The Effect of Group Counseling Based on Cognitive-behavioral Approach on Self-Care Behaviors and Illness Perception of Middle-aged Women with Diabetes Type 2: A Quasi-experimental Study

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Dafei Marysm; Hatefi Sedighe; DEHGHANI ALI

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Journal: Avicenna Journal of Nursing and Midwifery Care Year:2020 | Volume:28 | Issue:3 Page(s): 216-226

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Title

The Effect of Group Counseling Based on Cognitive-behavioral Approach on Self-Care Behaviors and Illness Perception of Middle-aged Women with Diabetes Type 2: A Quasi-experimental Study

Author(s)

Dafei Marysm | Hatefi Sedighe | DEHGHANI ALI | Issue Writer Certificate

Keywords

Cognitive behavioral approachQ1

Type 2 diabetesQ1

Group counselingQ2

Disease perceptionQ1

Self-care behaviorsQ1

IranQ1

Abstract

Introduction: Illness Perception and Self-care behaviors are essential elements in treatment and management of patients with diabetes. The aim of this study was to investigate the effect of Group counseling with a cognitive-behavioral approach to illness perceived and Self-care behaviors in middle-aged women with Type 2 diabetes (T2D). Methods: The present study is a quasi-experimental study with two groups of intervention and control in parallel with pre-test, post-test and one-month control in Isfahan, Iran, comprehensive health centers. For each group, 32 middle-aged women with T2D were selected by convenience sampling. Both groups received routine care of diabetic patients, but the experimental group received a cognitive behavioral group-counseling program. Data was collected through demographic questionnaire, the illness perception questionnair (IPQ), and summary of diabetes self-care activity (SDCS) and a checklist. Data was analyzed by SPSS 16 software using descriptive statistics, Chi-square test and independent t-test with P-values are less than 0. 05. Results: The groups were not significantly different demographically. The mean age was 38. 65± 4. 23 and 39. 19± 4. 87, and the duration of diagnosis was 2 years and less. Of patients, 77% had a history of hypertension or hyperlipidemia or both in both groups. There were no significant differences in Self-care behaviors (t=-0. 0222, P=0. 859) and illness perception (t=-0. 178, P=0. 859) in the pre-test. However, in the post-test, the intervention group showed a significant improvement in Self-care behaviors (t=4. 25, P=0. 01) and Disease perception (t=3. 93, standard deviation=0. 87). There was also an improvement in Self-care behaviors (t=4. 41 and P=0. 014) and illness perception (t=414 and P=0. 01) in the follow-up period, indicating the persistence of changes in counseling Conclusion: Group counseling based on cognitive-behavioral approach can enhance the perception of disease and Self-care behaviors in T2D. Therefore, it can be used as a therapeutic approach to medication for patients with T2DM.

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APA: Copy

Dafei, Marysm, Hatefi, Sedighe, & DEHGHANI, ALI. (2020). The Effect of Group Counseling Based on Cognitive-behavioral Approach on Self-Care Behaviors and Illness Perception of Middle-aged Women with Diabetes Type 2: A Quasi-experimental Study. AVICENNA JOURNAL OF NURSING AND MIDWIFERY CARE (SCIENTIFIC JOURNAL OF HAMADAN NURSING & MIDWIFERY FACULTY), 28(3 ), 216-226. SID. https://sid.ir/paper/360919/en

Vancouver: Copy

Dafei Marysm, Hatefi Sedighe, DEHGHANI ALI. The Effect of Group Counseling Based on Cognitive-behavioral Approach on Self-Care Behaviors and Illness Perception of Middle-aged Women with Diabetes Type 2: A Quasi-experimental Study. AVICENNA JOURNAL OF NURSING AND MIDWIFERY CARE (SCIENTIFIC JOURNAL OF HAMADAN NURSING & MIDWIFERY FACULTY)[Internet]. 2020;28(3 ):216-226. Available from: https://sid.ir/paper/360919/en

IEEE: Copy

Marysm Dafei, Sedighe Hatefi, and ALI DEHGHANI, “The Effect of Group Counseling Based on Cognitive-behavioral Approach on Self-Care Behaviors and Illness Perception of Middle-aged Women with Diabetes Type 2: A Quasi-experimental Study,” AVICENNA JOURNAL OF NURSING AND MIDWIFERY CARE (SCIENTIFIC JOURNAL OF HAMADAN NURSING & MIDWIFERY FACULTY), vol. 28, no. 3 , pp. 216–226, 2020, [Online]. Available: https://sid.ir/paper/360919/en

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