足部护理自我效能及培训效果：一项单盲随机对照临床试验。
Self-efficacy in foot-care and effect of training: a single-blinded randomized controlled clinical trial.
作者信息
Seyyedrasooli Alehe, Parvan Kobra, Valizadeh Leila, Rahmani Azad, Zare Maryam, Izadi Tayyebeh
机构信息
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;
Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;
出版信息
Int J Community Based Nurs Midwifery. 2015 Apr;3(2):141-9.
BACKGROUND
Diabetes mellitus (DM) is one of the most common metabolic and non-communicable disorders worldwide and the mortality rates caused by the complications associated with the disease, such as diabetic foot ulcer, is increasing dramatically. Patient education is considered as an essential part of controlling DM. Therefore, we aimed to compare the effects of individual and group training methods on self-efficacy in foot care among the patients with DM.
METHODS
In this single-blinded, randomized controlled clinical trial, we enrolled 150 patients with type 1 and 2 DM. The final participants were randomly assigned into two intervention groups (collective and individual training group) and a control group. Data were collected using foot-care self-efficacy questionnaire (Corrbet, 2003). A research assistant collected the data by interviewing the participants using the questionnaire once before and once one month after the intervention. The participants of the intervention groups attended a training program consisting of three sessions per week for one week. Statistical descriptive tests such as mean and standard deviation (SD) percentage were used to describe the features of the data inferential statistics test such as Chi-square, independent t-test and repeated measures analysis of variance and analysis co-variance (ANOVA, ANCOVA) tests were also used as appropriate. The significance level was set at <0.05.
RESULTS
The results indicated that there was no significant difference between the three groups regarding the mean of self-efficacy scores before foot-care training intervention (P=0.39). But, comparison of the scores before and after the intervention showed that both group and individual training interventions increased the patients' self-efficacy (P≤0/05).
CONCLUSION
It can be concluded that both group and individual training approaches could increase foot care self-efficacy in the patients with DM.
TRIAL REGISTRATION NUMBER
IRCT201203086918N6.
背景
糖尿病（DM）是全球最常见的代谢性和非传染性疾病之一，由该疾病相关并发症（如糖尿病足溃疡）导致的死亡率正在急剧上升。患者教育被视为控制糖尿病的重要组成部分。因此，我们旨在比较个体和小组培训方法对糖尿病患者足部护理自我效能的影响。
方法
在这项单盲、随机对照临床试验中，我们招募了150例1型和2型糖尿病患者。最终参与者被随机分为两个干预组（集体和个体培训组）和一个对照组。使用足部护理自我效能量表（Corrbet，2003）收集数据。一名研究助理在干预前和干预后1个月通过使用该量表对参与者进行访谈来收集数据。干预组的参与者参加了一个培训项目，每周进行三次，为期一周。使用均值和标准差（SD）百分比等统计描述性测试来描述数据特征，还酌情使用了卡方检验、独立t检验、重复测量方差分析和协方差分析（ANOVA、ANCOVA）等推断性统计测试。显著性水平设定为<0.05。
结果
结果表明，在足部护理培训干预前，三组的自我效能得分均值之间没有显著差异（P = 0.39）。但是，干预前后得分的比较表明，小组和个体培训干预均提高了患者的自我效能（P≤0.05）。
结论
可以得出结论，小组和个体培训方法均可提高糖尿病患者的足部护理自我效能。
试验注册号
IRCT201203086918N6。
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