Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes

Reisi, Mahnoush and Javadzade, Homamodin and Sharifirad, Gholamreza and Mostafavi, Firoozeh and Tavassoli, Elahe and Imanzad, Masoumeh (2017) Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes. Journal of Client-Centered Nursing Care, 3 (3).


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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.

Item Type: Article
Subjects: WA Public Health
Divisions: Faculty of Public Health
Depositing User: محسن زارعی
Date Deposited: 02 Jul 2018 06:51
Last Modified: 02 Jul 2018 06:51
URI: http://eprints.bpums.ac.ir/id/eprint/6926

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