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Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes

In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this...

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Autores principales: Azami, Golnaz, Soh, Kim Lam, Sazlina, Shariff Ghazali, Salmiah, Md. Said, Aazami, Sanaz, Mozafari, Mosayeb, Taghinejad, Hamid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129337/
https://www.ncbi.nlm.nih.gov/pubmed/30225268
http://dx.doi.org/10.1155/2018/4930157
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author Azami, Golnaz
Soh, Kim Lam
Sazlina, Shariff Ghazali
Salmiah, Md. Said
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
author_facet Azami, Golnaz
Soh, Kim Lam
Sazlina, Shariff Ghazali
Salmiah, Md. Said
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
author_sort Azami, Golnaz
collection PubMed
description In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed. One hundred forty-two adults with type 2 diabetes were randomized to receive either usual diabetes care (control group) or usual care plus a nurse-led diabetes self-management education (intervention group). Duration of the intervention was 12 weeks. The primary outcome was glycosylated hemoglobin (HbA1c values). Secondary outcomes were changes in blood pressure, body weight, lipid profiles, self-efficacy (efficacy expectation and outcome expectation), self-management behaviors, quality of life, social support, and depression. Outcome measures were assessed at baseline and at 12-week and 24-week postrandomizations. Patients in the intervention group showed significant improvement in HbA1c, blood pressure, body weight, efficacy expectation, outcome expectation, and diabetes self-management behaviors. The beneficial effect of a nurse-led intervention continued to accrue beyond the end of the trial resulting in sustained improvements in clinical, lifestyle, and psychosocial outcomes. This trial is registered with IRCT2016062528627N1.
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spelling pubmed-61293372018-09-17 Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes Azami, Golnaz Soh, Kim Lam Sazlina, Shariff Ghazali Salmiah, Md. Said Aazami, Sanaz Mozafari, Mosayeb Taghinejad, Hamid J Diabetes Res Clinical Study In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed. One hundred forty-two adults with type 2 diabetes were randomized to receive either usual diabetes care (control group) or usual care plus a nurse-led diabetes self-management education (intervention group). Duration of the intervention was 12 weeks. The primary outcome was glycosylated hemoglobin (HbA1c values). Secondary outcomes were changes in blood pressure, body weight, lipid profiles, self-efficacy (efficacy expectation and outcome expectation), self-management behaviors, quality of life, social support, and depression. Outcome measures were assessed at baseline and at 12-week and 24-week postrandomizations. Patients in the intervention group showed significant improvement in HbA1c, blood pressure, body weight, efficacy expectation, outcome expectation, and diabetes self-management behaviors. The beneficial effect of a nurse-led intervention continued to accrue beyond the end of the trial resulting in sustained improvements in clinical, lifestyle, and psychosocial outcomes. This trial is registered with IRCT2016062528627N1. Hindawi 2018-07-08 /pmc/articles/PMC6129337/ /pubmed/30225268 http://dx.doi.org/10.1155/2018/4930157 Text en Copyright © 2018 Golnaz Azami et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Azami, Golnaz
Soh, Kim Lam
Sazlina, Shariff Ghazali
Salmiah, Md. Said
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title_full Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title_fullStr Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title_full_unstemmed Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title_short Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes
title_sort effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129337/
https://www.ncbi.nlm.nih.gov/pubmed/30225268
http://dx.doi.org/10.1155/2018/4930157
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