Mon, Oct 13, 2025
Volume 35, Issue 1 (1-2025)
JHNM 2025, 35(1): 62-70 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shahmohammadi D, Mousavizadeh S N, Ilkhani M, Nasiri M, Sattari M. Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients. JHNM 2025; 35 (1) :62-70
URL: http://hnmj.gums.ac.ir/article-1-2270-en.html
URL: http://hnmj.gums.ac.ir/article-1-2270-en.html
Delshad Shahmohammadi1 
, Seyedeh Narjes Mousavizadeh *2 , Mahnaz Ilkhani3 , Malihe Nasiri4 , Mahtab Sattari5
, Seyedeh Narjes Mousavizadeh *2 , Mahnaz Ilkhani3 , Malihe Nasiri4 , Mahtab Sattari5
1- Nursing (MsN), Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Assistant Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,n.mousavi@sbmu.ac.ir
3- Associate Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Assistant Professor, Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- PhD Candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Assistant Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
3- Associate Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Assistant Professor, Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- PhD Candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (766 Views)
Introduction: In managing diabetes, the self-efficacy of patients for self-care and adherence to treatment is important. One of the nursing theories that can lead to patients’ participation in care is King’s theory of goal attainment.
Objective: This study aims to investigate the effect of a nursing care program based on the theory of goal attainment on the self-efficacy of patients with diabetes.
Materials and Methods: This quasi-experimental study was conducted on 60 patients with type 2 diabetes admitted to the endocrinology departments of two hospitals in Tehran, Iran. They were randomly assigned to two intervention (n=30) and control (n=30) groups. The data were collected using a sociodemographic/clinical form, the diabetes management self-efficacy scale (DMSES), and the goal attainment scaling (GAS). The intervention group received the nursing care program based on King’s theory. The self-efficacy of the patients was measured before, two weeks after (post-test), and two months after (follow-up) the intervention. Chi-square, paired t-test, independent t-test, and repeated measures ANOVA were used for data analysis.
Results: Most of the participants were female (68%) and married (71%), and illiterate (30%) in the age group of 51-60 years (43%). Before the intervention, the DMSES score was 144.10±14.13 in the intervention group and 139.63±13.46 in the control group. Two weeks after the intervention, the scores were 162.26±8.97 and 137.36±13.29, respectively. Two months after the intervention, the scores were 166.5±8.16 and 136.96±11.8, respectively. There was a statistically significant difference in the two groups in the post-test and follow-up phases, compared to the pre-test phase (P=0.001). The difference was also significant between the two groups after intervention (P=0.001). According to repeated measures ANOVA results, the effect of time (P=0.001, η2=0.438) and the interaction effect of time and group (P=0.001, η2=0.538) in the intervention and control groups were significant.
Conclusion: The nursing care program based on the theory of goal attainment can improve diabetic patients’ self-efficacy two weeks and two months after implementation. The theory of goal attainment can be used in care programs for diabetic patients.
Objective: This study aims to investigate the effect of a nursing care program based on the theory of goal attainment on the self-efficacy of patients with diabetes.
Materials and Methods: This quasi-experimental study was conducted on 60 patients with type 2 diabetes admitted to the endocrinology departments of two hospitals in Tehran, Iran. They were randomly assigned to two intervention (n=30) and control (n=30) groups. The data were collected using a sociodemographic/clinical form, the diabetes management self-efficacy scale (DMSES), and the goal attainment scaling (GAS). The intervention group received the nursing care program based on King’s theory. The self-efficacy of the patients was measured before, two weeks after (post-test), and two months after (follow-up) the intervention. Chi-square, paired t-test, independent t-test, and repeated measures ANOVA were used for data analysis.
Results: Most of the participants were female (68%) and married (71%), and illiterate (30%) in the age group of 51-60 years (43%). Before the intervention, the DMSES score was 144.10±14.13 in the intervention group and 139.63±13.46 in the control group. Two weeks after the intervention, the scores were 162.26±8.97 and 137.36±13.29, respectively. Two months after the intervention, the scores were 166.5±8.16 and 136.96±11.8, respectively. There was a statistically significant difference in the two groups in the post-test and follow-up phases, compared to the pre-test phase (P=0.001). The difference was also significant between the two groups after intervention (P=0.001). According to repeated measures ANOVA results, the effect of time (P=0.001, η2=0.438) and the interaction effect of time and group (P=0.001, η2=0.538) in the intervention and control groups were significant.
Conclusion: The nursing care program based on the theory of goal attainment can improve diabetic patients’ self-efficacy two weeks and two months after implementation. The theory of goal attainment can be used in care programs for diabetic patients.
Article Type : Research |
Subject:
General
Received: 2023/12/26 | Accepted: 2024/06/24 | Published: 2025/01/12
Received: 2023/12/26 | Accepted: 2024/06/24 | Published: 2025/01/12
Send email to the article author
| Rights and permissions | |
 | This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
