the effectiveness of cognitive behavioral stress management on health-related quality of life, diabetes management self-efficacy, and treatment adherence in type 2 diabetes

Objective: this study aimed to investigate the effectiveness of cognitive behavioral stress management (cbsm) on health-related quality of life (hrqol), self-efficacy of diabetes management, and adherence to treatment of patients with type 2 diabetes.materials and methods: the present study was a semi-experimental study with a control group. the research samples included 30 patients with type 2 diabetes. data collection tools in this study included the boyer & earp quality of life (qol) scale for patients with diabetes (d-39), the diabetes management self-efficacy scale (dmses), and treatment adherence questionnaire in patients with chronic diseases. the cbsm therapy was performed in 8 sessions for the experimental group. to analyze the data, a univariate analysis of covariance was used with spss-23 software.results: the results showed that the cbsm had a significant effect on the overall health-based qol (f=8.620; p=0.007), diabetes management self-ffficacy (f=12.021; p=0.002), and treatment adherence (f=83.253; p=0.0001). in addition, the cbsm has a significant effect on diabetes control (f=8.932; p=0.007), anxiety and worry (f=5.023; p=0.035), and sexual functioning (f=7.611; p=0.011), diet (f=10.041; p=0.004), therapeutic regimen (f=24.250; p=0.0001), making effort for treatment (f=22.987; p=0.0001), intention to take the treatment (f=108.001; p=0.0001), adaptability (f=28.704; p=0.0001), and integrating illness into life (f=38.263; p=0.0001).conclusion: the cbsm intervention can be used to improve health-based qol, diabetes management self-efficacy, and treatment adherence in type 2 diabetes patients.