Diabetes and Diabetic Nursing Care

Type II diabetes mellitus (DM) is a growing public-health burden worldwide, particularly in developing countries. Lifestyle modifi cation can prevent or delay the onset of type II DM at high-risk adults. Most lifestyle intervention fi ndings are driven from western studies which might not be appropriate for diff erent cultures. Culturally sensitive interventions tailored to meet the specific needs of people in a rural area will facilitate the implementation and sustainability of behavior changes. The purpose of this study was to examine the effects of risk reduction intervention to reduce type II diabetes mellitus at high risk people in a rural area. A quasi experimental (Pre/post test) design was used. A convenience sample of 70 patients with one or more risk factors of type II DM was recruted. Th is study was conducted at the outpatient clinics of Menoufi a University Hospital at Shebein El- Kom City, Menofi a Governrate, Egypt. Tools including: semi-structured demographic data sheet, The Australian Type II Diabetes Risk Assessment Tool and 24 Hours Dietary Recall Sheet. Culturally sensitive risk reduction intervention was tailored to meet the specifi c needs of at high risk people in the designated rural area. There was a statically significant difference in type II diabetes risk score pre and post intervention in the study group with a p value <0.001. Th e lifestyle of people in developing country is different from industrialized developed countries, thus, developing preventive strategies to promote healthy lifestyles that are culturally appropriate and tailored for illiterate people with low socioeconomic status is crucial.