The influence of therapeutic education on diabetes-related distress and therapeutic adherence among patients with type 2 diabetes in Tetouan, Morocco

Belhaj Hajar
ID
Email src
Barouaca Hassan
ID
Oudghiri Dia Eddine
ID
Lamiri Abderrahmane
ID
Mostakim Mohammed
ID
Timihiri Abderrahim
ID
Ahyayauch Hasna
ID
Saoud Younes
ID
Biology, Ecology and Health Laboratory code UAE/L10/FST, Tetouan Faculty of Science, Abdelmalek Essaadi University, Morocco
Higher Institute of Nursing Profession and Techniques of Health, Fes Annex Taza, Morocco
Higher Institute of Nursing Profession and Techniques of Health, Tetouan, Morocco
Care, Health and Sustainable Development Laboratory, Care and Biology-Health research team, Higher Institute of Nursing Professions and Techniques of Health, Casablanca, Morocco
Higher Institute of Nursing Profession and Techniques of Health, Tetouan, Morocco
Northern Morocco and Mediterranean Basin Civilisation Laboratory, Sociology and Psychopedagogy Team, Faculty of Letters and Human Sciences, Abdelmalek Essaadi University, Tetouan, Morocco
Higher Institute of Nursing Professions and Techniques of Health, Rabat, Morocco
Biology, Ecology and Health Laboratory code UAE/L10/FST, Tetouan Faculty of Science, Abdelmalek Essaadi University, Morocco
Received: 15 September 2023 / Revised: 17 December 2023 / Accepted: 21 December 2023 / Published: 30 March 2024

Abstract

Introduction and aim. Diabetes-related distress is a prevalent issue that affects many patients, leading to challenges in ad hering to treatment plans and lifestyle modifications. By implementing therapeutic education programs, healthcare providers seek to enhance patients’ understanding of their condition, coping mechanisms, and treatment adherence. This study aims to explore the impact of therapeutic education on diabetes-related distress and therapeutic adherence among individuals diag nosed with type 2 diabetes.

Material and methods. This quasi-experimental study involved 40 patients with type 2 diabetes receiving therapeutic educa tion during 6 Months from March 24 to September 30, 2022. Diabetes-related distress and adherence were assessed before and after the intervention using the Diabetes Distress Scale (DDS-17) and glycated hemoglobin (HbA1c) levels.

Results. Wilcoxon signed rank tests revealed statistically significant improvements for all measures after the intervention. Patients showed improved DDS-17 scores (p<0.001) across all dimensions, and lower HbA1c levels (p<0.001). Pre- and post-inter vention mean difference across all measures show that the greatest improvements were seen in emotional distress (1.37) and treatment-related distress (1.2).

Conclusion. Therapeutic education had a positive impact on therapeutic adherence and diabetes-related distress. It should be an integral part of type 2 diabetes care protocols in Morocco.

 

Cite

Hajar B, Hassan B, Eddine OD, et al. The influence of therapeutic education on diabetes-related distress and therapeutic adherence among patients with type 2 diabetes in Tetouan, Morocco. Eur J Clin Exp Med. 2024;22(1):140–146. doi: 10.15584/ejcem.2024.1.28.

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited