Does Health Education Increase Self-Efficacy in Diabetic Patients? A Systematic Review

Yanty Tindika

 Masters Program of Nursing, Universitas Hasanuddin, Makassar


Background: As many as 422 million people worldwide have diabetes, particularly in low-and middle-income countries. Self-efficacy is needed to undertake the complex DM treatment and the long-term intervention. Health education was hypothesized to increase self-efficacy. This systematic review aimed to identify and evaluate the effectiveness of health education on increasing self-efficacy, reducing HbA1C, increasing knowledge, physical activity, self-management, and quality of life.

Subjects and Method: This was a systematic review of RCT (Randomized Controlled Trial) and quasi-experiment. Online articles between 2015 and 2020 were obtained from the PubMed, ProQuest, Wiley, and ScienceDirect databases. Keywords Diabetes” OR “Diabetic” AND “Education” OR “Education Program” OR “Education Intervention” AND “Self-Efficacy.” PICO was as follows. Population: diabetic patients. Intervention: education. Comparison: standard service. Outcomes: self-efficacy, knowledge, self-management, physical activity, quality of life, and HbA1C. CASP Critical Appraisal was used to evaluate the quality of study.

Results: A total of 5 articles from Thailand, the United States, China, Pakistan, and Lebanon, were identified and reviewed in this study. The results showed that education increased self-efficacy, reduced HbA1C, increased knowledge, physical activity, self-management, and quality of life.

Conclusion: Education can increase self-efficacy, reduce HbA1C, increase knowledge, physical activity, self-management, and quality of life.

Keywords: education, self-efficacy, diabetes

Correspondence: Yanty Tindika. Universitas Hasanuddin. Perintis Kemerdekaan 11 Makassar, South-Celebes. Email: Mobile:085255104251.


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