بررسی تاثیر آموزش خودمراقبتی بر کنترل عوارض و مصرف دارو و هموگلوبین A1c نوجوانان مبتلا به دیابت نوع یک

زمینه و هدف: دیابت، بیماری مزمنی است که نیازمند رفتارهای خود مراقبتی ویژه در سراسر عمر است. نوجوانان مبتلا به دیابت نیاز به آموزش خود مراقبتی برای کنترل دیابت و پیش گیری از عوارض آن دارند. از این رو مطالعه حاضر با هدف تعیین تاثیر آموزش خود مراقبتی بر عوارض دیابت و هموگلوبین a1c نوجوانان مبتلا به دیابت نوع یک انجام یافته است.روش بررسی: این مطالعه از نوع کارآزمایی بالینی غیرتصادفی (irct2015051322258n1) است که در مورد 74 نفر از نوجوانان 18-12ساله مبتلا به دیابت نوع یک مراجعه کننده به انجمن دیابت ایران که به روش نمونه گیری در دسترس انتخاب و در دو گروه (آزمون 34 نفر و شاهد 40 نفر) قرار گرفتند، انجام یافته است. مداخله آموزشی در 5 جلسه برای گروه آزمون اجرا شد. بعد از آن بیماران به مدت 3 ماه از طریق سرویس های تلفن همراه تحت آموزش و پیگیری قرار گرفتند. ابزار مورد استفاده شامل پرسشنامه جمعیت شناختی و بخش »کنترل عوارض و مصرف داروی « پرسشنامه سنجش رفتارهای خود مراقبتی بود. داده ها با استفاده از نرم افزار آماری spss نسخه 18 مورد تجزیه و تحلیل قرار گرفت.یافته ها: قبل از آموزش بین میانگین »کنترل عوارض و مصرف دارو « و میزان هموگلوبین a1c دو گروه آزمون و شاهد تفاوت معناداری مشاهده نشد (05/0

The effect of self-care education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes

Background Aim: Diabetes is a chronic disease that needs lifelong special selfcare behaviors. Adolescents with type 1 diabetes need selfcare education for the control of diabetes and the prevention of its complications. Therefore, this study aimed to determine the impact of selfcare education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes.Methods Materials: This study is a nonrandomized clinical trial (IRCT2015051322258N1) carried out on seventy four adolescents aged 1218 years old with type 1 diabetes referred to the Iran diabetes association. They were selected using convenience sampling method and allocated into two groups (intervention: 34 people, control: 40 people). An educational intervention was performed in five sessions for the intervention group. After education, the patients were trained and followed up using mobile services for three months. The instruments consisted of a demographic characteristics form and a section of the selfcare behaviors scale evaluating medications and the control of complications. Data were analyzed by the SPSS software v.18.Results: Before the education, no significant difference was observed in the mean scores of medications and control of complications and level of HbA1C between the two groups of intervention and control (Pgt;0.05). After the education, there was a significant difference between two groups in the mean scores of medications and control of complications and level of HbA1C (Plt;0.05).Conclusion: Selfcare education and the follow up after educational sessions can lead to the reduction in diabetes complications and HbA1C level among adolescents with type 1 diabetes.Background Aim: Diabetes is a chronic disease that needs lifelong special selfcare behaviors. Adolescents with type 1 diabetes need selfcare education for the control of diabetes and the prevention of its complications. Therefore, this study aimed to determine the impact of selfcare education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes.Methods Materials: This study is a nonrandomized clinical trial (IRCT2015051322258N1) carried out on seventy four adolescents aged 1218 years old with type 1 diabetes referred to the Iran diabetes association. They were selected using convenience sampling method and allocated into two groups (intervention: 34 people, control: 40 people). An educational intervention was performed in five sessions for the intervention group. After education, the patients were trained and followed up using mobile services for three months. The instruments consisted of a demographic characteristics form and a section of the selfcare behaviors scale evaluating medications and the control of complications. Data were analyzed by the SPSS software v.18.Results: Before the education, no significant difference was observed in the mean scores of medications and control of complications and level of HbA1C between the two groups of intervention and control (Pgt;0.05). After the education, there was a significant difference between two groups in the mean scores of medications and control of complications and level of HbA1C (Plt;0.05).Conclusion: Selfcare education and the follow up after educational sessions can lead to the reduction in diabetes complications and HbA1C level among adolescents with type 1 diabetes.