Effectiveness of ladies finger juice on blood glucose level among adults with type 2 diabetes mellitus in view of preparing a pamphlet on hypoglycemia in Nanchiyampalayam at Dharapuram

Diabetes Mellitus can manifest due to resistance of peripheral receptors to insulin or increased endogenous glucose production by the liver and is clinically characterized by hyperglycemia. Hyperglycemia is caused by inherited or acquired deficiency in production of insulin by the pancreas or by the ineffectiveness of the insulin production. Type 2 diabetes mellitus is the one of the type of diabetes mellitus. Type 2 diabetes mellitus is results from a decreased sensitivity to insulin resistance or from a decreased amount of insulin production. This study was aimed to assess the effectiveness of ladies finger juice on blood glucose level among adults with type 2 diabetes mellitus and in view of preparing pamphlet on hypoglycemia in Nanchiyampalayam at Dharapuram. The research approach used for the study was evaluative approach. The quasi experimental non equivalent control group pretest, posttest design was used for this study. The conceptual framework of the study was based on the “Wiedenbach’s helping art of clinical nursing theory’. Purposive sampling technique was used to select 60 samples, out of which 30 were in experimental group and 30 were in control group. The first 2 days morning, pretest fasting blood glucose level was checked by using glucometer and during the daytime demographic variables were collected from the experimental group. On the 2nd day evening the investigator had prepared the 250ml of ladies finger juice for each sample in experimental group. Instructions were given to the samples in experimental group regarding measures to be taken in hypoglycemia. From the third day morning onwards, the experimental group were asked to consume the ladies finger juice before breakfast for 15 days. Every day morning, the experimental group drank the ladies finger juice in empty stomach under the supervision of the investigator. During day time knowledge on hypoglycemia was assessed by using structured interview questionnaire for the experimental group. It took 40-45 minutes for each sample. The posttest fasting blood glucose level was checked on 7th and 16th day after intervention for the experimental group. After the posttest, pamphlet on hypoglycemia was given to the experimental group. From next day onwards, for the control group, pretest fasting blood samples were taken and demographic variables were collected for 2 days. The first posttest fasting blood samples were taken on the 7th day. The 2nd posttest fasting blood samples were taken on the 16th day. During daytime the knowledge on hypoglycemia was assessed in control group. On the 16th day after taking the blood samples, the pamphlet on hypoglycemia was given to the control group also. Finally for all the 60 samples ladies finger seeds were given to grow it in their kitchen garden for their further use. The collected data were analyzed and tabulated by using descriptive and inferential statistics. The mean pretest score of blood glucose level was 178 (SD± 43.1) and mean posttest-I score of blood glucose level was 135 (SD±19.2) and posttest-II mean score of blood glucose level was 107 (SD ± 13.01) which showed that the mean posttest-I and posttest-II score was significantly lower than the mean pretest score in the experimental group. The paired‘t’ value was 7.398 and 9.882 for posttest-I and posttest-II respectively which was significant at p < 0.05 level of significance. The mean posttest –I score of blood glucose level was 135(SD±19.2) in experimental group and mean score was 177 (SD±38.6) in control group. The mean difference was 42.The independent ‘t’ value was 5.617, which was significant at p<0.05 level of significance .The mean posttest –II score of blood glucose level was 107 (SD±13.01) in experimental group and mean score is 176 (SD±41.09) in control group. The mean difference was 69.The independent‘t’ value was 8.843, which was significant at p < 0.05 level which revealed that the ladies finger juice was effective in reducing blood glucose level among type 2 diabetes mellitus. There was significant association found between posttest level of blood glucose and sex, education and dietary pattern in experimental group. In experimental group, majority 21 (70%) of adults had moderately adequate knowledge, 9 (30%) of adults had inadequate knowledge regarding hypoglycemia. In control group majority 14(47%) of adults had moderately adequate knowledge, 16 (53%) of adults had inadequate knowledge regarding hypoglycemia. The pamphlet on hypoglycemia was given both experimental group and control group. The study findings revealed that ladies finger juice was beneficial and there was a significant reduction in blood glucose level among adults with type 2 diabetes mellitus