دوره 3، شماره 3 - ( Summer 2017 -- 1396 )
جلد 3 شماره 3 صفحات 214-205 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
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-fa.html
URL: http://jccnc.iums.ac.ir/article-1-143-fa.html
Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes. نشریه مراقبت پرستاری مددجو محور. 1396; 3 (3) :205-214
چکیده: (5730 مشاهده)
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.
فهرست منابع
1. Aljasem, L. I. et al., 2001. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. The Diabetes Educator, 27(3), pp. 393–404. doi: 10.1177/014572170102700309 [DOI:10.1177/014572170102700309]
2. Anderson, R. M. et al., 1995. Patient empowerment: Results of a randomized controlled trial. Diabetes Care, 18(7), pp. 943–9. doi: 10.2337/diacare.18.7.943 [DOI:10.2337/diacare.18.7.943]
3. Bandura, A., 1986. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, Inc.
4. Bandura, A., 1997. Self-efficacy: The exercise of control. New York: Freeman.
5. Bashirian, S., et al., 2012. [Application of theory of planned behavior in predicting factors of substance abuse in adolescents (Persian)]. Journal of Fasa University of Medical Sciences, 2(3), pp. 156-62.
6. Bijl, J. van der, Poelgeest-Eeltink, A. van & Shortridge-Baggett, L., 1999. The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing, 30(2), pp. 352–9. doi: 10.1046/j.1365-2648.1999.01077.x [DOI:10.1046/j.1365-2648.1999.01077.x]
7. Brettenthaler, N. et al., 2004. Effect of the insulin sensitizer pioglitazone on insulin resistance, hyperandrogenism, and ovulatory dysfunction in women with polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism, 89(8), pp. 3835–40. doi: 10.1210/jc.2003-031737 [DOI:10.1210/jc.2003-031737]
8. Didarloo, A. R., et al., 2012. Prediction of self-management behavior among Iranian women with type 2 diabetes: Application of the theory of reasoned action along with self-efficacy (etra). Iranian Red Crescent Medical Journal, 14(2), p. 86. [PMID] [PMCID]
9. Eckman, M. H. et al., 2012. Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases. Patient Education and Counseling, 87(2), pp. 143–51. doi: 10.1016/j.pec.2011.07.020 [DOI:10.1016/j.pec.2011.07.020]
10. Franz, M. J., et al., 2004. Nutrition principles and recommendations in diabetes. Diabetes Care, 27, pp. S36-46. PMID: 14693924 [DOI:10.2337/diacare.27.2007.S36] [PMID]
11. Funnell, M. M., 2006. The diabetes attitudes, wishes, and needs (DAWN) study. Clinical Diabetes, 24(4), pp. 154–5. doi: 10.2337/diaclin.24.4.154 [DOI:10.2337/diaclin.24.4.154]
12. Ha, M. et al., 2014. The effects of an educational self-efficacy intervention on osteoporosis prevention and diabetes self-management among adults with type 2 diabetes mellitus. Biological Research For Nursing, 16(4), pp. 357–67. doi: 10.1177/1099800413512019 [DOI:10.1177/1099800413512019]
13. Haghayegh, A. S., Ghasemi, N., Neshatdoost, H.T., Kajbaf, M. and Khanbani, M., 2010. Psychometric properties of Diabetes Management Self-Efficacy Scale (DMSES). Iranian Journal of Endocrinology and Metabolism, 12(2), pp. 111-95.
14. International Diabetes Federation. Diabetes Atlas 2013. Brussels: International Diabetes Federation.
15. Karter, A. J. et al., 2000. Self-monitoring of blood glucose: language and financial barriers in a managed care population with diabetes. Diabetes Care, 23(4), pp. 477–83. doi: 10.2337/diacare.23.4.477 [DOI:10.2337/diacare.23.4.477]
16. King, D. K. et al., 2010. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care, 33(4), pp. 751–3. doi: 10.2337/dc09-1746 [DOI:10.2337/dc09-1746]
17. Lendemeijer, B. & Shortridge-Baggett, L., 1997. The use of seclusion in psychiatry: A literature review. Scholarly Inquiry for Nursing Practice, 11(4), pp. 299-315. PMID: 9564234 [PMID]
18. Miller, C. K. & Gutschall, M., 2008. A randomized trial about glycemic index and glycemic load improves outcomes among adults with type 2 diabetes. Health Education & Behavior, 36(3), pp. 615–26. doi: 10.1177/1090198108317598 [DOI:10.1177/1090198108317598]
19. Miller, C. K. et al., 2002. Evaluation of a theory-based nutrition intervention for older adults with diabetes mellitus. Journal of the American Dietetic Association, 102(8), pp. 1069–81. doi: 10.1016/s0002-8223(02)90242-7 [DOI:10.1016/S0002-8223(02)90242-7]
20. Moattari, M. et al., 2012. Impact of self management on metabolic control indicators of diabetes patients. Journal of Diabetes & Metabolic Disorders, 11(1), p. 6. doi: 10.1186/2251-6581-11-6 [DOI:10.1186/2251-6581-11-6]
21. Morrish, N. J. et al., 2001. Mortality and causes of death in the WHO multinational study of vascular disease in diabetes. Diabetologia, 44(S2), pp. S14–S21. doi: 10.1007/pl00002934 [DOI:10.1007/PL00002934]
22. Nath, C., 2007. Literacy and diabetes self-management. American Journal of Nursing, 107(Supplement), pp. 43–9. doi: 10.1097/01.naj.0000277829.28043.93 [DOI:10.1097/01.NAJ.0000277829.28043.93]
23. Pe-a-Purcell, N. C., Boggess, M. M. & Jimenez, N., 2011. An empowerment-based diabetes self-management education program for Hispanic/Latinos. The Diabetes Educator, 37(6), pp. 770–9. doi: 10.1177/0145721711423319 [DOI:10.1177/0145721711423319]
24. Piccinino, L. et al., 2015. Recent trends in diabetes knowledge, perceptions, and behaviors. Health Education & Behavior, 42(5), pp. 687–96. doi: 10.1177/1090198115577373 [DOI:10.1177/1090198115577373]
25. Reisi, M. et al., 2016. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman Medical Journal, 31(1), pp. 52–9. doi: 10.5001/omj.2016.10 [DOI:10.5001/omj.2016.10]
26. Reisi, M. et al., 2015. Assessment of some predicting factors of self-efficacy in patients with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism, 17(1), pp. 44-52.
27. Roglic, G. et al., 2005. The burden of mortality attributable to diabetes: Realistic estimates for the year 2000. Diabetes Care, 28(9), pp. 2130–5. doi: 10.2337/diacare.28.9.2130 [DOI:10.2337/diacare.28.9.2130]
28. Sherer, M. et al., 1982. The self-efficacy scale: Construction and validation. Psychological Reports, 51(2), pp. 663–71. doi: 10.2466/pr0.1982.51.2.663 [DOI:10.2466/pr0.1982.51.2.663]
29. Shi, Q., Ostwald, S. K. & Wang, S., 2010. Improving glycaemic control self-efficacy and glycaemic control behaviour in Chinese patients with Type 2 diabetes mellitus: randomised controlled trial. Journal of Clinical Nursing, 19(3-4), pp. 398–404. doi: 10.1111/j.1365-2702.2009.03040.x [DOI:10.1111/j.1365-2702.2009.03040.x]
30. Sicree, R., Shaw, J., & Zimmet, P., 2010. The global burden of diabetes: Diabetes and impaired glucose tolerance. Prevalence and Projections. IDF Atlas, pp. 10-104.
31. Sigurðardóttir, Á. K., 2005. Self-care in diabetes: model of factors affecting self-care. Journal of Clinical Nursing, 14(3), pp. 301–14. doi: 10.1111/j.1365-2702.2004.01043.x [DOI:10.1111/j.1365-2702.2004.01043.x]
32. Skelly, A. H. et al., 1995. Self-efficacy and confidence in outcomes as determinants of self-care practices in inner-city, African-American women with non-insulin-dependent diabetes. The Diabetes Educator, 21(1), pp. 38–46. doi: 10.1177/014572179502100107 [DOI:10.1177/014572179502100107]
33. Sorani, M. et al., 2012. Predictors of self-care behaviors of patients with type 2 diabetes. Health System Research, 8, pp. 814-24.
34. Shortridge-Baggett, L. M. & van der Bijl, J. 1996. International collaborative research on management self-efficacy in diabetes mellitus. The Journal of the New York State Nurses Association, 27, 9-14. [PMID]
35. Tan, M. Y. & Magarey, J., 2008. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Education and Counseling, 72(2), pp. 252–67. doi: 10.1016/j.pec.2008.03.017 [DOI:10.1016/j.pec.2008.03.017]
36. Toobert, D. J., Hampson, S. E. & Glasgow, R. E., 2000. The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), pp. 943–50. doi: 10.2337/diacare.23.7.943 [DOI:10.2337/diacare.23.7.943]
37. Tuomilehto, J. et al., 2001. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine, 344(18), pp. 1343–50. doi: 10.1056/nejm200105033441801 [DOI:10.1056/NEJM200105033441801]
38. Van Der Bijl, J. J., & Shortridge-Baggett, L. M., 2001. The theory and measurement of the self-efficacy construct. Scholarly Inquiry for Nursing Practice, 15, pp. 189-207. [PMID]
39. Wild, S. et al., 2004. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care, 27(5), pp. 1047–53. doi: 10.2337/diacare.27.5.1047 [DOI:10.2337/diacare.27.5.1047]
40. World Medical Association., 2001. World medical association declaration of Helsinki, ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79(4). PMC: 2566407
41. Wu, S. F., 2007. Effectiveness of self-management for persons with type 2 diabetes following the implementation of a self-efficacy enhancing intervention program in Taiwan (PhD dissertation). Brisbane, Queensland: Queensland University of Technology.
42. Yang, W. et al., 2010. Prevalence of diabetes among men and women in China. New England Journal of Medicine, 362(12), pp. 1090–101. doi: 10.1056/nejmoa0908292 [DOI:10.1056/NEJMoa0908292]
43. Zareban, I. et al., 2013. The effect of education program based on health belief model on decreasing blood sugar levels in diabetic type 2 patients in Zahedan. Health Scope, 2(2), pp. 73–8. doi: 10.17795/jhealthscope-8690 [DOI:10.17795/jhealthscope-8690]
44. Zhou, Y. et al., 2013. Self-care practices of Chinese individuals with diabetes. Experimental and Therapeutic Medicine, 5(4), pp. 1137–42. doi: 10.3892/etm.2013.945 [DOI:10.3892/etm.2013.945]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
