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Josephine M. PhD, RN, Roya Gabrielle Marie, Jerome Calvin Cruz, Ciaridel Shyr Ashley Ela, Maraeh Angela Mancha, Racquel Tayor

Centro Escolar University, School of Nursing, Mendiola, Manila, Philippines

*Address Correspondence to: Maraeh Angela M. Mancha

Tel. +63-27362211

E-mail Address: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

OBJECTIVE - The purpose of the study is to determine the effectiveness of web-based self-care management program for type 2 diabetes mellitus through sharing evidenced-based information about Diabetes through the use of a web-based module. This study is important in raising awareness about Diabetes mellitus as it is one of the most common diseases affecting the Filipino population regardless of age, sex, and social status. Through this study, the increasing number of patients with type 2 Diabetes mellitus will become more educated about their condition and have an increased awareness in giving attention and care to their health, related activities and other factors aggravating their condition. Sharing of evidenced-based information would also become easier and more transparent. Moreover, through this study the researchers aim to make a change in the lifestyle and daily living of the selected sample and by evaluating the effectiveness of the study, make an improvement in the designed website and render its service to a wider range of population.

 

METHODS - The study used the quasi-experimental pre and post-test design to determine the effectiveness of a web-based self-care management program in the management of patients with type 2 Diabetes mellitus (DM). The study was conducted in three phases and acquired 30 purposively selected type 2 DM adult patients The study used a web-based self-care management program that included basic information about Type 2 Diabetes mellitus using three designed modules specifically for diet, exercise and drug management. The said modules contained recommended tips and instructions to improve lifestyle practices of patients. In the pre-intervention phase, the patients underwent Fasting Blood Sugar (FBS) as well as measurement of Body Mass Index (BMI) and Waist-Hip Ratio (WHR) and were also given pre-test examinations about diabetes and DM management The data gathered served as a baseline data that was compared after the implementation of web based DSME Mean and standard deviation is used to describe the status of the patients during the pre and post intervention phase while Wilcoxon test is used to test for the difference of the bio physiologic parameters as well as the test for knowledge in diabetes and DM management. Friedman test is used to determine differences in the RBS pre-test readings during the 1st, 2nd and 3rd phases of the intervention of web based DSME while Wilcoxon Signed Rank Test determine differences between groups.

 

RESULTS - The patient status during the pre and post-intervention phase is an FBS reading of 152 mg/dl or diabetes stage to pre-diabetes stage (119 mg/dl), normal BMI (22), low risk for obesity WHR and barely satisfactory to satisfactory level of knowledge to diabetes and DM management. There is very significant difference (p=<000) in the pre and post FBS reading of patients and the level of knowledge to diabetes and DM management after the web based DSME while there is no significant difference in the BMI and WHR. There is very significant difference (p=<000) in the RBS readings of the patients during the 1st, 2nd and 3rd phases of the intervention of .web based DSME (p=<000) post hoc analysis with Wilcoxon Signed Rank Test revealed that there is very significant difference (p=<000) between groups.

 

CONCLUSION - The use of web-based self-care management program is effective in improving FBS/RBS and level of knowledge to diabetes and DM management of patients with type 2 diabetes mellitus but needed longer intervention to improve BMI and WHR .Nurses as part of the DSME group and as health educator may use technology in giving health education to patients to improve patients self-management to diabetes.