Ildarabadi Es-Hagh, Tabei Mohammad Ghasem, Khosh Ameneh Mosaferi
Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.
Department of Internal Medicine, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.
Open Access Maced J Med Sci. 2019 Apr 13;7(7):1214-1219. doi: 10.3889/oamjms.2019.275. eCollection 2019 Apr 15.
Self-care training is one of the strategies used to control diabetes. There is some ambiguity about the appropriate method for educating middle-aged and older adults about self-care.
This study aimed to compare the effects of face-to-face and online training on self-care levels in middle-aged and older adults with type 2 diabetes.
In a randomised clinical trial, 84 middle-aged and older adults with type 2 diabetes who had been referred to the Diabetes Clinic of Esfarayen in Iran, were evaluated. Patients who meet the inclusion criteria were randomly assigned into two groups. Diabetes self-care education (DSCE) was provided using a face-to-face training method in one group and using online training method in the other group. The summary of diabetes self-care activities (SDSCA) questionnaire was completed at baseline and 1 month after training.
The mean and standard deviation of self-care scores before and 1 month after training were 43.16 ± 14.94 and 65.76 ± 10.65 in the face-to-face training group, and 37 ± 10.75 and 56.82 ± 12.06 in the online training group, respectively. The differences in the self-care scores were significant both before and after the intervention in the two groups (p < 0.05). Although the difference was greater in the face-to-face training group than in the online training group, it was not statistically significant (P > 0.05).
Both face-to-face and online training had a similar effect on the self-care levels in middle-aged and older adults with type 2 diabetes. Therefore, both training methods could be used as effective techniques to meet the needs and educational requirements of middle-aged and older adults with type 2 diabetes.
自我护理培训是控制糖尿病的策略之一。在针对中老年人群进行自我护理教育的适当方法上存在一些模糊之处。
本研究旨在比较面对面培训和在线培训对2型糖尿病中老年患者自我护理水平的影响。
在一项随机临床试验中，对84名转诊至伊朗埃斯法赖恩糖尿病诊所的2型糖尿病中老年患者进行了评估。符合纳入标准的患者被随机分为两组。一组采用面对面培训方法提供糖尿病自我护理教育（DSCE），另一组采用在线培训方法。在基线和培训后1个月完成糖尿病自我护理活动摘要（SDSCA）问卷。
面对面培训组培训前和培训后1个月自我护理得分的平均值和标准差分别为43.16±14.94和65.76±10.65，在线培训组分别为37±10.75和56.82±12.06。两组干预前后自我护理得分的差异均具有统计学意义（p<0.05）。尽管面对面培训组的差异大于在线培训组，但差异无统计学意义（P>0.05）。
面对面培训和在线培训对2型糖尿病中老年患者的自我护理水平具有相似的效果。因此，两种培训方法均可作为满足2型糖尿病中老年患者需求和教育要求的有效技术。
