Torabizadeh Camellia, Asadabadi Poor Zahra, Shaygan Maryam
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2019 Jul;7(3):211-221. doi: 10.30476/IJCBNM.2019.44996.
In view of the effect of self-efficacy on empowerment of patients and the role of resilience in the psychological adjustment and physical health of patients, the present study was conducted to examine the effect of resilience training on the self-efficacy of patients with type 2 diabetes.
This double-blinded controlled clinical trial was carried out on 143 diabetic patients in the diabetes clinic in Shiraz between June 2016 and January 2017. Patients were selected using a simple sampling method and randomly divided into control (n=71) and intervention (n=72) groups. The intervention group received 6 sessions of training workshops on resilience skills. The control group received the routine educational pamphlets. The subjects completed diabetes self-efficacy questionnaire before, immediately after, and one month after completion of the intervention. Data were analyzed using SPSS version 16.0. Repeated measure ANOVA, t-test, and Chi-Square tests were used. P<0.05 was considered statistically significant.
Based on the results of the repeated measures ANOVAs, the overall score of self-efficacy was found to be significantly increased in the intervention group. Compared with the control group, the intervention group reported significantly higher levels of self-efficacy immediately after the intervention (P<0.001) and one month later (P<0.001).
Training programs in resilience skills improves the self-efficacy of patients with type 2 diabetes. The results of this study support the use of resilience training in diabetics; it provides the health professionals and policymakers with an increased understanding of how to recognize the resilience skills for the improvement of self-efficacy. IRCT2016022726790N1.
鉴于自我效能对患者赋权的影响以及心理韧性在患者心理调适和身体健康中的作用，本研究旨在探讨心理韧性训练对2型糖尿病患者自我效能的影响。
本双盲对照临床试验于2016年6月至2017年1月在设拉子糖尿病诊所对143例糖尿病患者进行。采用简单抽样方法选取患者，并随机分为对照组（n = 71）和干预组（n = 72）。干预组接受6次心理韧性技能培训工作坊。对照组接受常规教育手册。受试者在干预前、干预结束后立即以及干预结束后1个月完成糖尿病自我效能量表。使用SPSS 16.0版软件进行数据分析。采用重复测量方差分析、t检验和卡方检验。P<0.05被认为具有统计学意义。
基于重复测量方差分析结果，发现干预组自我效能总分显著提高。与对照组相比，干预组在干预后立即（P<0.001）和1个月后（P<0.001）的自我效能水平显著更高。
心理韧性技能培训项目可提高2型糖尿病患者的自我效能。本研究结果支持在糖尿病患者中使用心理韧性训练；它为卫生专业人员和政策制定者提供了关于如何识别心理韧性技能以提高自我效能的更多理解。IRCT2016022726790N1。
