Nejhaddadgar Nazila, Darabi Fatemeh, Rohban Alireza, Solhi Mahnaz, Kheire Marzeieh
Department of Health Services and Health Education, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran.
Diabetes Metab Syndr. 2019 Jan-Feb;13(1):440-443. doi: 10.1016/j.dsx.2018.08.016. Epub 2018 Aug 22.
Diabetes mellitus (DM) is one of the most common chronic diseases worldwide that requires a person with diabetes to make a multitude of daily self-management decisions. This study sought to evaluate the effectiveness of a self-management program based on PRECEDE-PROCEDE model on self-management behaviors in patients with type 2 diabetes.
This experimental study was conducted on 86 diabetic patients referred to the diabetes clinics in Ardabil, Iran, in 2017. From a total of 326 patients with diabetes medical records in those clinics, 86 (26.3%) patients agreed to participate in this study. They were then randomly divided into two groups; intervention (n = 43) and control (n = 43). The intervention group received eight sessions of PRECEDE model-based self-management education program while the control group did not receive any education program. Both groups were assessed at baseline and six months after the intervention.
The mean age of the participants was 55.69 ± 12.04 years (range 32-86 years). 41 patients were men, and 45 were women. The mean time since the first diagnosis of diabetes was 8.6 years (SD = 5.2), and the mean BMI of the patients was 31.63 (SD = 4.20). At baseline, 35.01% of patients had poor self-management behaviors. All PRECEDE variables, including predisposing factors (knowledge, attitude, and self-efficacy), enabling factors, and reinforcing factors, as well as self-management behaviors, were significantly improved in those of intervention group after the education program.
Self-management education program substantially enhances the self-management behaviors in patients with type two diabetes.
糖尿病（DM）是全球最常见的慢性病之一，糖尿病患者需要每天做出大量自我管理决策。本研究旨在评估基于格林模式的自我管理项目对2型糖尿病患者自我管理行为的有效性。
2017年，对伊朗阿尔达比勒糖尿病诊所的86名糖尿病患者进行了这项实验研究。在这些诊所的326例糖尿病患者病历中，86例（26.3%）患者同意参与本研究。然后将他们随机分为两组；干预组（n = 43）和对照组（n = 43）。干预组接受了八次基于格林模式的自我管理教育项目，而对照组未接受任何教育项目。两组在基线和干预后六个月进行评估。
参与者的平均年龄为55.69±12.04岁（范围32 - 86岁）。41例为男性，45例为女性。自首次诊断糖尿病以来的平均时间为8.6年（标准差 = 5.2），患者的平均体重指数为31.63（标准差 = 4.20）。基线时，35.01%的患者自我管理行为较差。教育项目后，干预组患者的所有格林变量，包括倾向因素（知识、态度和自我效能）、促成因素和强化因素，以及自我管理行为均有显著改善。
自我管理教育项目可显著增强2型糖尿病患者的自我管理行为。
