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

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...

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Main Authors: Azami, Golnaz, Soh, Kim Lam, Shariff Ghazali, Sazlina, Md Said, Salmiah, Aazami, Sanaz, Mozafari, Mosayeb, Taghinejad, Hamid
Format: Article
Language:English
Published: Hindawi 2018
Online Access:http://psasir.upm.edu.my/id/eprint/72373/1/Effect%20of%20a%20nurse-led%20diabetes%20self-management%20education%20program%20on%20glycosylated%20hemoglobin%20among%20adults%20with%20type%202%20diabetes.pdf
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author Azami, Golnaz
Soh, Kim Lam
Shariff Ghazali, Sazlina
Md Said, Salmiah
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
author_facet Azami, Golnaz
Soh, Kim Lam
Shariff Ghazali, Sazlina
Md Said, Salmiah
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
author_sort Azami, Golnaz
collection UPM
description 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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spelling upm.eprints-723732020-05-27T07:23:25Z http://psasir.upm.edu.my/id/eprint/72373/ Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes Azami, Golnaz Soh, Kim Lam Shariff Ghazali, Sazlina Md Said, Salmiah Aazami, Sanaz Mozafari, Mosayeb Taghinejad, Hamid 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. Hindawi 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/72373/1/Effect%20of%20a%20nurse-led%20diabetes%20self-management%20education%20program%20on%20glycosylated%20hemoglobin%20among%20adults%20with%20type%202%20diabetes.pdf 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 https://www.hindawi.com/journals/jdr/2018/4930157/ 10.1155/2018/4930157
spellingShingle Azami, Golnaz
Soh, Kim Lam
Shariff Ghazali, Sazlina
Md Said, Salmiah
Aazami, Sanaz
Mozafari, Mosayeb
Taghinejad, Hamid
Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title_full Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title_fullStr Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title_full_unstemmed Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title_short Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes
title_sort effect of a nurse led diabetes self management education program on glycosylated hemoglobin among adults with type 2 diabetes
url http://psasir.upm.edu.my/id/eprint/72373/1/Effect%20of%20a%20nurse-led%20diabetes%20self-management%20education%20program%20on%20glycosylated%20hemoglobin%20among%20adults%20with%20type%202%20diabetes.pdf
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