International Journal of Nursing Education
  • Year: 2017
  • Volume: 9
  • Issue: 4

Promoting Participation in Self Care Management among Patients with Diabetes Mellitus: An Application of Peplau's Theory of Interpersonal Relationships

1M. Sc. Nursing, Symbiosis College of Nursing, Pune, Maharashtra, India

2Associate Professor, Symbiosis College of Nursing, Pune, Maharashtra, India

Online published on 6 January, 2018.

Abstract

Diabetes mellitus is a silent disease and is now recognized as one of the fastest growing threats to public health in almost all countries of the world. Self-care in diabetes has been defined as an evolutionary process of development of knowledge or awareness by learning to survive with the complex nature of the diabetes in a social context.

To assess the effectiveness of Peplau's Theory of Interpersonal Relationships in promoting participation in self-care management among patients with type II diabetes mellitus.

A quantitative evaluative pre-experimental research design was used. 30 diabetic patients who met the inclusion criteria were recruited using non probability purposive sampling technique. The tool was prepared according to Interpersonal Relationships Model. After completing the assessment, inappropriate self-care practices were determined. Intervention-Counseling and an Information Booklet on Self Care Management was given to the samples. Post assessment was done after two weeks.

Findings revealed that before the application of Interpersonal Relationship's Model average knowledge score was 8.3, attitude score was 24.6 and practice score was 24.8. The average fasting blood glucose was 125.4 mg/dl and post prandial blood glucose was 171.4 mg/dl. After the intervention, average knowledge score was 20.8, attitude score was 36.5 and practice score was 50.5. The average fasting blood glucose was 115.8 mg/dl and post prandial blood glucose was 144.3 mg/dl. Significant changes were also observed in the physical nursing assessment performed on the patients. Paired t-test was done for assessing the effect of Interpersonal Relationships Model on participation in self-care management. Average scores increased after the post test and therefore, the null hypothesis was rejected. Peplau's Theory was found to be significantly effective in promoting patient participation in self-care management.

Keywords

Self-care, Diabetes Mellitus, Patient education, Peplau's Interpersonal Relationships, Communication