Evaluation of the Effect of Self-Management Education in Teach Back Method on Medication and Nutritional Adherence of Elderly Patients with Type 2 Diabetes

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Abstract

Introduction: Medication and nutritional adherence include accurate consumption of medication and following the diet according to the recommendations provided by healthcare personnel, which leads to maintaining and promoting the health of the elderly. The present study aimed to evaluate the effect of teach-back self-management training on medication and nutritional adherence of the elderly with type 2 diabetes in the selected comprehensive health service centers in Mashhad, Iran. Method: This experimental study was conducted on 104 type 2 diabetic patients who were randomly divided into intervention and control groups. In the intervention group, self-management training was provided by return training method, and in the control group, routine training was provided. To collect data, the Moriski medication adherence questionnaire and the Midas dietry compliance questionnaire were completed before and after the intervention. Data analysis was performed using SPSS statistical software (version 20), and Chi-square, Fisher, independent t-test, and paired t-test. Results: Based on the findings of the present research, the mean scores of the medication and nutritional adherence in the two groups before the intervention were not significantly different (P<0.05). However, after the intervention, medication and nutritional adherence of the intervention group was significantly increased compared to the control group (P<0.05). Conclusion: The use of teach-back self-management training is suggested as an effective method in increasing medication and nutritional adherence of the elderly with type 2 diabetes
回教法自我管理教育对老年2型糖尿病患者服药和营养依从性的影响评价
药物和营养的坚持包括准确的用药和按照医护人员提供的建议遵循饮食,从而保持和促进老年人的健康。本研究旨在评估在伊朗马什哈德选定的综合卫生服务中心进行的背教自我管理培训对老年2型糖尿病患者服药和营养依从性的影响。方法:对104例2型糖尿病患者进行实验研究,随机分为干预组和对照组。干预组采用回归训练法进行自我管理训练,对照组采用常规训练。为了收集数据,在干预前后分别完成Moriski药物依从性问卷和Midas饮食依从性问卷。数据分析采用SPSS统计软件(version 20),采用卡方、Fisher、独立t检验和配对t检验。结果:根据本研究结果,两组患者干预前的服药和营养依从性平均评分无显著差异(P<0.05)。干预后,干预组患者的服药依从性和营养依从性较对照组显著提高(P<0.05)。结论:自助式自我管理培训是提高老年2型糖尿病患者服药和营养依从性的有效方法
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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