Esmaeili Azam, Karimi Tayebeh, Keshvari Mahrokh, Farajzadegan Ziba
Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Community Health and Gerontological Nursing, Faculty of Nursing and Midwifery, Nursing and Midwifery Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2025 Jul 4;14:256. doi: 10.4103/jehp.jehp_35_24. eCollection 2025.
Empowering patients with the skills and knowledge to manage their diabetes themselves, along with providing them with family support, are crucial factors that play a critical role in controlling diabetes. Given that nurses provide home visits to assist patients in the family health nurse model, this study aims to assess its effectiveness in improving self-management and glycated hemoglobin levels in middle-aged women with type 2 diabetes.
The present clinical trial study, conducted in 2023, will be carried out on 84 middle-aged women who have been diagnosed with type 2 diabetes and are under the care of comprehensive health centers in Isfahan. They will be randomly assigned into two groups: intervention and control groups. Data will be collected using the Schmitt diabetes self-management questionnaire and glycated hemoglobin A1c test. For the intervention group, home visits will be conducted to identify diabetes self-management issues. Moreover, the intervention based on the family health nurse model will be implemented in three stages: pre-intervention, intervention, and evaluation. Statistical analysis will also include the Independent T-test and the Mancova and Ancova tests.
The family health nurse model considers family as the cornerstone of healthcare, recognizing its crucial societal role. In addition, the family's emotional and psychological support improves the patient's problem-solving ability. Evaluating the effectiveness of this model could bring valuable insights for healthcare policymakers, guiding them in devising targeted and effective strategies.
使患者具备自我管理糖尿病的技能和知识，并为其提供家庭支持，是控制糖尿病的关键因素。鉴于护士在家庭健康护士模式下进行家访以协助患者，本研究旨在评估其对改善2型糖尿病中年女性自我管理及糖化血红蛋白水平的有效性。
本项临床试验研究于2023年开展，将对84名已被诊断为2型糖尿病且在伊斯法罕综合健康中心接受护理的中年女性进行。她们将被随机分为两组：干预组和对照组。数据将通过施密特糖尿病自我管理问卷和糖化血红蛋白A1c检测收集。对于干预组，将进行家访以识别糖尿病自我管理问题。此外，基于家庭健康护士模式的干预将分三个阶段实施：干预前、干预和评估。统计分析还将包括独立样本t检验、多变量协方差分析和协方差分析。
家庭健康护士模式将家庭视为医疗保健的基石，认识到其重要的社会作用。此外，家庭的情感和心理支持可提高患者解决问题的能力。评估该模式的有效性可为医疗保健政策制定者带来宝贵见解，指导他们制定有针对性的有效策略。
