Journal of Client-Centered Nursing Care، جلد ۹، شماره ۱، صفحات ۰-۰

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عنوان انگلیسی The Effect of a Peer Social Support Network Intervention on Self-Management of the Elderly with Type-2 Diabetes
چکیده انگلیسی مقاله Background: Participation in peer social groups is applicable and could be used in health promotion programs of the elderly. The current study investigates the effectiveness of participation in a peer social support network intervention on the self-management of the elderly with type-2 diabetes.   Methods: This is a  quasi-experimental study with pretest-posttest control group design that was conducted in 2019. Two health centers were selected as research settings from a single district in Qom Province-Iran. From each center, 46 subjects were randomly selected. Subjects in the intervention group participated in a peer social support network for 3 months (12 sessions) and the control group received only usual care. The outcome variable in this study was self-management. Based on this, the components of this variable including the level of hemoglobin A1C (HbA1C), diabetes distress (Diabetes Distress Scale), awareness (Davoodi's knowledge of diabetes questionnaire), attitude (Diabetes Attitude Scale- DAS-3), self-efficacy (Diabetes Empowerment Scale- DES 28), weight and blood pressure were measured. Subjects were evaluated at baseline and a 6-month follow-up. Data were analyzed using T-test, Chi-Square and Fisher test in SPSS 22. Significance level was set at < 0.05. Results: The change in mean HbA1C of the intervention and control groups at baseline and 6-month follow-up was -0.7 and 0.1, respectively that was significant (P≤0.0001). Moreover, the difference of changes in the mean of the diabetes distress (P=0.008), self-efficacy (P≤0.0001), and attitude (P≤0.0001) was significant. No significant changes were found in knowledge, weight, systolic and diastolic blood pressure (P>0.05).    Conclusion: Formation of social support groups may help in controlling blood sugar in the elderly with type-2 diabetes. Seemingly, social groups can mainly impact through psychological factors such as distress control, attitude improvement, and enhancement of self-efficacy.  
کلیدواژه‌های انگلیسی مقاله Peer group, Social support, Elderly, Type 2 diabetes mellitus, Self-management

نویسندگان مقاله | Mojtaba Azadbakht
School of Medicine, Qom University of Medical Sciences, Qom, Iran.


| Parisa Taheri Tanjani
Department of Internal Medicine, Ayatollah Taleghani Hospital, Research Development Unit, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Reza Fadayevatan
Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.


| Mahshid Foroughan
Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.


| Nasibeh Zanjari
Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.



نشانی اینترنتی http://jccnc.iums.ac.ir/browse.php?a_code=A-10-472-1&slc_lang=en&sid=1
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