PhD, Assistant Professor, Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
MSc, Faculty Member, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Nurs Res. 2018 Apr;26(2):97-103. doi: 10.1097/jnr.0000000000000212.
Diabetes, a disease with increasing prevalence, requires comprehensive support from family members to ensure that sufferers are able to perform daily activities. The chronic nature of diabetes and its potential side effects impose high financial costs on patients and families, reduce their quality of life (QOL), and change the lifestyle of both patients and their families.
The aim of this study was to investigate the effects of a family-based training program on QOL in persons with Type 2 diabetes.
A randomized clinical trial was used to assess the effects of an educational program on QOL both before and after 12 weeks of training for the experimental group (40 patients and families) and of standard care for the control group (40 patients) at an endocrinology clinic in a hospital in Iran. A demographic and social questionnaire and the QOL questionnaire for patients with Type 2 diabetes were used for data collection. The study groups were selected using block randomization sampling, and results were analyzed using descriptive and inferential statistics.
Both the experimental and control groups were homogeneousin terms of demographic characteristics and QOL before the intervention. The results of the mean score of patient QOL after the 12-week training program showed a significant difference between the scores for the two groups of patients in the physical, mental, social, economic, disease, and treatment dimensions. Moreover, the total score and QOL of the experimental group improved significantly after the patients' families had attended the training program.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Educating the families of patients was shown in this study to improve the QOL of the patient. The design of educational programs for nursing students must emphasize the role of the family in the care of chronic patients.
糖尿病的发病率不断上升，需要家庭成员提供全面支持，以确保患者能够进行日常活动。糖尿病的慢性性质及其潜在副作用给患者和家庭带来了高昂的经济成本，降低了他们的生活质量（QOL），并改变了患者及其家庭的生活方式。
本研究旨在探讨基于家庭的培训计划对 2 型糖尿病患者生活质量的影响。
采用随机临床试验，在伊朗一家医院的内分泌科评估 12 周培训前后实验组（40 名患者及其家属）接受教育计划对生活质量的影响，以及对照组（40 名患者）接受标准护理的影响。使用人口统计学和社会调查问卷以及 2 型糖尿病患者生活质量问卷进行数据收集。采用区组随机抽样选择研究组，采用描述性和推断性统计方法分析结果。
干预前，实验组和对照组在人口统计学特征和生活质量方面均具有同质性。12 周培训计划后患者生活质量平均得分的结果表明，两组患者在身体、心理、社会、经济、疾病和治疗方面的得分存在显著差异。此外，患者家属参加培训计划后，实验组的总分和生活质量显著提高。
结论/对实践的启示：本研究表明，教育患者家属可以提高患者的生活质量。护理学生的教育计划设计必须强调家庭在照顾慢性病患者方面的作用。
