The effect of self‑care education program on reducing HbA1c levels in patients with type 2 diabetes
نویسندگان
1 Department of Public Health, School of Health, Saveh University of Medical Sciences, Saveh
2 Department of Health Education, School of Medical Sciences, Tarbiat Modares University
3 Department of Health Education, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Health Education, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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doi
چکیده
Background: Diabetes as the most common diseases caused by metabolic disorders is animportant global challenge. This is a disease that requires lifelong self‑care because self‑care andimproved quality of life is cost effective. This study is aimed to determine the impact of self‑careeducation program on reducing HbA1c, type 2 diabetic patients and was conducted in Zahedan.Materials and Methods: This is an experimental study done on 138 diabetic female patients inZahedan city, in 2011 (1390). This sampling method of patients was based on inclusion and exclusioncriteria of the Diabetes Center, at Hazrat Ali Asghar Hospital(AS) in Zahedan. Samples were dividedrandomly in to two groups: 69 cases and 69 controls. Data collected included validity and reliabilityconfirmed questionnaire. Checklist was based on patients ‘performance of reporting and (HbA1c)testing. Before the educational intervention, the checklist of questions for recording the (HbA1c)test for both the groups were completed, and study samples received 5 sessions of education (withthe group discussion and film show) for a month. However, the control group received only routinetraining. Three months after the educational intervention, both groups completed the questionnaireand the check list and data using SPSS software and the appropriate tests were analyzed.Results: Findings showed that the mean domain scores of area of knowledge, attitude and practiceeducational groups, were recorded as (46.6 ± 8.57, 46.5 ± 0.86 and 29.06 ± 10.02), respectively.And after education scores of knowledge, attitude and practice were recorded as (52.80 ± 2.20,12.98 ± 1.02 and 39.69 ± 4.74), respectively, and in study group significant difference (P < 0/001)was seen. Conclusion: Self‑care training in striation leads to improve knowledge, attitude andself‑care performance of the study samples and also improves the average (HbA1c). Because itseems to increase the active participation of learners in their care that they have experienced withthis training method and their motivation enhanced them to learn better self‑care. So this type ofcare education should be given to the attention of nurses and healthcare’s staff.
