جستجوی مقالات مرتبط با کلیدواژه "دیسترس دیابت" در نشریات گروه "پزشکی"

Patient empowerment is an effective way to reach behavioral changes in diabetes control. The purpose of this study was conducted to investigate the effect of the educational program based on the empowerment model on distress and diabetes control in patients with type 2 diabetes. A RCT was conducted with 140 patients with type 2 diabetes randomly allocated to intervention and control group. In the intervention group, patients were divided to five groups with 14 patients in each group and participated in the empowerment model-based education program. In the control group, the traditional education was held. Patients’ empowerment and diabetes control were assessed using the diabetes distress questionnaires and HbA1C, respectively. It was revealed that a diabetes distress was reduced significantly in the intervention group in comparison to the control group. It was also found that with decreasing diabetes distress, the level of HbA1C diminished in the intervention group. Education based on the empowerment model in the intervention group resulted in reducing diabetes distress and improving diabetes control in comparison to the traditional education.

According to chronicity of diabetes and its effect on quality of life, in this study, we aimed to determine some predicting factors of quality of life in patients with type 2 diabetes. Our findings would facilitate planning intervention programs in health promotion field. This cross-sectional study assessed some predicting factors of quality of life among 140 diabetic patients affiliated to an outpatient diabetic center in Isfahan (Iran) in 2011. The instrument for data collection was a multidimensional scale including sociodemographic and health-related data (12 items), diabetes distress (17 items), self-efficacy (8 items), and quality of life (15 items). The collected data was analyzed by statistical tests in SPSS11.5. Our findings showed that some variables such as diabetes distress (P < 0.001) and self-efficacy (P < 0.001) had statistically significant relations with quality of life. The predictive power (R2) was equal to 0.66 in this study. In the multivariate regression model adjusted for other factors, self-management was found to be affected by diabetes distress (β = -0.277; P = 0.01) and self-efficacy (β = 0.161; P < 0.001). Pearson's correlation coefficient revealed that diabetes distress had a linear and reverse with quality of life (r = -0.341; P < 0.001). On the other hand, self-efficacy had a linear and direct relationship with quality of life (r = 0.63; P < 0.001). This study proposed decreasing diabetes distress and enhancing self-efficacy as important factors in improving quality of life and planning interventional programs among patients with type 2 diabetes.