اثربخشی پروتکل یکپارچه‌نگر مبتنی بر خودمراقبتی تحت وب بر بهزیستی روانی، کیفیت زندگی و قندخون در بیماران مبتلا به دیابت نوع دو

ﻣﻘﺪﻣﻪ: اﻣﺮوزه دﯾﺎﺑﺖ ﺑﻪﻋﻨﻮان ﺷﺸﻤﯿﻦ ﻋﺎﻣﻞ ﻣﺮگوﻣﯿﺮ ﺷﻨﺎﺧﺘﻪ ﺷﺪه اﺳﺖ ﮐﻪ درﻣﺎن ﻗﻄﻌﯽ ﻧﺪارد. ﺑﻨﺎﺑﺮاﯾﻦ، ﺗﻮﺟﻪ ﺑﻪ آﻣﻮزش و اﻓﺰاﯾﺶ آﮔﺎﻫﯽ ﺑﺴﯿﺎر ﻣﻬﻢ اﺳﺖ. ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ ﭘﺮوﺗﮑﻞ ﯾﮑﭙﺎرﭼﻪﻧﮕﺮ ﺧﻮدﻣﺮاﻗﺒﺘﯽ ﺗﺤﺖ وب ﺑﺮ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ واﺑﺴﺘﻪ ﺑﻪ ﺳﻼﻣﺖ، ﺑﻬﺰﯾﺴﺘﯽ رواﻧﯽ و ﻗﻨﺪﺧﻮن ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ ﻧﻮع دو اﺳﺖ. روش ﮐﺎر: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻧﻮع ﻣﻄﺎﻟﻌﺎت ﺗﺠﺮﺑﯽ ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﺎ اﺳﺘﻔﺎده از ﻃﺮح ﭘﯿﺶآزﻣﻮن و ﭘﺲآزﻣﻮن اﺳﺖ. از ﻣﯿﺎن ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ ﻧﻮع دو ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ اﻧﺠﻤﻦ دﯾﺎﺑﺖ ﺷﻬﺮ ﺗﻬﺮان، 64 ﻧﻔﺮ اﻧﺘﺨﺎب و ﺑﻪﻃﻮر ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه ﮔﻤﺎﺷﺘﻪ ﺷﺪﻧﺪ. ﮔﺮوه آزﻣﺎﯾﺶ در ﻣﻌﺮض 5 ﺟﻠﺴﻪ درﻣﺎﻧﯽ ﯾﮏ ﺳﺎﻋﺘﻪ ﺗﺤﺖ وب ﻗﺮار ﮔﺮﻓﺘﻨﺪ و دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮﺳﺶﻧﺎﻣﻪﻫﺎی ﺧﻼﺻﻪ ﻓﻌﺎﻟﯿﺖﻫﺎی ﺧﻮدﻣﺮاﻗﺒﺘﯽ دﯾﺎﺑﺖ sdsca ، ﻣﻘﯿﺎس ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ واﺑﺴﺘﻪ ﺑﻪ دﯾﺎﺑﺖ addqol ، ﭘﺮﺳﺶﻧﺎﻣﻪ ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ -w bq12 در ﭘﯿﺶآزﻣﻮن و ﭘﺲآزﻣﻮن ﺟﻤﻊ آوری ﺷﺪ. ﺑﻌﺪ از ﺟﻤﻊآوری دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد اﺳﺘﻔﺎده از اﯾﻦ ﭘﺮوﺗﮑﻞ درﻣﺎﻧﯽ ﺑﯿﻦ دو ﮔﺮوه در ﻣﯿﺰان ﻗﻨﺪﺧﻮن f=4/35، ﺑﻬﺰﯾﺴﺘﯽ روانﺷﻨﺎﺧﺘﯽ f=14/24، ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ f=52/63 و ﺧﻮدﻣﺮاﻗﺒﺘﯽ f=68/54 در ﺳﻄﺢ 0/001 ﺗﻔﺎوت ﻣﻌﻨﺎداری اﯾﺠﺎد ﮐﺮده اﺳﺖ. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻫﻤﯿﺖ آﻣﻮزشﻫﺎی ﺧﻮدﻣﺮاﻗﺒﺘﯽ و ﺳﻼﻣﺖ ﻫﻤﺮاه ﻣﺠﺎزی ﺗﻮﺻﯿﻪ ﻣﯽﺷﻮد ﺗﯿﻢ ﺳﻼﻣﺖ از درﻣﺎنﻫﺎی ﺧﻮدﻣﺮاﻗﺒﺘﯽ ﺗﺤﺖ وب ﺑﺮای ﮐﻨﺘﺮل ﺑﯿﻤﺎری دﯾﺎﺑﺖ اﺳﺘﻔﺎده ﮐﻨﻨﺪ.

effectiveness of an integrated web-based self-care protocol on mental well-being, quality of life, and blood sugar in patients with type 2 diabetes

introduction: diabetes is currently the sixth cause of death and has no definitive cure. therefore, it is essential to focus on patients’ awareness and education. this study aimed to determine the effectiveness of a specifically designed integrated webbased selfcare protocol on healthrelated quality of life, mental wellbeing, and blood sugar in type 2 diabetic patients.method: the present study followed a pretestposttest design with a control group. of patients with type 2 diabetes referred to the diabetes society of tehran tehran, iran , 64 were selected and randomly assigned to the two groups. the experimental group attended five onehour treatment sessions on the internet. data were collected by administering the selfcare summary questionnaire, diabetes dependent quality of life scale, and psychological welfare questionnaire before and after the treatment. collected data were analyzed using multivariate analysis of covariance mancova .results: the results showed a significant difference between the two groups in the level of blood sugar f=4.35 , wellbeing f=14.24 , quality of life f=52.63 , and selfcare f=68.54 at the significance level of 0.001.conclusion: considering the importance of selfcare education and mobile virtual health, it is recommended that webbased selfcare treatments are utilized for controlling diabetes