Volume 25, Number 4 (12-2015)                   J Holist Nurs Midwifery 2015, 25(4): 19-28 | Back to browse issues page


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Pourverdi S, Mohammadi Shahboulaghi F, Kashaninia Z, Rezasoltani P. Effects of self-management program on glycemic control in patients with type 2 diabetes and glycosylated hemoglobin. J Holist Nurs Midwifery. 2015; 25 (4) :19-28
URL: http://hnmj.gums.ac.ir/article-1-574-en.html

, f_mohammadi_2000@yahoo.com
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Effects of self-management program on glycemic control in patients with type 2 diabetes and glycosylated hemoglobin

BY: Pourverdi SH1, Mohammadi Shahboulaghi F2*, Kashaninia Z3, Rezasoltani P4

1- Department of  Nursing Management (Medical-surgical), Welfare and Rehabilitation Sciences University, Tehran, Iran

2- Social Determinants of Health Research Center, Department of Nursing Education, Associate  Professor, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3- Department of Nursing Education, Assistant Professor, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4- Bio-statistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Received: 2013/11/18

Accepted:2014/03/30

Abstract

چمقدمه : نحوه ارتباط والدین با فرزندان با سبک فرزندپروری آنان ارتباط دارد.سبکهای فرزندپروری نقش مهمی در شکل گیری شخصیت بهنجار و نابهنجار در کودکان داشته و در صورت بکار گیری سبکهای ناکارآمد در تربیت کودکان می تواند منجر به پیامدهای منفی متعددی از جمله مشکلات رفتاری در آنان گردد.Introduction: Today self-management is one of the strategies for chronic disease control such as diabetes. Self-management activities are designed based on patients’ active participation in control and management of chronic disease challenges and prevention of disease complications.

Objective: This study aimed to examine the effect of diabetes self-management program on   blood glucose and glycosylated hemoglobin among patients with type 2 diabetes.

Methods: In this randomized, controlled trial, 80 patients with type 2 diabetes who referred to Rasht Diabetes Association participated. They were randomly assigned to two groups of intervention and control. Self-management program involved knowledge and understanding, problem-solving process, diet plan, walking and stress management which were taught to patients for three weeks and followed for two months. Data were gathered by demographic questionnaire and measurement of blood glucose and glycosylated hemoglobin before and eight weeks after the intervention. In addition patients’ blood glucose level was monitored weekly. Data were analyzed by statistical tests such as Chi-square, Fisher's exact, Student-t, Paired-t tests and repeated measure ANOVA.

Rیافته ها: نتایج نشان داد که سبک فرزندپروری مقتدرانه هم با نمره کل مشکلات رفتاری درونی سازی (003/RResults: Findings showed no significant differences in experimental and control group as regard to demographic, disease condition, drug use and blood glucose criteria. Blood glucose and glycosylated hemoglobin improved significantly in experiment group two months after the intervention. These changes were not seen in the control group. In addition a significant difference was shown between the two groups as regard to level of glycosylated hemoglobin after intervention (P<0/001).

Conclusion: In attention to findings, it can be concluded that self-management program promotes blood glucose and glycosylated hemoglobin levels in patients with type 2 diabetes. Therefore self-management promotion program can serve as guide in improvement of patient health.

Keywords: Self Care, Hemoglobin A Glycosylated, Blood Glucose, Diabetes MellitusType 2   

*Corresponding Author: Farahnaz Mohammadi Shahboulaghi, Tehran, University of Social Welfare and Rehabilitation Sciences

Email: f_mohammadi_2000@yahoo.com

Type of Study: Research | Subject: Special
Received: 2015/11/30 | Accepted: 2015/11/30 | Published: 2015/11/30

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