Assessing the effectiveness of the family health nurse model on self-management and glycated hemoglobin in middle-aged women with diabetes type 2: A randomized controlled trial

Abstract

Background: Empowering patients with the skills and knowledge to manage their diabetes themselves, along with providing them with family support, are crucial factors that play a critical role in controlling diabetes. Given that nurses provide home visits to assist patients in the family health nurse model, this study aims to assess its effectiveness in improving self-management and glycated hemoglobin levels in middle-aged women with type 2 diabetes.

Methods and materials: The present clinical trial study, conducted in 2023, will be carried out on 84 middle-aged women who have been diagnosed with type 2 diabetes and are under the care of comprehensive health centers in Isfahan. They will be randomly assigned into two groups: intervention and control groups. Data will be collected using the Schmitt diabetes self-management questionnaire and glycated hemoglobin A1c test. For the intervention group, home visits will be conducted to identify diabetes self-management issues. Moreover, the intervention based on the family health nurse model will be implemented in three stages: pre-intervention, intervention, and evaluation. Statistical analysis will also include the Independent T-test and the Mancova and Ancova tests.

Conclusion: The family health nurse model considers family as the cornerstone of healthcare, recognizing its crucial societal role. In addition, the family's emotional and psychological support improves the patient's problem-solving ability. Evaluating the effectiveness of this model could bring valuable insights for healthcare policymakers, guiding them in devising targeted and effective strategies.

Keywords: Diabetes type 2; family health nurse model; glycated hemoglobin; self-management.

Figure 1

Flowchart of the study protocol according to consort guidelines