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JCCNC 2017, 3(3): 205-214 |
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Reisi M, Javadzede H, Sharifirad G, Mostafavi F, Tavassoli E, Imanzad M. Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes. JCCNC 2017; 3 (3) :205-214
URL: http://jccnc.iums.ac.ir/article-1-143-en.html
URL: http://jccnc.iums.ac.ir/article-1-143-en.html
Mahnoush Reisi1 
, Homamodin Javadzede1 , Gholamreza Sharifirad2 , Firoozeh Mostafavi3 , Elahe Tavassoli4 , Masoumeh Imanzad * 5
, Homamodin Javadzede1 , Gholamreza Sharifirad2 , Firoozeh Mostafavi3 , Elahe Tavassoli4 , Masoumeh Imanzad * 5
1- Department of Health Education and Health Promotion, School of Health, Bushehr University of Medical Sciences, Bushehr, Iran.
2- Department of Public Health, School of Health, Qom University of Medical Sciences and Health Services, Qom, Iran.
3- Department of Health Education and Health Services, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
5- Department of Social Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,imanzad96@gmail.com
2- Department of Public Health, School of Health, Qom University of Medical Sciences and Health Services, Qom, Iran.
3- Department of Health Education and Health Services, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
5- Department of Social Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
Abstract: (5700 Views)
Background: Although compliance with all self-care behaviors is necessary for successful management of diabetes, patients with diabetes often refuse favorable self-care. This article is aimed to test the effects of a theory-related intervention to conduce self-aid adherence and metabolic curb in patients having type-2 diabetes.
Methods: In this randomized controlled trial, 80 patients suffering from type-2 diabetes were arbitrarily allotted to intervention and control group. The intervention group attended six sessions in a batch and one-on-one consultation and received an education on self-efficacy and outcome expectations on improving the strategies. Self-efficacy, outcome expectations, self-care behaviors and HbA1c were measured and compared in two groups in the starting, after three and six-months of the interventions. “Intention to treat” analysis was used. Data were analyzed using t test and ANOVA for repeated measures.
Results: Mean score of self-efficacy, outcome expectations and self-care behaviors revealed significant differences between two groups in the results of three and six months after the intervention (P < 0.01). A major fall in HbA1c was noted in the intervention group. The mean scores of the HbA1c showed a significant difference between two groups, six months after the intervention (P < 0.05). After the intervention diet, physical activity and foot care improved significantly in the intervention group (P < 0.001). No significant improvement occurred in self-monitoring of blood glucose and medication adherence between two groups after the intervention
Conclusion: It is concluded that implementing educational interventions based on the self-efficacy model and related strategies can be effective for patients with type-2 diabetes and is recommended to be used for patient education in the field of metabolic control.
Methods: In this randomized controlled trial, 80 patients suffering from type-2 diabetes were arbitrarily allotted to intervention and control group. The intervention group attended six sessions in a batch and one-on-one consultation and received an education on self-efficacy and outcome expectations on improving the strategies. Self-efficacy, outcome expectations, self-care behaviors and HbA1c were measured and compared in two groups in the starting, after three and six-months of the interventions. “Intention to treat” analysis was used. Data were analyzed using t test and ANOVA for repeated measures.
Results: Mean score of self-efficacy, outcome expectations and self-care behaviors revealed significant differences between two groups in the results of three and six months after the intervention (P < 0.01). A major fall in HbA1c was noted in the intervention group. The mean scores of the HbA1c showed a significant difference between two groups, six months after the intervention (P < 0.05). After the intervention diet, physical activity and foot care improved significantly in the intervention group (P < 0.001). No significant improvement occurred in self-monitoring of blood glucose and medication adherence between two groups after the intervention
Conclusion: It is concluded that implementing educational interventions based on the self-efficacy model and related strategies can be effective for patients with type-2 diabetes and is recommended to be used for patient education in the field of metabolic control.
Keywords: Self-efficacy, Outcome-expectations, Self-care behaviors, Metabolic control, Intervention, Type-2 diabetes
Type of Study: Research |
Subject:
Special
Received: 2017/02/2 | Accepted: 2017/06/13 | Published: 2017/08/1
Received: 2017/02/2 | Accepted: 2017/06/13 | Published: 2017/08/1
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