The Effect of Home Visit Program on Self-Management Behaviors and Glycemic Control in Patients with Type 2 Diabetes Treated with Insulin

Document Type : Original Article (s)

Authors

1 Department of Community Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Instructor, Department of Community Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Community Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Research Center for the Development of Nursing and Midwifery Sciences, Najaf Abad Branch, Islamic Azad University, Najaf Abad, Iran

Abstract

Background: Promoting self-management behaviors is one of the most important supportive measures for people with diabetes. The purpose of this study was to determine the effect of home visit program on self-management behaviors and glycemic control indices in patients with type 2 diabetes mellitus treated with insulin.Methods: This clinical trial study was performed on 64 patients with type 2 diabetes mellitus (32 patients in each case and control groups) in Shahid Asghar Shabani Center, Isfahan, Iran, in 2018. For the two groups of case and control, the demographic and self-management questionnaires were completed immediately, and three months after the intervention. The intervention was performed as a 4-6 session of the home visit program for the intervention group. Data were analyzed using descriptive statistics and chi-square, independent t, and paired t tests via SPSS software.Findings: Before the intervention, the mean score of self-management behaviors and blood glucose control indices did not differ significantly between the two groups. However, the mean score of self-management behaviors became significant immediately and three months later, and the mean blood glucose control indices became significant three months after the implementation of the program in the intervention group. (P < 0.001).Conclusion: The home visit improve the patients' self-management behaviors scales, and fasting blood sugar and glycated hemoglobin (HbA1C) tests.

Keywords

References

  1. Centers for Disease Control and Prevention (CDC). National Diabetes Statistics Report, 2017. Atlanta, GA: CDC; 2017.
  2. Rajab A. Twelve percent of Iran's population of over the age of 30 have diabetes. IRNA (News Code: 82307172) [Online]. [cited 2016 Nov 14]; Available from: URL: https://www.irna.ir/news/82307172/12. [In Persian].
  3. Jameson JL, Harrison TR. Harrison's endocrinology. 3rd ed. New York, NY: McGraw-Hill Education; 2013. p. 261.
  4. Heshmati H, Behnampour N, Khorasani F, Moghadam Z. Prevalence of chronic complications of diabete and its related factors in referred type 2 diabetes patients in Freydonkenar diabetes center. J Neyshabur Univ Med Sci 2014; 1(1): 36-43. [In Persian].
  5. Gatwood JD, Chisholm-Burns M, Davis R, Thomas F, Potukuchi P, Hung A, et al. Impact of pharmacy services on initial clinical outcomes and medication adherence among veterans with uncontrolled diabetes. BMC Health Serv Res 2018; 18(1): 855.
  6. Hamadzadeh S, Ezatti ZH, Abedsaeidi ZH, Nasiri N. Coping styles and self-care behaviors among diabetic patients. Iran J Nurs 2013; 25(80): 24-33. [In Persian].
  7. Capoccia K, Odegard PS, Letassy N. Medication adherence with diabetes medication: A systematic review of the literature. Diabetes Educ 2016; 42(1): 34-71.
  8. Young EE, Ekenechukwu CN. Psychosocial aspects of diabetes mellitus. African J. Diabetes Med 2012; 20(1): 5-7.
  9. Nematpour S, Shahbazian HB, Gholampour A. Evaluation of psychological problems in diabetic patients. Jundishapur Sci Med J 2010; 9(4): 345-52. [In Persian].
  10. Jordan DN, Jordan JL. Self-care behaviors of Filipino-American adults with type 2 diabetes mellitus. J Diabetes Complications 2010; 24(4): 250-8.
  11. American Diabetes Association. Glycemic Targets: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018; 41(Suppl 1): S55-S64.
  12. Khalkhali H. The effect of family-centered education on self-care in patients with type 2 diabetes. Nurs Midwifery J 2016; 14(2): 118-127. [In Persian].
  13. Ahmadi Z, Sadeghi T, Loripoor M, Khademi Z. Comparative assessment the effect of self-care behavior education by health care provider and peer on HbA1c level in diabetic patients. Iran J Endocrinol Metab 2017; 19(3): 144-50. [In Persian].
  14. Stanhope M, Lancaster J. Public health nursing: Population-centered health care in the community. St. Louis, MO: Elsevier Health Sciences; 2015.
  15. Oduwole AO, Uko RI, Tade T, Doherty OK, Nwodo R, Imafidon EO. The effect of home visits on the quality of life of children and adolescents with type 1 diabetes mellitus. Pediatr Diabetes 2011; 12(4 Pt 1): 335-40.
  16. Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Haak T. The Diabetes Self-Management Questionnaire (DSMQ): Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health Qual Life Outcomes 2013; 11: 138.
  17. Omidi A, Miri F, Khodaveisi M, Karami M, Mohammadi N. The effect of training home care to type-2 diabetic patients on controlling blood glucose levels in patients admitted to the diabetes research center of Hamadan. Avicenna J Nurs Midwifery Care 2014; 22(3): 24-32. [In Persian].
  18. Han L, Ma Y, Wei S, Tian J, Yang X, Shen X, et al. Are home visits an effective method for diabetes management? A quantitative systematic review and meta-analysis. J Diabetes Investig 2017; 8(5): 701-8.
  19. Park E, Kim J. The Impact of a nurse-led home visitation program on hypertension self-management among older community-dwelling Koreans. Public Health Nurs 2016; 33(1): 42-52.
  20. Torres HC, Pace AE, Chaves FF, Velasquez-Melendez G, Reis IA. Evaluation of the effects of a diabetes educational program: A randomized clinical trial. Rev Saude Publica 2018; 52: 8.
  21. Mahmoud SS, Mahdy MHE, Mahfouz MS, Nada IS, Aqeeli AA, Darbi MAA, et al. Effects of a psychoeducational program on hemoglobin A1c level and health-related quality of life in patients with type 2 diabetes mellitus, Jazan, Saudi Arabia. Biomed Res Int 2018; 2018: 6915467.
  22. Santos JCD, Cortez DN, Macedo MML, Reis EA, Reis IA, Torres HC. Comparison of education group strategies and home visits in type 2 diabetes mellitus: Clinical trial. Rev Lat Am Enfermagem 2017; 25: e2979.
  23. Wichit N, Mnatzaganian G, Courtney M, Schulz P, Johnson M. Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with type 2 diabetes. Diabetes Res Clin Pract 2017; 123: 37-48.
Journal of Isfahan Medical School
Volume 38, Issue 575 - Serial Number 575
March and April 2020
Pages 310-316

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History

  • Receive Date: 10 February 2020
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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