8%) while it was (56.1%) before the intervention and the total score for inadequate diabetes self-management pre intervention was (43.9%) that decreased to (12.2%) post intervention. There was statistically significant worsen (P< 0.05*) among control group regarding total score for diabetes self-management post intervention.
Conclusion: The study results indicated that the diabetes self-management program was effective for improving metabolic control of diabetes. Key words: Diabetes mellitus, health education, knowledge and practice.