فهرست مطالب حسین رضایی اصل

Diabetes is categorized under the group of multifactorial disorders in metabolic system, in which chronic increase of blood sugar (hyperglycemia) is considered as the main symptom of the disease. Diabetes is a chronic disease that causes serious damage in various parts of the body including the nervous system, cardiovascular system, eyes, kidneys and legs. During treatment, the patient plays a major role in the treatment of diabetes and patients' knowledge in different treatment steps is very important. The main reasons of unsuccessful treatment of diabetes patients are lack of information about the disease process and lack of their participation in the treatment. Note, self-care education to patients and their families will have an important role in preventing and treating diabetes, which also improves the life quality and reduce the cost of patient's treatment. This study reviews the impact of family education in improvement patients.

In this study researchers review the English and Persian articles and databases such as Google scholars, SID, PubMed, and ... by using diabetes, treatment, family-centered empowerment model as key words, 2000-2013. In this study the effect of different variables affecting the families of diabetes education were discussed.

According to investigations, education and adherence to treatment can control side- effects of diabetes, decreases the cost of treatment, increase life style and in order to achieve this aim we should empower the family of patients.

According to studies on education of people who are involved with diabetes directly or indirectly, it was found that these educational programs raise awareness and the recovery process has been very influential on patients and their families. Hence it is suggested that the education of patients families and peoples with a genetic predisposition of diabetes as much as possible to prevent spread of the disease. Workshops, recruitment of experienced nurses, notification on internet sites, providing individual consultations with expert advisors are useful strategies to educate patients and their families.

Training of patients with diabetes and heart disease is a major problem in achieving optimal adherence to the treatment regimen. One of the most influential factors is selecting an appropriate teaching method. On the other hand, focusing on proper education for the patients› family could facilitate the desired management and better control of the disease.
The aim of this study was to investigate the effect of the family-centered empowerment model on treatment adherence in patients with type II diabetes and heart problems.
This study was a clinical trial, in which 62 patients with type II diabetes and heart disorders were selected from AJA hospitals, during year 2015. In order to collect data, a demographic questionnaire, treatment adherence in chronic diseases questionnaire, and empowerment questionnaire, with parameters HBA1C and LDL were used. All questionnaires were handed over and filled in by 2 groups, before and after the intervention; the treatment adherence in chronic diseases questionnaire was handed over and filled in 4 weeks after the intervention. The data was analyzed using the SPSS version 21 software and chi-square test, Fisher›s exact test, independent sample t test, paired sample t test, and repeated measures analysis (ANOVA).
No significant differences was found in demographic factors between the two groups before the intervention (P>0.05). There was no statistically significant difference in the mean scores of empowerment of patients and family members, knowledge, treatment adherence in chronic diseases, and the mean value of HBA1C and LDL before the intervention (P>0.05), yet after the interventions, a statistically significant difference was observed between the variables (P0.09). The coefficient of variation showed that the reduction of LDL was greater in the intervention group than the control group.
Discussion and The findings showed the positive effects of the implementation of family-centered empowerment model to increase treatment adherence in the patients. Given the important role of the family in the management and control of chronic diseases, including type 2 diabetes and it’s complications, especially heart disease, using this template to achieve biologically optimal adherence is recommended.