Effectiveness of self-massage combined with a health education program using the self-efficacy theory in reducing peripheral neuropathy among diabetes mellitus patients
Journal Title: Journal of Public Health and Development - Year 2023, Vol 21, Issue 3
Abstract
Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus. It often causes impairment of sensory nerves, which can negatively impact functional mobility and quality of life for patients. Self-massage along with health education is one potential method to reduce the impact of DPN. However, to date there have been no studies examining such a treatment program. Our study investigated the effect of self-massage combined with a health education program using the self-efficacy theory on peripheral neuropathy in DPN patients. This randomized controlled trial collected data from 70 DPN patients. The participants were randomly assigned into two groups (intervention and control) which contained 35 participants each. The intervention group received 21 sessions of massage and health education (every other day for 6 weeks). The control group received only the normal program from the hospital. The participants were assessed for their peripheral neuropathy using Michigan Neuropathy Screening Instrument (MNSI) at baseline, after 2-week, 4-week, and 6-week. Generalized estimating equations were used to quantified the mean difference of scores of MNSI comparing between intervention and control groups for overall post measurement compared to baseline. The results showed that the mean of scores of MNSI for intervention and controls at baseline were 11.31 (SD = 1.36) and 11.24 (SD = 1.49), respectively. After receiving the intervention program for 6-week, the mean difference of scores of MNSI in intervention group reduced by 5.49 (95% CI: 5-5.98; p-value <0.001) compared to control group. Our study reveals that combination of self-massage and health education program based on self-efficacy theory can reduce peripheral neuropathy in patients with DPN. This outcome could be useful for healthcare professionals in improving the health of DPN patients.
Authors and Affiliations
Chanida Thaweewannakij, Kavin Thinkhamrop, Kornkawat Darunikorn, Matthew Kelly
Awareness, perceptions and acceptance of the Covid-19 vaccine in South-eastern Nigeria
Effective planning and sustainable implementation of vaccination activities require a good understanding of how much a population is aware, perceives and willing to accept the vaccines. A cross-sectional study was carrie...
Factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic: a cross-sectional study in West Lombok Regency, Indonesia
The Covid-19 pandemic has had a wide impact on all areas of life, especially health. One of the serious impacts that need to be addressed is the utilization of health services among people with a history of co-morbi...
Predictive factors for resilience quotient among village health volunteers in Northern Thailand post-COVID-19
Village Health Volunteers (VHVs) played an important role during the COVID-19 virus outbreak by coordinating with the public health team and closely engaging with community members. This study aimed to assess the resilie...
Interventions to reduce the negative impact of ageing, social isolation, and loneliness on the health and well-being of elderlies in Thailand and India
This article aims to relate the impact of ageing, social isolation, or loneliness on the health and well-being of elderlies in Thailand and India, and measures of intervention through social care and integration to reduc...
Association between emotional intelligence and mental health status based on sex differences among undergraduates in Vietnam
Publichealth concerns about mental health problems have recently received attention, particularly since the COVID-19 pandemic. Emotional intelligence (EI) is asignificantfactorlinked tomental health status, incl...