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. 2021 Mar 1;10(1):22-28.
doi: 10.34172/jcs.2021.001. eCollection 2021 Mar.

Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial

Hadi Azhdari Mamaghani  1 , Faranak Jabbarzadeh Tabrizi  1 , Alehe Seyedrasooli  1 , Parvin Sarbakhsh  2 , Rahim Badri Gargari  3 , Vahid Zamanzadeh  1 , Vahdat Zanboori  4
Affiliations

Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial

Hadi Azhdari Mamaghani et al. J Caring Sci. .

Abstract

Introduction: Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of empowerment-based interventions with or without telenursing on self-efficacy and HbA1c level in diabetic patients. Methods: In this randomized clinical trial, 156 patients with type-2 diabetes were randomly assigned into two intervention groups (empowerment with/without telenursing) and one control group. All subjects in the intervention groups participated in two sessions of the empowerment program. However, only the group of empowerment with telenursing received telephone counseling for 12 weeks. The patients in the control group did not receive any intervention programs. Self-efficacy was measured by diabetes-specific self-efficacy scale. The HbA1c level was measured using Bionic kit. Data were analyzed using SPSS Statistics for Windows, version 13.0 (SPSS Inc., Chicago, Ill., USA). Results: After 14 weeks, while the changes in self-efficacy scores of the control group were not statistically significant, they were significant in the two intervention groups. Comparison of the two intervention groups showed that self-efficacy was higher in the group of empowerment with telenursing. It was only in the empowerment with telenursing group that the reduction of HbA1 c was significant. Conclusion: Training based on empowerment models and emphasis on the strengths of clients in solving their own problems can play a major role in increasing self-efficacy and reduction of HbA1c level. In addition, a continuous training program, along with telephone follow-ups can result in higher self-efficacy and lower HbA1c level.

Keywords: Diabetes mellitus; Empowerment; Glycated hemoglobin A; Selfefficacy; Telenursing.

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References

    1. World Health Organization (WHO). Diabetes. [Internet]. [ 2018; cited 2018 Feb. 25]. Available from: https://www. who.int/news-room/fact-sheets/detail/diabetes.
    1. American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2018. Diabetes Care. 2018;41(Suppl 1):S13–S27. doi: 10.2337/dc18-S002. - DOI - PubMed
    1. Parizad N, Hemmati Maslakpak, M M, Khalkhali HR. Promoting self-care in patients with type 2 diabetes: tele-educatio. Hakim Res J. 2013;16(3):220–7. [Persian]
    1. Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M, Hosseini M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. J Diabetes Metab Disord. 2013;12(1):45. doi: 10.1186/2251-6581-12-45. - DOI - PMC - PubMed
    1. Dale J, Caramlau I, Sturt J, Friede T, Walker R. Telephone peer-delivered intervention for diabetes motivation and support: the telecare exploratory RCT. Patient Educ Couns. 2009;75(1):91–8. doi: 10.1016/j.pec.2008.09.014. - DOI - PubMed

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