The Effect of Empowerment Program with and without Telenursing on Self-Efficacy and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A randomized clinical trial study

Abstract

Abstract: Effects of Empowerment Program with and without Telenursing on Self-Efficacy and Quality of Life and Glycosylated Hemoglobin Index of Patients with Type-2 Diabetes: A randomized clinical trial

Background: Diabetes is a chronic disease and the main cause of blindness, lower organs amputation, cardiovascular and renal diseases is one of the main causes of death, disability and the main health priorities worldwide. It is estimated that 285 million people in the world have diabetes and will increase to 439 million by 2030. Every year, 1.4 million Americans will add to the numbers of diabetic patients. This study was conducted to evaluate the effect of empowerment program with and without telenursing on self-efficacy and quality of life and HbA1c in patients with type 2 diabetes. Methods: This randomized double blind clinical trial study was performed on 156 patients with type 2 diabetes who were referred to endocrinology clinic of Sina Hospital and randomly assigned to three groups (empowerment with telenursing) (empowerment without telenursing) and control group. After collecting data, using the self-efficacy questionnaire for patients with diabetes and glycosylated hemoglobin index, and diabetes quality of life questionnaire from all participants, the data were analyzed using SPSS16 software. Results: ANOVA results show that the implementation of empowerment program with and without telenursing leads to an increase in self-efficacy score (P <0.05 and F = 93.27) and improvement of glycosylated hemoglobin index (P <0.05 and 95/10 = F) and improvement on Quality of Life score (P <0.001 and 98.58= F) in patients with diabetes. But the effectiveness of the empowerment program combined with telenursing is more than the empowerment plan. Conclusion: Training based on empowerment models and emphasis on the strengths of clients in solving their own problems can play a major role in increasing self-efficacy and Quality of Life and HbA1c level. In addition, a continuous training program, along with telephone follow-up can result in higher self-efficacy and improvement Quality of Life and lower HbA1c level