Effect of Family-centered Empowerment Model on Eating Habits, Weight, Hemoglobin A1C, and Blood Glucose in Iranian Patients with Type 2 Diabetes

Q3 Medicine

Evidence Based Care Journal Pub Date : 2021-04-01 DOI:10.22038/EBCJ.2021.57110.2493

H. Nasrabadi, Fahimeh Nikraftar, Mojtaba Gholami, Gholamhossein Mahmoudirad

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引用次数: 1

Abstract

Background: Families play a peculiar role in adherence to treatment in diabetic patients; therefore, it seems that interference in motivational, psychological, and self-issued characteristics based on the family-centered empowerment model (FCEM) affects this adherence. Aim: The present study aimed to determine the effect of FCEM on eating habits, weight, hemoglobin A1C, and blood glucose control in Iranian patients with type 2 diabetes. Method: This semi-experimental study was conducted on 70 participants with type 2 diabetes in a diabetes clinic in Birjand, Iran, in 2018. The participants were selected via purposive sampling and randomly assigned to two groups of control (n=35) and intervention (n=35) using block randomization. The intervention group received family-centered empowerment training for four weekly-held 90-min sessions. Data were collected using demographic and disease characteristics form and Azartel et al.’s Dietary Behaviors Questionnaire and analyzed in SPSS software (version 19). Results: The mean age scores of participants in the intervention and control groups were 49.66±6.37and 49.46±5.98 years, respectively. The intervention group showed an increasing trend through time, where the mean scores for eating habits and blood glucose had insignificant improvement one month (P>0.05) and three months (p 0.05). Implications for Practice: The FCEM can improve nutritional behaviors, hemoglobin A1C, and blood glucose in type 2 diabetic patients. This intervention can guide health care providers on how to improve the eating habits of diabetic patients through family empowerment training.

查看原文本刊更多论文

以家庭为中心的授权模式对伊朗2型糖尿病患者饮食习惯、体重、糖化血红蛋白和血糖的影响

背景:家庭在糖尿病患者的治疗依从性中起着特殊的作用;因此，基于以家庭为中心的授权模型(FCEM)的动机、心理和自我发布特征的干扰似乎影响了这种依从性。目的:本研究旨在确定FCEM对伊朗2型糖尿病患者饮食习惯、体重、糖化血红蛋白和血糖控制的影响。方法:本半实验研究于2018年在伊朗Birjand的一家糖尿病诊所对70名2型糖尿病患者进行研究。采用有目的抽样的方法将受试者随机分为对照组(n=35)和干预组(n=35)。干预组接受以家庭为中心的赋权培训，每周四次，每次90分钟。采用人口统计学和疾病特征表及Azartel等人的饮食行为问卷收集数据，采用SPSS (version 19)软件进行分析。结果:干预组和对照组的平均年龄分别为49.66±6.37岁和49.46±5.98岁。干预组患者的饮食习惯和血糖平均得分随时间的推移均呈上升趋势，其中1个月(P < 0.05)和3个月(P < 0.05)均无显著改善。实践意义:FCEM可以改善2型糖尿病患者的营养行为、糖化血红蛋白和血糖。这种干预可以指导卫生保健提供者如何通过家庭赋权培训来改善糖尿病患者的饮食习惯。

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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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.