Ahmed Ibrar, Javed Adan, Ullah Nazeer, Kaifi Hoor Maab
Ibrar Ahmed, Assistant Professor, Department of Endocrinology, Lady reading hospital, Peshawar, Pakistan.
Adan Javed, Diabetes Educator, Department of Endocrinology, Lady reading hospital, Peshawar, Pakistan.
Pak J Med Sci. 2025 Mar;41(3):843-847. doi: 10.12669/pjms.41.3.10468.
To determine the impact of online diabetes education counseling on treatment adherence and quality of life of Type-II diabetics in Mardan, Khyber Pakhtunkhwa, Pakistan.
This was a quasi-experimental study conducted in Mardan and its peripheries, Khyber Pakhtunkhwa (KPK), Pakistan. The duration of the study was from October 2022 till March 2023. A total of 196 patients with diagnosed Type-II Diabetes mellitus were enrolled in the study using non-probability consecutive sampling technique. Baseline Information was gathered regarding demographics, dietary pattern, medicine adherence, quality of life, Random blood sugar (RBS), HbA1c, Blood pressure, and BMI. Counseling regarding Diabetes treatment and lifestyle were carried out for each patient, patients were followed twice weekly for a period of six months with possible interventions if needed. RBS, HbA1c, Blood pressure, BMI, medicine adherence and quality of life were determined on last visit.
The study showed that out of 196 patients, 108(54.6%) were males and 88(45.4%) were females. Statistically significant difference was observed between baseline and at six months follow up with respect to RBS, HbA1c, BMI and blood pressure, (p<0.001). Drug adherence was significantly improved after intervention (p<0.05).
Online diabetes education counseling had a significant impact on treatment adherence. Post intervention quality of life of Type-II diabetics was adequate. Moreover, online diabetes education counseling significantly reduced the blood glucose level, body mass Index and blood pressure.
确定在线糖尿病教育咨询对巴基斯坦开伯尔-普赫图赫瓦省马尔丹市II型糖尿病患者治疗依从性和生活质量的影响。
这是一项在巴基斯坦开伯尔-普赫图赫瓦省马尔丹市及其周边地区进行的准实验研究。研究持续时间为2022年10月至2023年3月。采用非概率连续抽样技术，共纳入196例确诊的II型糖尿病患者。收集了有关人口统计学、饮食模式、药物依从性、生活质量、随机血糖（RBS）、糖化血红蛋白（HbA1c）、血压和体重指数（BMI）的基线信息。对每位患者进行糖尿病治疗和生活方式咨询，患者每周随访两次，为期六个月，必要时进行可能的干预。在最后一次随访时测定RBS、HbA1c、血压、BMI、药物依从性和生活质量。
研究显示，196例患者中，男性108例（54.6%），女性88例（45.4%）。在RBS、HbA1c、BMI和血压方面，基线与六个月随访之间观察到统计学上的显著差异（p<0.001）。干预后药物依从性显著提高（p<0.05）。
在线糖尿病教育咨询对治疗依从性有显著影响。II型糖尿病患者干预后的生活质量良好。此外，在线糖尿病教育咨询显著降低了血糖水平、体重指数和血压。
