Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial

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Azhdari Mamaghani Hadi; JABBARZADEH TABRIZI FARANAK; Seyedrasooli Alehe; SARBAKHSH PARVIN; BADRI GARGARI RAHIM; ZAMANZADEH VAHID; Zanboori Vahdat

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Journal: Journal of Caring Sciences Year:2021 | Volume:10 | Issue:1 Page(s): 22-28

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Title

Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial

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Keywords

Diabetes mellitus

Empowerment

Telenursing

Glycated hemoglobin A

Selfefficacy

Abstract

Introduction: Developing new training methods for improving the health of diabetic patients has always been a concern for nurses. The present study aims to investigate the effects of Empowerment-based interventions with or without Telenursing on self-efficacy and HbA1c level in diabetic patients. Methods: In this randomized clinical trial, 156 patients with type-2 diabetes were randomly assigned into two intervention groups (Empowerment with/without Telenursing) and one control group. All subjects in the intervention groups participated in two sessions of the Empowerment program. However, only the group of Empowerment with Telenursing received telephone counseling for 12 weeks. The patients in the control group did not receive any intervention programs. Self-efficacy was measured by diabetes-specific self-efficacy scale. The HbA1c level was measured using Bionic kit. Data were analyzed using SPSS Statistics for Windows, version 13. 0 (SPSS Inc., Chicago, Ill., USA). Results: After 14 weeks, while the changes in self-efficacy scores of the control group were not statistically significant, they were significant in the two intervention groups. Comparison of the two intervention groups showed that self-efficacy was higher in the group of Empowerment with Telenursing. It was only in the Empowerment with Telenursing group that the reduction of HbA1c was significant. Conclusion: Training based on Empowerment models and emphasis on the strengths of clients in solving their own problems can play a major role in increasing self-efficacy and reduction of HbA1c level. In addition, a continuous training program, along with telephone follow-ups can result in higher self-efficacy and lower HbA1c level.

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APA: Copy

Azhdari Mamaghani, Hadi, JABBARZADEH TABRIZI, FARANAK, Seyedrasooli, Alehe, SARBAKHSH, PARVIN, BADRI GARGARI, RAHIM, ZAMANZADEH, VAHID, & Zanboori, Vahdat. (2021). Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial. JOURNAL OF CARING SCIENCES, 10(1), 22-28. SID. https://sid.ir/paper/785068/en

Vancouver: Copy

Azhdari Mamaghani Hadi, JABBARZADEH TABRIZI FARANAK, Seyedrasooli Alehe, SARBAKHSH PARVIN, BADRI GARGARI RAHIM, ZAMANZADEH VAHID, Zanboori Vahdat. Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial. JOURNAL OF CARING SCIENCES[Internet]. 2021;10(1):22-28. Available from: https://sid.ir/paper/785068/en

IEEE: Copy

Hadi Azhdari Mamaghani, FARANAK JABBARZADEH TABRIZI, Alehe Seyedrasooli, PARVIN SARBAKHSH, RAHIM BADRI GARGARI, VAHID ZAMANZADEH, and Vahdat Zanboori, “Effect of Empowerment Program with and without Telenursing on Self-efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A Randomized Clinical Trial,” JOURNAL OF CARING SCIENCES, vol. 10, no. 1, pp. 22–28, 2021, [Online]. Available: https://sid.ir/paper/785068/en

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