Rezaee Shahrbanoo, Bagherzadeh Razieh, Reisi Mahnoush, Fotovat Leila, Vahedparast Hakimeh
Student Research Committee, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran.
Department of Midwifery, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran.
BMC Public Health. 2024 Dec 5;24(1):3390. doi: 10.1186/s12889-024-20913-y.
Intimate partner violence (IPV) is a global health problem and the cause of chronic diseases, such as diabetes. It has a negative effect on adherence to treatment, decreases self-efficacy beliefs, and intensifies stress in women. Therefore, this study aimed to investigate the effect of life skills training based on the self-efficacy theory on IPV and adherence to treatment in women with type 2 diabetes.
This trial was conducted using a pretest-posttest design and follow-up after one month. The samples included 100 women selected by convenience sampling with random block allocation with type 2 diabetes and IPV. The intervention consisted of 8 sessions over one month of life skills training based on self-efficacy theory. Participants completed questionnaires at pre-test, post-test and follow-up, including a demographic information form and questionnaires on IPV and treatment adherence. Considered statistically significant at P < 0. 05.
The mean changes in IPV scores from the pre-test to the post-test were - 8.38 ± 4.06 and - 0.06 ± 3.09 in the intervention and control groups, respectively. Also, the reduction in the intervention group was significantly more than in the control group (P < 0.001; 95%CI=-9.75; -6.89). The mean changes in IPV scores from post-test to follow-up were - 1.36 ± 3.47 and 1.50 ± 4.14 in intervention and control groups, respectively, indicating a statistically significant difference between the two groups (P < 0.001; 95%CI=-4.38; -1.34). The mean changes in adherence scores from the pre-test to the post-test were 11.40 ± 4.23 and 0.68 ± 3.49 in the intervention and control groups, respectively. The increase was significantly higher in the intervention group than in the control group (P < 0.001; 95%CI = 9.18; 12.26). The mean changes in adherence scores from post-test to follow-up were 2.68 ± 5.06 and - 0.86 ± 2.43 in the intervention and control groups, respectively. The difference between the two groups was statistically significant (P < 0.001; 95%CI = 1.95; 5.12).
Life skills training based on self-efficacy theory reduced IPV and improved treatment compliance in women with diabetes under IPV. It is recommended that this training be taught to other patients with chronic conditions as a means of violence prevention and treatment adherence.
The trial was registered with the Iranian Registry of Clinical Trials (IRCT) on 13 October 2022 and can be found on the Iranian Registry of Clinical Trials platform. IRCT registration number: IRCT20090522001930N6.
亲密伴侣暴力（IPV）是一个全球性的健康问题，也是糖尿病等慢性病的病因。它对治疗依从性有负面影响，降低自我效能感，并加剧女性的压力。因此，本研究旨在探讨基于自我效能理论的生活技能培训对2型糖尿病伴亲密伴侣暴力女性的亲密伴侣暴力及治疗依从性的影响。
本试验采用前后测设计，并在1个月后进行随访。样本包括100名通过便利抽样选取的2型糖尿病伴亲密伴侣暴力女性，采用随机区组分配。干预措施为基于自我效能理论的为期1个月的8节生活技能培训课程。参与者在预测试、后测试和随访时完成问卷，包括人口统计学信息表以及亲密伴侣暴力和治疗依从性问卷。P < 0.05被认为具有统计学意义。
干预组和对照组从预测试到后测试亲密伴侣暴力得分的平均变化分别为-8.38±4.06和-0.06±3.09。此外，干预组的降低幅度显著大于对照组（P < 0.001；95%CI = -9.75；-6.89）。干预组和对照组从后测试到随访亲密伴侣暴力得分的平均变化分别为-1.36±3.47和1.50±4.14，表明两组之间存在统计学显著差异（P < 0.001；95%CI = -4.38；-1.34）。干预组和对照组从预测试到后测试治疗依从性得分的平均变化分别为11.40±4.23和0.68±3.49。干预组的增加幅度显著高于对照组（P < 0.001；95%CI = 9.18；12.26）。干预组和对照组从后测试到随访治疗依从性得分的平均变化分别为2.68±5.06和-0.86±2.43。两组之间的差异具有统计学意义（P < 0.001；95%CI = 1.95；5.12）。
基于自我效能理论的生活技能培训降低了亲密伴侣暴力，提高了遭受亲密伴侣暴力的糖尿病女性的治疗依从性。建议将这种培训传授给其他慢性病患者，作为预防暴力和提高治疗依从性的一种手段。
该试验于2022年10月13日在伊朗临床试验注册中心（IRCT）注册，可在伊朗临床试验注册中心平台上查询。IRCT注册号：IRCT20090522001930N6。
