Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial
Abstract Introduction:Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of empowerment-based interventions with or without telenursing on self-efficacy and HbA1c level in diabetic p...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences
2021-03-01
|
| Series: | Journal of Caring Sciences |
| Subjects: | |
| Online Access: | https://jcs.tbzmed.ac.ir/PDF/jcs-10-22.pdf |
| _version_ | 1819138699074469888 |
|---|---|
| author | Hadi Azhdari Mamaghani Faranak Jabbarzadeh Tabrizi Alehe Seyedrasooli Parvin Sarbakhsh Rahim Badri Gargari Vahid Zamanzadeh Vahdat Zanboori |
| author_facet | Hadi Azhdari Mamaghani Faranak Jabbarzadeh Tabrizi Alehe Seyedrasooli Parvin Sarbakhsh Rahim Badri Gargari Vahid Zamanzadeh Vahdat Zanboori |
| author_sort | Hadi Azhdari Mamaghani |
| collection | DOAJ |
| description | Abstract Introduction:Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of empowerment-based interventions with or without telenursing on self-efficacy and HbA1c level in diabetic patients. Methods:In this randomized clinical trial, 156 patients with type-2 diabetes were randomly assigned into two intervention groups (empowerment with/without telenursing) and one control group. All subjects in the intervention groups participated in two sessions of the empowerment program. However, only the group of empowerment with telenursing received telephone counseling for 12 weeks. The patients in the control group did not receive any intervention programs. Self-efficacy was measured by diabetes-specific self-efficacy scale. The HbA1c level was measured using Bionic kit. Data were analyzed using SPSS Statistics for Windows, version 13.0 (SPSS Inc., Chicago, Ill., USA). Results:After 14 weeks, while the changes in self-efficacy scores of the control group were not statistically significant, they were significant in the two intervention groups. Comparison of the two intervention groups showed that self-efficacy was higher in the group of empowerment with telenursing. It was only in the empowerment with telenursing group that the reduction of HbA1 c was significant. Conclusion:Training based on empowerment models and emphasis on the strengths of clients in solving their own problems can play a major role in increasing self-efficacy and reduction of HbA1c level. In addition, a continuous training program, along with telephone follow-ups can result in higher self-efficacy and lower HbA1c level. |
| first_indexed | 2024-12-22T11:10:55Z |
| format | Article |
| id | doaj.art-5f6748a95a574219954d3dc4cbf96142 |
| institution | Directory Open Access Journal |
| issn | 2251-9920 |
| language | English |
| last_indexed | 2024-12-22T11:10:55Z |
| publishDate | 2021-03-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Caring Sciences |
| spelling | doaj.art-5f6748a95a574219954d3dc4cbf961422022-12-21T18:28:10ZengTabriz University of Medical SciencesJournal of Caring Sciences2251-99202021-03-01101222810.34172/jcs.2021.001jcs-29907Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical TrialHadi Azhdari Mamaghani0Faranak Jabbarzadeh Tabrizi1Alehe Seyedrasooli2Parvin Sarbakhsh3Rahim Badri Gargari4Vahid Zamanzadeh5Vahdat Zanboori6Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Statistics and Epidemiology, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Education, University of Tabriz, Tabriz, IranDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranEndocrine and Diabetes Center,Sina Medical Research & Training Hospital, Tabriz University of Medical Sciences, Tabriz, IranAbstract Introduction:Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of empowerment-based interventions with or without telenursing on self-efficacy and HbA1c level in diabetic patients. Methods:In this randomized clinical trial, 156 patients with type-2 diabetes were randomly assigned into two intervention groups (empowerment with/without telenursing) and one control group. All subjects in the intervention groups participated in two sessions of the empowerment program. However, only the group of empowerment with telenursing received telephone counseling for 12 weeks. The patients in the control group did not receive any intervention programs. Self-efficacy was measured by diabetes-specific self-efficacy scale. The HbA1c level was measured using Bionic kit. Data were analyzed using SPSS Statistics for Windows, version 13.0 (SPSS Inc., Chicago, Ill., USA). Results:After 14 weeks, while the changes in self-efficacy scores of the control group were not statistically significant, they were significant in the two intervention groups. Comparison of the two intervention groups showed that self-efficacy was higher in the group of empowerment with telenursing. It was only in the empowerment with telenursing group that the reduction of HbA1 c was significant. Conclusion:Training based on empowerment models and emphasis on the strengths of clients in solving their own problems can play a major role in increasing self-efficacy and reduction of HbA1c level. In addition, a continuous training program, along with telephone follow-ups can result in higher self-efficacy and lower HbA1c level.https://jcs.tbzmed.ac.ir/PDF/jcs-10-22.pdfdiabetes mellitusempowermenttelenursingglycated hemoglobin aselfefficacy |
| spellingShingle | Hadi Azhdari Mamaghani Faranak Jabbarzadeh Tabrizi Alehe Seyedrasooli Parvin Sarbakhsh Rahim Badri Gargari Vahid Zamanzadeh Vahdat Zanboori Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial Journal of Caring Sciences diabetes mellitus empowerment telenursing glycated hemoglobin a selfefficacy |
| title | Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial |
| title_full | Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial |
| title_fullStr | Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial |
| title_full_unstemmed | Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial |
| title_short | Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial |
| title_sort | effect of empowerment program with and without telenursing on self efficacy and glycosylated hemoglobin index of patients with type 2 diabetes a randomized clinical trial |
| topic | diabetes mellitus empowerment telenursing glycated hemoglobin a selfefficacy |
| url | https://jcs.tbzmed.ac.ir/PDF/jcs-10-22.pdf |
| work_keys_str_mv | AT hadiazhdarimamaghani effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT faranakjabbarzadehtabrizi effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT aleheseyedrasooli effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT parvinsarbakhsh effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT rahimbadrigargari effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT vahidzamanzadeh effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial AT vahdatzanboori effectofempowermentprogramwithandwithouttelenursingonselfefficacyandglycosylatedhemoglobinindexofpatientswithtype2diabetesarandomizedclinicaltrial |