Cengiz Dilara, Korkmaz Fatoş
Department of Fundamentals of Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey.
Nurs Health Sci. 2023 Dec;25(4):571-584. doi: 10.1111/nhs.13048. Epub 2023 Sep 6.
PHEinAction® is a theory-based nurse-led patient engagement intervention developed among an Italian older adult population with various chronic diseases to facilitate cognitive, emotional, and behavioral processes in promoting individuals' active roles. This study aims to adapt and evaluate the effectiveness of PHEinAction® on diabetes self-management (DSM) among Turkish type 2 diabetes mellitus patients. First, the generic content of the intervention was customized for diabetes management and adapted for the Turkish population, including back-forward translation and expert panel evaluation; then, a randomized controlled trial was conducted with 51 adult diabetes patients randomly assigned to intervention or the control group receiving the usual care. The intervention consisted of two in-person sessions of 4-week intervals, a telephone consultation, and home-based written exercises, which involved personalized care activities addressing individuals' engagement levels and covering the cognitive, emotional, and behavioral aspects. The scores for treatment adherence, self-efficacy, and patient engagement had significantly improved with a large size effect in the intervention group at the fourth-week follow-up compared with the control group. Findings suggest that the nurse-led personalized patient engagement program could effectively promote DSM.
“PHEinAction®”是一种基于理论的、由护士主导的患者参与干预措施，是在患有各种慢性病的意大利老年人群中开发的，旨在促进认知、情感和行为过程，以推动个体发挥积极作用。本研究旨在对“PHEinAction®”进行调整，并评估其对土耳其2型糖尿病患者糖尿病自我管理（DSM）的有效性。首先，针对糖尿病管理对干预的一般内容进行定制，并使其适用于土耳其人群，包括回译和专家小组评估；然后，对51名成年糖尿病患者进行随机对照试验，这些患者被随机分配到干预组或接受常规护理的对照组。干预包括两次间隔4周的面对面会议、一次电话咨询和家庭书面练习，其中涉及针对个体参与水平的个性化护理活动，涵盖认知、情感和行为方面。与对照组相比，在第四周随访时，干预组的治疗依从性、自我效能感和患者参与度得分有显著改善，且效应量较大。研究结果表明，由护士主导的个性化患者参与计划可以有效促进糖尿病自我管理。
