Abstract
Objective:This study aimed to determine the effectiveness of the “Create Sensitivity” caring model on blood glucose/ glycosylated hemoglobin and quality of life in patients with type 2 Diabetes.Methods:This study enrolled 70 patients from an educational hospital in Kurdistan, Iran. The model was implemented among the test group over a period of 3 months. Blood glucose/ glycosylated hemoglobin and patients’ quality of life were measured before and after intervention. Data were analyzed using version 21 of the statistical software SPSS.Results:After the intervention, significant differences existed between the test and control groups both in blood glucose levels (means, 146.4 ± 51.3 mg/dl and 175.6 ± 59.8 mg/dl, respectively; P=0.032) and in glycosylated hemoglobin (means, 67.89 ± 13.34 mmol/mol and 80.03 ± 17.234 mmol/mol, respectively; P= 0.002). Additionally, there was also a significant difference between the quality of life of the patients in test group (mean, 58.25 ± 5.3) and that in the control group (mean, 47.02 ± 4.5) (P= 0.0001).Conclusion:Use of this model was associated with reducing fasting blood glucose and glycosylated hemoglobin and increasing the total mean of quality of life in the patients in the test group. So, the application of this model is recommended.
Highlights
Diabetes mellitus is the most common endocrine disorder and one of the most important health challenges to emerge in the 20th century due to sedentary lifestyles leading to more individuals acquiring diabetes or pre-diabetes in middle age or even earlier [1]
After 3 months of training according to the tenets of the “Create Sensitivity” model, mean of fasting blood glucose and glycosylated hemoglobin in both groups had improved
The results of independent t-tests showed that the differences in the means for both fasting blood glucose and glycosylated hemoglobin were statistically significant between the two groups, and the paired t-test results suggest that, in the test and control groups, the difference in means for fasting blood glucose and glycosylated hemoglobin were significant before and after training Tables 1 and 2
Summary
Diabetes mellitus is the most common endocrine disorder and one of the most important health challenges to emerge in the 20th century due to sedentary lifestyles leading to more individuals acquiring diabetes or pre-diabetes (otherwise known as the metabolic syndrome) in middle age or even earlier [1]. In 2012, the number of patients with diabetes worldwide was about 371 million [2], of which 70% lived in developing countries [3]. Four million people in Iran had diabetes as of 2010 [4]. At. 196 The Open Nursing Journal, 2018, Volume 12 present, the disease is the fifth-leading cause of death in Western societies, and the fourth most-common cause of a visit to the physician [5]. Type 2 diabetes, as the most common type of diabetes, includes 90% of all cases of diabetes [6]
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