A Community Based Study-Effectiveness of nurse directed interventions on knowledge and health-promotion behavior of patients with Type-2 Diabetes Mellitus

Historically, national health policies have primarily focused on communicable diseases and malnutrition. While these issues remain relevant in many low- and middle-income countries, recent changes in lifestyle patterns have contributed to a rising prevalence of non-communicable diseases (NCDs). These include diabetes, cardiovascular disorders, obesity, and joint diseases. Developing nations are experiencing an epidemiological transition, driven by sedentary behavior, unhealthy dietary habits, and increased substance use. As a result, they are increasingly vulnerable to NCD epidemics in the coming years. Methods : A quasi-experimental study was conducted in selected rural communities of Vadodara. The study was based on Nola Pender’s Health Promotion Model and focused on individual characteristics, behavior-specific cognitions, and behavioral outcomes. Nurse-directed interventions were implemented to improve knowledge and health-promotion behaviors among patients with Type 2 Diabetes Mellitus (T2DM). Results :The mean pre-test health-promotion behavior score was 14.26 ± 5.824. This significantly increased to 38.55 ± 4.908 in the post-test. The mean difference was 24.29, with a t-value of 38.04 (df = 147) and a highly significant p-value of 0.001 (p < 0.05). These results indicated that nurse-directed interventions were highly effective in improving health- promotion behaviors among T2DM patients. Conclusion : Nurse-directed interventions played a vital role in enhancing knowledge and promoting positive health behaviors in patients with T2DM. Incorporating such interventions into community healthcare programs may improve diabetes management and help reduce the long-term burden of NCDs in developing nations.