J Nurs Acad Soc.  1990 Aug;20(2):174-184.

Effect of Individual Patient Teaching through Home Visiting on Compliance with Sick Role Behavior in Diabetic Patients and Duration of the Effect of the Teaching

Abstract

In order to determine the effect of individual patient teaching through home visiting on compliance with sick role behavior and the blood sugar level in diabetic patients, to determine if the effectiveness of the education was still present four years later and to inquire as to the effective time for a repeat education program this study was done through two quasi-experimental researchers. The subjects consisted of 52 diabetic patients. The results of the study may be summarized as follows ; 1. Hypothesis I, in which the compliance with sick role behavior, the knowledge on diabetes and the health belief of the experimental group who received a diabetic education, was supported by both studies in 1984 and 1988, confirming the effect on diabetic patients of the individualized education through home visiting ; In the 1984 study : Compliance(t=-11.7, p<0.001) Knowledge(t=-5.41, p<0.001) Health belief(t=-4.74, p<0.001) In the 1988 study : Compliance(t=-4.85, p<0.001) Knowledge(t=-2.85, p<0.01) Health belief(t=-2.99, p<0.005) 2. The Hypothesis II, the blood sugar level of the experimental group will be lower than that of the control, was rejected in both studies, 1984 and 1988. 3. The Hypothesis III, the compliance, knowledge and health belief of the experimental group who received the education program in 1984 will not last till 1988, was supported in part, in compliance and health belief, but not in knowledge. In conclusion those who received the education program twice with an interval of 2 weeks, 4 years ago still knowledge of diabetes but compliance and health belief had disappeared.


MeSH Terms

*Community Health Nursing
Diabetes Mellitus/*nursing/psychology/rehabilitation
Follow-Up Studies
Health Knowledge, Attitudes, Practice
*Home Care Services
Humans
*Patient Compliance
*Patient Education as Topic
*Sick Role
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