تأثیر الگوی توانمندسازی خانواده محور بر دانش و کنترل متابولیکی بیماران مبتلا به دیابت نوع دو

Abstract

Introduction: Training in diabetes is a major issue in achieving optimal glycemic control. One of the most influential factors in quality of training is selection of appropriate methods of training. On the other hand, considering the training of patients’ families can facilitate the management and optimal control. This study aimed to determine the effect of application of family-centered empowerment model on knowledge and metabolic control in patients with type 2 diabetes mellitus. Methods: This is a clinical trial with a control group, in which 103 patients after pre-test by block stratification were allocated randomly to case and control groups. A knowledge assessment questionnaire was used to test patients' knowledge, and HbA 1 C value was used as an indicator of metabolic control; then intervention based on family-centered empowerment model was applied to the case group, and after three months, the questionnaire was administered and HbA 1 C value were measured again. Data analysis was performed using SPSS software, version 16, and statistical methods including Chi-square test, t-test and paired t-test. Results: No significant differences with regards to demographic factors were observed between two groups before the intervention ,and also there was no significant difference between knowledge score and HbA1C value (P>0.05) in the control group. There was a significant difference in HbA 1 C value and knowledge score after intervention in case group (P<0.05). Conclusion: The results suggest a positive effect of education base on family-centered empowerment model in the case group compared with the conventional training methods. Therefore, regarding the family's role in patients’ health, application of this training method is recommended to nurses and authorities in order to facilitate the optimal metabolic control in patients with type 2 diabetes.