THE IMPACT OF STRUCTURED HEALTHY LIFESTYLE PROGRAMS AMONG TYPE 2 DIABETIC PATIENTS IN PASIR PUTEH, KELANTAN: A CONTROLLED TRIAL.
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Date
2001-11
Authors
SUHAIZA, SULAIMAN
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
Diabetes is a public health problem as it causes considerable amount of disability,
premature mortality as well as demand on health care facilities. Increased in disease
prevalence and its complications were mainly related to unhealthy lifestyle. A nonrandomised
control trial was conducted with the aim of assessing the impact of structured
healthy lifestyle programs amongst type 2 diabetic patients in Pasir Puteh, Kelantan. One
hundred and forty type 2 diabetic patients from Selising Health Center (intervention
group) and Gaal Health Center ( control group) were selected for the study. The
intervention group was given a structured health education programs on self-care, dietary
advise and exercise. Data was collected using a questionnaire, anthropometric
measurements and blood samples for random blood sugar (RBS) and HbA1c. Statistical
Package for Social Sciences (SPSS) version 10.0 was used to analyze the data. The
. patients in both health centers had similar socio-demographic distribution (p value >
0.05). Most of them were Malays (99%), females (58.6 % intervention, 65.3 % control),
married (74.3 % intervention, 86ยท7 % control), and non-smoker (66.7 % intervention,
72.9 % control). In the intervention group, their mean (SD) age and duration of diabetes
was 55.4 (10.29) years and 5.6 (4.81) years respectively compared to the control group
which was 54.2 (11.86) years and 5.4 (4.23) years respectively. The intervention
packages effectively improved the knowledge and practice on healthy lifestyle among the
patients as evidenced by improvement in HbAlc level (p < 0.05). Other variables (Body
mass index (BMI), RBS and attitude) did not significantly improve (p>0.05). In
conclusion, the structured healthy lifestyle programs which consisted of health education,
dietary advise and physical activity have effectively improved the knowledge, practice
and HbAle level of type 2 diabetes patients. The main challenge in management of these
patients is however to sustain their healthy lifestyle.
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Keywords
EPIDEMIOLOGY AND BIOSTATISTICS