Yılmaz Medine, Aktaş Betül, Dereli Feyza, Kundakçı Gamze
Department of Nursing, İzmir Katip Celebi University Faculty of Health Sciences, İzmir, Turkey.
Department of Nursing, SANKO University Faculty of Health Science, Gaziantep, Turkey.
Florence Nightingale J Nurs. 2020 Jul 3;28(2):221-229. doi: 10.5152/FNJN.2020.19102. eCollection 2020 Jun.
Diabetes mellitus is a lifelong metabolic disease accompanied by acute and chronic complications and requires continuous medical care. The aim of this study is to investigate the effect of the diabetes self-management educational intervention given to individuals with type 2 diabetes on their health beliefs, self-care activities, and quality of life.
A single group randomized quasi-experimental study with the pre- and post-intervention design was conducted in two family health centers (n=60). The self-care activities, health beliefs, and quality of life of patients with type 2 diabetes were investigated.
The mean pre- and post-intervention blood glucose subscale scores were 1.57±0.91 and 3.22±1.06, respectively. The mean pre- and post-intervention social/vocational issues subscale scores were 29.26±5.54 and 33.26±3.19, respectively. The mean scores of the quality of life increased in the primary school graduates and in those who previously had no diabetes intervention after the intervention program. It was determined that the mean body mass index values of the participants decreased after the intervention.
It is recommended to organize and implement periodic diabetes self-management educational intervention programs in family health centers and in centers providing diabetes health care to improve health beliefs and to increase self-care activities and quality of life in individuals with diabetes.
糖尿病是一种伴有急慢性并发症的终身代谢性疾病，需要持续的医疗护理。本研究的目的是调查对2型糖尿病患者进行糖尿病自我管理教育干预对其健康信念、自我护理活动和生活质量的影响。
在两个家庭健康中心开展了一项采用干预前和干预后设计的单组随机准实验研究（n = 60）。对2型糖尿病患者的自我护理活动、健康信念和生活质量进行了调查。
干预前和干预后血糖子量表的平均得分分别为1.57±0.91和3.22±1.06。干预前和干预后社会/职业问题子量表的平均得分分别为29.26±5.54和33.26±3.19。在干预项目实施后，小学毕业生以及之前未接受过糖尿病干预的人群的生活质量平均得分有所提高。研究确定，参与者的平均体重指数值在干预后有所下降。
建议在家庭健康中心和提供糖尿病医疗服务的中心组织并实施定期的糖尿病自我管理教育干预项目，以改善糖尿病患者的健康信念，增加其自我护理活动并提高生活质量。
