Amani Nastaran, Nazari Amir Mohamad, Sanaie Neda, Abbasi Ali, Borhani Fariba
Master's Student in Medical Surgical Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sci Rep. 2025 Jul 1;15(1):21615. doi: 10.1038/s41598-025-05833-0.
In recent years, diabetes patients have been receiving more attention than ever when it comes to accepting their illness and managing it on their own. This study aimed to examine the effectiveness of a family-centered empowerment program (FCEP) on illness acceptance and self-management of patients with type 2 diabetes. We conducted a single-blind randomized controlled clinical trial with pre- and post-measurements on 60 patients with type 2 diabetes. Randomization was performed via block randomization with Sequential Numbered Opaque Sealed Envelopes. Participants were randomized into (1) FCEP (intervention group) or (2) usual care (control group). Data collection was conducted by using a demographic questionnaire, the Diabetes Self-Management Questionnaire (DSMQ), and the Diabetes Acceptance Scale (DAS). The assessment of outcome measures occurred at baseline and immediately, and six weeks after the intervention. The results showed that at the baseline, there was no significant difference between intervention and control groups in terms of illness acceptance (Intervention (I): 32.17 ± 10.59 vs. Control (C): 34.53 ± 10.6; p = 0.396). However, immediately after the intervention (I: 41.79 ± 8.94 vs. C: 34.86 ± 10.63; P = 0.008) and 6 weeks after the intervention (I: 47.1 ± 5.72 vs. C: 34.66 ± 10.54; P < 0.001), there was a significant difference between intervention and control groups in terms of illness acceptance. In addition, the results showed that, at the baseline, there was no significant difference between intervention and control groups in terms of self-management (I: 21.72 ± 5.36 vs. C: 22.96 ± 3.65; p = 0.305). However, immediately after the intervention (I: 30.93 ± 2.2 vs. C: 23.63 ± 2.95; P < 0.001) and 6 weeks after the intervention (I: 36.37 ± 2.39 vs. C: 23.26 ± 3.11; P < 0.001), there was a significant difference between intervention and control groups in terms of self-management. The findings of this study demonstrated that the FCEP intervention effectively improves illness acceptance and self-management. Healthcare practitioners, particularly nurses, can enhance the acceptance of illness and self-management in patients with type 2 diabetes through the implementation of the FCEP.Ethical considerations: This study was approved by the Research Committee of Shahid Beheshti University of Medical Sciences (No: IR.SBMU.PHARMACY.REC.1403.002).Protocol Registration: The study protocol was registered in the Iranian Registry of Clinical Trials (No: IRCT20240624062246N1, 16/07/2024).
近年来，糖尿病患者在接受自身疾病并自行管理方面比以往任何时候都受到更多关注。本研究旨在探讨以家庭为中心的赋权计划（FCEP）对2型糖尿病患者疾病接受度和自我管理的有效性。我们对60例2型糖尿病患者进行了一项有前后测量的单盲随机对照临床试验。随机分组通过按顺序编号的不透明密封信封进行区组随机化。参与者被随机分为（1）FCEP（干预组）或（2）常规护理（对照组）。通过使用人口统计学问卷、糖尿病自我管理问卷（DSMQ）和糖尿病接受度量表（DAS）进行数据收集。在基线、干预后立即以及干预后六周对结果指标进行评估。结果显示，在基线时，干预组和对照组在疾病接受度方面无显著差异（干预组（I）：32.17±10.59 vs. 对照组（C）：34.53±10.6；p = 0.396）。然而，在干预后立即（I：41.79±8.94 vs. C：34.86±10.63；P = 0.008）和干预后六周（I：47.1±5.72 vs. C：34.66±10.54；P < 0.001），干预组和对照组在疾病接受度方面存在显著差异。此外，结果显示，在基线时，干预组和对照组在自我管理方面无显著差异（I：21.72±5.36 vs. C：22.96±3.65；p = 0.305）。然而，在干预后立即（I：30.93±2.2 vs. C：23.63±2.95；P < 0.001）和干预后六周（I：36.37±2.39 vs. C：23.26±3.11；P < 0.001），干预组和对照组在自我管理方面存在显著差异。本研究结果表明，FCEP干预有效地提高了疾病接受度和自我管理能力。医护人员，尤其是护士，可以通过实施FCEP来提高2型糖尿病患者对疾病的接受度和自我管理能力。伦理考量：本研究经沙希德·贝赫什提医科大学研究委员会批准（编号：IR.SBMU.PHARMACY.REC.1403.002）。方案注册：该研究方案已在伊朗临床试验注册中心注册（编号：IRCT20240624062246N1，2024年7月16日）。
