The effect of family-centered care on adherence to treatment in patients with type 2 diabetes

Journal of Birjand University of Medical Sciences Pub Date : 2020-02-22 DOI:10.32592/jbirjandunimedsci.2020.27.2.104

M. Maslakpak, Shahin Alipour, N. Aghakhani, Hamidreza Khalkhali

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引用次数: 4

Abstract

Background and Aim: The family can play an important role in adapting patients with diabetes to lifestyle changes, so that the family, as the most essential pillar of society, is responsible for the proper care of the patient with diabetes; Therefore, the present study was conducted to determine the effect of family-centered care on the adherence to treatment of patients with type 2 diabetes. Materials and Methods: In this quasi-experimental study, 80 patients with type 2 diabetes and one member of their family were selected by convenience sampling method and randomly assigned to two of intervention and control groups. Adherence to treatment was assessed using a researcher-made questionnaire and laboratory values before and 3 months after the intervention. Data were analyzed using the Kolmogorov-Smirnov, Independent t-test, paired t-test, and Chi-square test. Results: After the implementation of the family-centered care program, increased mean scores for patient adherence to treatment in the intervention group compared to the control group, this increase was statistically significant (p=0.0001). The results showed a decrease in the mean score of fasting blood glucose, random blood glucose and glycosylated hemoglobin in the intervention group compared to the control group. This decrease was statistically significant (P = 0.0001). Conclusion: Family-centered care can increase adherence to treatment, and decrease fasting blood glucose, random blood glucose and hemoglobin glycosylated levels. Therefore, it is recommended that family pay more attention to diabetic members. Key Words: Adherence to Treatment; Blood glucose; Family-Centered Nursing; Type 2 Diabetes Mellitus

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以家庭为中心的护理对2型糖尿病患者治疗依从性的影响

背景与目的:家庭可以在糖尿病患者适应生活方式的改变中发挥重要作用，使家庭作为社会最重要的支柱，承担起对糖尿病患者的妥善照顾;因此，本研究旨在确定以家庭为中心的护理对2型糖尿病患者治疗依从性的影响。材料与方法:采用方便抽样的方法，选取80例2型糖尿病患者及其1名家庭成员，随机分为干预组和对照组。在干预前和干预后3个月，使用研究人员制作的问卷和实验室值评估治疗依从性。数据分析采用Kolmogorov-Smirnov、独立t检验、配对t检验和卡方检验。结果:实施以家庭为中心的护理方案后，干预组患者坚持治疗的平均得分比对照组增加，这一增加具有统计学意义(p=0.0001)。结果显示，干预组空腹血糖、随机血糖、糖化血红蛋白平均评分均较对照组降低。这一下降具有统计学意义(P = 0.0001)。结论:以家庭为中心的护理可提高患者的治疗依从性，降低空腹血糖、随机血糖和血红蛋白糖化水平。因此，建议家庭对患有糖尿病的成员给予更多的关注。关键词:坚持治疗;血糖;以家庭护理;2型糖尿病

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来源期刊

Journal of Birjand University of Medical Sciences

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审稿时长

18 weeks