Effect of Family-centered Empowerment Model on Eating Habits, Weight, Hemoglobin A1C, and Blood Glucose in Iranian Patients with Type 2 Diabetes

Journal of Evidence-Based Care

卷:11

Gholamhossein Mahmoudirad¹  Mojtaba Gholami²  Fahimeh Nikraftar³  Hossein Nasrabadi⁴ 

[1] Associate Professor, Nursing Department, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran;

[2] Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran;

[3] Instructor, Nursing Department, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran;

[4] MSc in Community Health, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran;

关键词: blood glucose;    eating habits;    empowerment model;    family;    hemoglobin a1c;    type 2 diabetes;   

DOI  :  10.22038/ebcj.2021.57110.2493

来源: DOAJ

【 摘 要 】

Background: Families play a peculiar role in adherence to treatment in diabetic patients; therefore, it seems that interference in motivational, psychological, and self-issued characteristics based on the family-centered empowerment model (FCEM) affects this adherence. Aim: The present study aimed to determine the effect of FCEM on eating habits, weight, hemoglobin A1C, and blood glucose control in Iranian patients with type 2 diabetes. Method: This semi-experimental study was conducted on 70 participants with type 2 diabetes in a diabetes clinic in Birjand, Iran, in 2018. The participants were selected via purposive sampling and randomly assigned to two groups of control (n=35) and intervention (n=35) using block randomization. The intervention group received family-centered empowerment training for four weekly-held 90-min sessions. Data were collected using demographic and disease characteristics form and Azartel et al.’s Dietary Behaviors Questionnaire and analyzed in SPSS software (version 19). Results: The mean age scores of participants in the intervention and control groups were 49.66±6.37and 49.46±5.98 years, respectively. The intervention group showed an increasing trend through time, where the mean scores for eating habits and blood glucose had insignificant improvement one month (P>0.05) and three months (p <0.05) after the intervention. Hemoglobin A1C level reduced significantly in the intervention group three months after the intervention (p <0.05), as compared to that in the control group (P>0.05). Implications for Practice: The FCEM can improve nutritional behaviors, hemoglobin A1C, and blood glucose in type 2 diabetic patients. This intervention can guide health care providers on how to improve the eating habits of diabetic patients through family empowerment training.

【 授权许可】

Unknown