Roshan-Nejad Mahdieh, Hosseini Meimanat, Vasli Parvaneh, Nasiri Malihe, Hejazi Sima
Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali Asr Ave., Niayesh Cross Road, Niayesh Complex, Tehran, Iran.
Sci Rep. 2025 Jan 2;15(1):551. doi: 10.1038/s41598-024-84399-9.
Education for patients with type 2 diabetes is an essential part of the treatment and control process. This study aimed to determine the effect of education based on health literacy strategies on adherence to treatment and quality of life in type 2 diabetic patients. This classic experimental study was performed on 94 patients with type 2 diabetes selected by convenient sampling method and then randomly allocated to intervention and control groups. The research instruments were a demographic information questionnaire, a Diabetes Quality of Life Brief Clinical Inventory, and an adherence to treatment questionnaire in patients with chronic disease. The educational intervention was five sessions of the virtual class of 80-90 min. All respondents completed the tools again two months after the intervention. Independent t-tests and paired t-tests were used for data analysis. The difference in the mean score of quality of life in the intervention group between the time before (53.21 ± 7.6) the intervention and two months after (55.28 ± 6.87) was statistically significant (p˂0.05). Comparison of the mean score of quality of life between the control and intervention groups, before the intervention (p > 0.05) and two months after (p > 0.05), neither showed a statistically significant difference. A comparison of the mean scores of adherence to treatment before (69.31 ± 5.32) and after the intervention (70.59 ± 5.21) showed that there was a statistically significant difference in the intervention group (p˂0.001). Comparison of the mean scores of adherence two months after the intervention revealed that, there is a significant statistical difference between the scores of the two groups (p˂ 0.001). Based on the findings of this study, it seems that providing training sessions based on health literacy strategies can improve the quality of life and adherence to treatment in patients with type 2 diabetes.
2型糖尿病患者的教育是治疗和控制过程的重要组成部分。本研究旨在确定基于健康素养策略的教育对2型糖尿病患者治疗依从性和生活质量的影响。本经典实验研究对94例采用方便抽样法选取的2型糖尿病患者进行，然后随机分为干预组和对照组。研究工具包括一份人口统计学信息问卷、一份糖尿病生活质量简短临床量表和一份慢性病患者治疗依从性问卷。教育干预为五节80 - 90分钟的虚拟课程。所有受访者在干预两个月后再次完成这些工具。数据分析采用独立样本t检验和配对t检验。干预组干预前（均值53.21±7.6）和干预两个月后（均值55.28±6.87）的生活质量平均分差异具有统计学意义（p<0.05）。干预前（p>0.05）和干预两个月后（p>0.05），对照组和干预组生活质量平均分的比较均未显示出统计学显著差异。干预前（均值69.31±5.32）和干预后（均值70.59±5.21）治疗依从性平均分的比较显示，干预组存在统计学显著差异（p<0.001）。干预两个月后两组依从性平均分的比较显示，两组得分存在显著统计学差异（p<0.001）。基于本研究结果，似乎基于健康素养策略提供培训课程可以提高2型糖尿病患者的生活质量和治疗依从性。
