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Background: Diabetes mellitus is one of the global health burdens associated with adequate management. Self-management is a pivot of diabetes management. It has been estimated that more than one-quarter of the admissions in Nigeria hospital is as a result of diabetes complication. The study assessed nursing intervention on knowledge and skill of self-management among diabetic patients attending medical out-patient clinics in two tertiary hospitals, Ondo State, Nigeria. Materials and methods: This study adopted a two-group, pretest-posttest quasi-experimental research design. Total enumeration was adopted for the study, where all the diabetic patients at the facility per time were recruited. One hundred and twenty-one (121) respondents participated in the study; 40 in the control group and 81 respondents in the experimental group. A self-developed questionnaire and rating scale served as the instrument for data collection on demographic information, knowledge and skill of self-management of diabetes. Data were collected over five weeks in three phases of pre-intervention, intervention and post-intervention. An educational package served as tool for the nursing intervention to enhance their knowledge and skill on diabetes self-management. Results: Mean knowledge score of participants on selfmanagement in the experimental group increased from 26.04 ± 2.97 to 30.57 ± 0.64 post-intervention. Mean score on skill of participants on self-management increased from 8.12 ± 7.06 to 20.77 ± 4.82 post-intervention. There was no significant increase in the mean knowledge score of the control group on knowledge and skill of self-management. There were significant differences between the pre and post-intervention mean knowledge score of participants on self-management (t = -13.72, p = 0.000) and there was also significant difference in the pre and post intervention mean skill score of diabetes on diabetes self-management in the experimental group (t = -17.01, p = 0.000). Conclusion: Conclusively, knowledge of self-management of diabetes was moderate while participants lacked knowledge on pertinent point. Also, skill of self monitoring of blood glucose and foot care was only fair among the participants. However, the educational package utilized in this study increased the knowledge and skill of participants on self-management of diabetes. Thus the study is hoped to enhance self-management and reduce complications among participants. It is recommended that nursing intervention programmes using a well-designed diabetes self-management educational package should be included in diabetic clinics at different level of health care settings.

international journal of diabetes and clinical research

Nursing Intervention on Knowledge and Skills of Self-Management of Diabetes among Patients Attending Medical Out-Patient Clinic in Two Tertiary Hospitals in Ondo State