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Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes


Citation

Azami, Golnaz and Soh, Kim Lam and Shariff Ghazali, Sazlina and Md Said, Salmiah and Aazami, Sanaz and Mozafari, Mosayeb and Taghinejad, Hamid (2018) Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes. Journal of Diabetes Research, 2018. art. no. 4930157. pp. 1-13. ISSN 2314-6745; ESSN: 2314-6753

Abstract

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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1155/2018/4930157
Publisher: Hindawi
Keywords: Nurse; Diabetes; Self-management education program; Glycosylated hemoglobin; Type 2 diabetes
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 27 May 2020 07:23
Last Modified: 27 May 2020 07:23
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1155/2018/4930157
URI: http://psasir.upm.edu.my/id/eprint/72373
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