XML Print


1- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran , ak.mirkarimi@gmail.com
2- Golestan Research Center of Psychiatry, Golestan University of Medical Sciences, Gorgan, Iran
3- Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
4- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Abstract:   (1417 Views)
Background: Self-care is defined as a strategy to adapt the events and stresses of life, which improves health and includes special activities that alleviate the symptoms of the disease. This study aimed to investigate the impact of a self-care program on the self-esteem of patients with type 2 diabetes mellitus (T2DM) attending rural health centers in Gorgan City in 2023.
Methods: A quasi-experimental, pre-and post-test intervention study was conducted using a multistage sampling technique in patients with T2DM and prediabetes attending health centers in rural health centers of Gorgan City. An educational program was conducted on 68 patients divided into two groups of diabetes and pre-diabetes (34 patients in each group). Data were collected using a personal information checklist, standard self-care questionnaires, and the Coopersmith Self-Esteem Inventory. Follow-up was conducted two months after the intervention. The data were described using mean and standard deviation, and analyzed by Kolmogorov-Smirnov, Chi-square, Independent T-test, and Paired T-test.
Results: The mean age in the T2DM group was 58 ±7.26, and 60.29 ± 9.47 years in the pre-diabetes group. The mean fasting blood sugar levels in the T2DM and pre-diabetes groups after the intervention were 131.24 and 100.94, respectively, which showed a significant statistical difference (P-Value=0.02). The mean self-esteem scores in the T2DM and pre-diabetes groups after the intervention also showed a significant statistical difference (P-Value =0.006).
Conclusion: In the current study, the present intervention led to the improvement of self-esteem and self-care scores in people with T2DM and pre-diabetes.

 
Full-Text [PDF 435 kb]   (75 Downloads) |   |   Full-Text (HTML)  (3 Views)  
Type of Article: Original article | Subject: Health
Received: 2023/11/27 | Accepted: 2024/06/10

References
1. Yahaya TO, Oladele EO, Mshelia MB, Sifau MO, Fashola OD, Bunza M, et al. Influence of ABO blood groups and demographic characteristics on the prevalence of type 2 diabetes in Lagos, southwest Nigeria. Bulletin of the National Research Centre. 2021;45(1):144. [View at Publisher] [DOI] [Google Scholar]
2. Okada A, Kaneko H, Matsuoka S, Itoh H, Suzuki Y, Fujiu K, et al. Association of cardiovascular health metrics with annual incidence of prediabetes or diabetes: Analysis of a nationwide real‐world database. J Diabetes Investig. 2023;14(3):452-62. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Haris B, Saraswathi S, Al‐Khawaga S, Hasnah R, Saeed A, Mundekkadan S, et al. Epidemiology, genetic landscape and classification of childhood diabetes mellitus in the State of Qatar. J Diabetes Investig. 2021;12(12):2141-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Davari M, Bayazidi Y, Kebriaeezadeh A, Esteghamati A, Bandarian F, Kashi Z, et al. Quality of care in type 2 diabetes in Iran; a cross-sectional study using patient-level data. BMC Endocr Disord. 2022;22(1):133. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Esteghamati A, Etemad K, Koohpayehzadeh J, Abbasi M, Meysamie A, Noshad S, et al. Trends in the prevalence of diabetes and impaired fasting glucose in association with obesity in Iran: 2005-2011. Diabetes Res Clin Pract. 2014;103(2):319-27. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Shahabi N, Kolivand M, Salari N, Abbasi P. The effect of telenursing training based on family-centered empowerment pattern on compliance with diet regimen in patients with diabetes mellitus type 2: a randomized clinical trial. BMC Endocr Disord. 2022;22(1):36. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Farahati M, Fathi-Ashtiani A, Moradi A. Relationship between family communication patterns and locus of control and self-esteem in adolescents. Journal of Behavioral Sciences. 2011;5(3):279-85. [View at Publisher] [Google Scholar]
8. Mirzaei Alavijeh M, Rajaei N, Rezaei F, Hasanpoor S, Pirouzeh R, Babaei Borzabadi M. Comparison of self-esteem, locus of control and their relationship with university students' educational status at Shahid Sadoughi University of Medical Sciences-Yazd. Journal of Medical Education and Development. 2012;7(1):58-70. [View at Publisher] [Google Scholar]
9. Lee TH, Kim TH, Kim W, Park E. Effects of difference in self-esteem between spouses on depressive symptom: Result from a data nationally representative of South Korean. Psychiatry Res. 2016;246:623-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Bisschop MI, Kriegsman DM, Beekman AT, Deeg DJ. Chronic diseases and depression: the modifying role of psychosocial resources. Soc Sci Med. 2004;59(4):721-33. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Lukman NA, Leibing A, Merry L. Self-care experiences of adults with chronic disease in Indonesia: An integrative review. Int J Chronic Dis. 2020;2020:1379547. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Helgeson VS, Honcharuk E, Becker D, Escobar O, Siminerio L. A focus on blood glucose monitoring: relation to glycemic control and determinants of frequency. Pediatr Diabetes. 2011;12(1):25-30. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Ong-Artborirak P, Seangpraw K, Boonyathee S, Auttama N, Winaiprasert PJBg. Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: a cross-sectional study in Thai communities. BMC Geriatr. 2023;23(1):297. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Foppa L, Nemetz B, de Matos R, Schneiders J, Telo GH, Schaan BD. The impact of patient navigation on glycemic control, adherence to self-care and knowledge about diabetes: an intervention study. Diabetol Metab Syndr. 2023;15(1):172. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Maleka A, Khosravi S, Charkazi A, Pahlavanzaded B, Khosravi Z, Khosravi M. Relationship Relationship between self-care behaviors and glycosylated hemoglobin level in diabetic patients. Journal of Gorgan University of Medical Sciences. 2021;22(4):84-91. [View at Publisher] [Google Scholar]
16. Kheradmand A, Ranjbarzade A, H Hassanpour K, Bidi F. Effectiveness of educational program on knowledge, attitude, self care and life style in patients with type II diabetes. Journal of Sabzevar University of Medical Sciences. 2013;19(4):336-44. [View at Publisher] [Google Scholar]
17. Bagheri-Nesami M, Goudarzian AH, Mirani H, Jouybari SS, Nasiri D. Association between self-care behaviors and self-esteem of rural elderlies; necessity of health promotion. Mater Sociomed. 2016;28(1):41-5. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. Azizi F, Hadaegh F. Population-based incidence of Type 2 diabetes and its associated risk factors: results from a six-year cohort study in Iran.‏ Iranian Journal of Endocrinology and Metabolism. 2015;17(1):1-3. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Solhi M, Hazrati S, Nejaddadgar N. Analysis of Self-care Behaviors and their Related Factors in Patients with Type II Diabetes. J Diabetes Nurs. 2017;5(3):223-31. [View at Publisher] [DOI] [Google Scholar]
20. Soheylizad M, Yahaghi Amjad E, Amini D, Gholamaliee B. Relationship between self-esteem, resilience and quality of life in patients with type 2 diabetes in Hamadan in 2015. Pajouhan Sci J. 2016;15(1):1-8. [View at Publisher] [DOI] [Google Scholar]
21. Parham M, Riahin A, Jandaghi M, Darivandpour A. Self Care Behaviors of Diabetic Patients in Qom. 2013. Qom Univ Med Sci J. 2012;6(4):81-7. [View at Publisher] [Google Scholar]
22. Hamadzadeh S, Ezate G. A determination of self-care performance among diabetic patients in endocrine clinic of Taleghane hospital in Tehran. Iranian Journal of Nursing Research. 2014;8(4):11-8. [View at Publisher] [Google Scholar]
23. Solhi M, Hazrati S, Nejaddadgar N. Analysis of self-care behaviors and their related factors in patients with type II diabetes. J Diabetes Nurs. 2017;5(3):223-31. [View at Publisher] [DOI] [Google Scholar]
24. Abd Elalem SM, Shehata O, Shattla SI. The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients. Clinical Nursing Studies. 2018;6(2):79-90. [View at Publisher] [DOI] [Google Scholar]
25. Rahimi A, Ahmadi F, Ghaliaf M. Effect of applying continuous care model on self-esteem in hemodialysis patients. J Adv Med Biomed Res. 2005:13(53):16-21. [View at Publisher] [Google Scholar]
26. Guillon M, Crocq MA, Bailey PE. The relationship between self-esteem and psychiatric disorders in adolescents. Eur Psychiatry. 2003;18(2):59-62. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Hashemi F, Dolatabad FR, Yektatalab S, Ayaz M, Zare N, Mansouri P. Effect of Orem Self-Care program on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi burn center, Shiraz, Iran: a randomized controlled trial. Int J Community Based Nurs Midwifery. 2014;2(1):40-50. [View at Publisher] [PMID] [Google Scholar]
28. Mahdi H, Maddah SMB, Mahammadi F. The effectiveness of self-care training on quality of life among elderlies with diabetes. Iranian Nursing Scientific Association. 2016;2(4):32-9. [View at Publisher] [DOI] [Google Scholar]
29. Myers VH, McVay MA, Brashear MM, Johannsen NM, Swift DL, Kramer K, et al. Exercise training and quality of life in individuals with type 2 diabetes: a randomized controlled trial. Diabetes care. 2013;36(7):1884-90. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Kim SH. Health literacy and diabetes self‐care activities: The mediating effect of knowledge and patient activation. Int J Nurs Pract. 2021;27(4):e12925. [View at Publisher] [DOI] [PMID] [Google Scholar]
31. Niguse H, Belay G, Fisseha G, Desale T, Gebremedhn GJ. Self-care related knowledge, attitude, practice and associated factors among patients with diabetes in Ayder Comprehensive Specialized Hospital, North Ethiopia. BMC Res Notes. 2019;12(1):34. [View at Publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Jorjani Biomedicine Journal

Designed & Developed by : Yektaweb