The effect of health education extension service on the self-management capability of patients with type 2 diabetes

Objective: To study the effect of the health education extension service on the self-management capability of patients with type 2 diabetes (T2D). Methods: A total of 280 eligible patients with T2D were divided into the control group and the intervention group. The intervention group received a telephone callback survey while the control group did not. After six months, the C-DMSES scores of the two groups were collected and analyzed, and the two groups were compared in terms of lifestyle habits and compliance with doctors. Results: The mean C-DMSES score of the intervention group (156.6 +/- 14.8) was significantly higher than that of the control group (143.9 +/- 15.5) (F = 48.164, P = 0.000). The medical compliance rate (85.7%), regular diet rate (77.1%), reasonable exercise rate (80.0%), standardized blood sugar monitoring rate (87.1%) and timely access to hospital rate (87.1%) of the intervention group were higher than those of the control group, but only the differences between the two groups (P<0.05) in medical compliance, standardized blood sugar monitoring, and timely access to the hospital were statistically significant. Conclusion: The telephone callback improved the self-efficacy of patients with type 2 diabetes as well as their level of self-management and their compliance with their treatment. In addition, the callback service was found to promote a positive image of the hospital and to be economically practical and convenient and is thus recommended for patients after they are discharged from the hospital.