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:: Volume 4, Number 1 (Military Caring Sciences 2017) ::
MCS 2017, 4(1): 58-69 Back to browse issues page
The Effectiveness of “Family-Centered Empowerment Model” on the Treatment Adherence of Patients with Type II Diabetes and Heart Disorder Admitted to AJA Hospitals, During Year 2015
Rezai Asl. H1, Seyyed Mazhari. M 2, Pishgooi. SAH3, Alhani. F4
1- MSc in Student of Critical Care Nursing, Iran, Tehran, AJA University Of Medical Science, Faculty of Nursing.
2- MSc in Nursing, Instructor, Iran, Tehran, AJA University of Medical Science, Faculty of Nursing, Medical-Surgical Department.
3- Ph.D. in Nursing Education, Assistant Professor, Iran, Tehran, AJA University Of Medical Science, Faculty of Nursing, Medical-Surgical Department.
4- Ph.D. in Nursing Education, Associate Professor, Iran, Tehran, Tarbiat Modares University, Faculty of Medicine, Nursing Department.
Abstract:   (1853 Views)

Introduction: Training of patients with diabetes and heart disease is a major problem in achieving optimal adherence to the treatment regimen. One of the most influential factors is selecting an appropriate teaching method. On the other hand, focusing on proper education for the patients› family could facilitate the desired management and better control of the disease.

Objective: The aim of this study was to investigate the effect of the family-centered empowerment model on treatment adherence in patients with type II diabetes and heart problems.

Materials and Methods: This study was a clinical trial, in which 62 patients with type II diabetes and heart disorders were selected from AJA hospitals, during year 2015. In order to collect data, a demographic questionnaire, treatment adherence in chronic diseases questionnaire, and empowerment questionnaire, with parameters HBA1C and LDL were used. All questionnaires were handed over and filled in by 2 groups, before and after the intervention; the treatment adherence in chronic diseases questionnaire was handed over and filled in 4 weeks after the intervention. The data was analyzed using the SPSS version 21 software and chi-square test, Fisher›s exact test, independent sample t test, paired sample t test, and repeated measures analysis (ANOVA).

Results: No significant differences was found in demographic factors between the two groups before the intervention (P>0.05). There was no statistically significant difference in the mean scores of empowerment of patients and family members, knowledge, treatment adherence in chronic diseases, and the mean value of HBA1C and LDL before the intervention (P>0.05), yet after the interventions, a statistically significant difference was observed between the variables (P<0.05), except the variable LDL, for which the difference was not statistically significant (P>0.09). The coefficient of variation showed that the reduction of LDL was greater in the intervention group than the control group.

Discussion and Conclusion: The findings showed the positive effects of the implementation of family-centered empowerment model to increase treatment adherence in the patients. Given the important role of the family in the management and control of chronic diseases, including type 2 diabetes and it’s complications, especially heart disease, using this template to achieve biologically optimal adherence is recommended.

Keywords: Educational, Family-Centered Empowerment Model, Heart Disorders, Type 2 Diabetes.
Full-Text [PDF 467 kb]   (455 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/02/4 | Accepted: 2017/03/6 | Published: 2017/06/21
References
1. Ding CH, Teng CL, Koh CN. Knowledge of diabetes mellitus among diabetic and non-diabetic patients in Klinik Kesihatan Seremban. Med J Malaysia. 2006;61(4):399-404. PMID: 17243515 [PubMed]
2. Smeltzer S, Bare B. Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins; 2010.
3. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14. DOI: 10.1016/j.diabres.2009.10.007 PMID: 19896746 [DOI] [PubMed]
4. Shirazi M, Anoosheh M, Rajab A. [The effect of self care program education by group discussion method on self concept in diabetic adolescent girls reffered to Iranian Diabetes Society]. Iran J Nurs Res. 2011;6(22):40-50.
5. Sabaté E. Adherence to long-term therapies: evidence for action. Geneva, Switzerland: World Health Organization; 2003.
6. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(1):62-9.
7. Delamater AM. Improving Patient Adherence. Clin Diabetes. 2006;24(2):71-7. DOI: 10.2337/diaclin.24.2.71
8. Smeltzer S, Bare B, Hinkle J, Cheever K. Brunner & Suddarth’s Textbook of Medical Surgical Nursing 11th Edition. 11th ed: Wolters Kluwer: Lippincott Williams and Wilkins; 2007.
9. Association AD. Standards of medical care for patients with diabetes mellitus. Diabetes Care. 2011;20(1):5-13.
10. Padala PR, Desouza CV, Almeida S, Shivaswamy V, Ariyarathna K, Rouse L, et al. The impact of apathy on glycemic control in diabetes: a cross-sectional study. Diabetes Res Clin Pract. 2008;79(1):37-41. DOI: 10.1016/j.diabres.2007.06.012 PMID: 17681395 [DOI] [PubMed]
11. Harvey JN, Lawson VL. The importance of health belief models in determining self-care behaviour in diabetes. Diabet Med. 2009;26(1):5-13. DOI: 10.1111/j.1464-5491.2008.02628.x PMID: 19125754 [DOI] [PubMed]
12. Jafarian N, Heydari A. [ the role of health beliefs in the adoption insulin in diabetic patients attending the diabetes research center of Hamadan]. Sci J Hamadan Univ Med Sci. 2000;7(4):54-9.
13. Hamadzadeh S, al e. [Coping styles and self- care behaviors among diabetes patients]. Iran J Nurs 2013;25(80):24-33.
14. Keogh C, al e. Changing illness perception in patient with poorly controlled type 2diabetes a RCT of a family- based intervention-protocol and pilot studey. Biomed Centeral Fam Pract. 2000;8(36):1-100.
15. Helgeson VS, Reynolds KA, Siminerio L, Escobar O, Becker D. Parent and adolescent distribution of responsibility for diabetes self-care: links to health outcomes. J Pediatr Psychol. 2008;33(5):497-508. DOI: 10.1093/jpepsy/jsm081 PMID: 17848390 [DOI] [PubMed]
16. Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. [Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly]. J Mazandaran Univ Med Sci. 2014;24(1):134-43.
17. Tolouei M, al e. [Motivational factors of nurses in the education of patients]. Hayat. 2006;12(2):43-51.
18. Ellis SE, Speroff T, Dittus RS, Brown A, Pichert JW, Elasy TA. Diabetes patient education: a meta-analysis and meta-regression. Patient Educ Couns. 2004;52(1):97-105. DOI: 10.1016/s0738-3991(03)00016-8 PMID: 14729296 [DOI] [PubMed]
19. Funnell MM, Anderson RM, Arnold MS, Barr PA, Donnelly M, Johnson PD, et al. Empowerment: an idea whose time has come in diabetes education. Diabetes Educ. 1991;17(1):37-41. DOI: 10.1177/014572179101700108 PMID: 1986902 [DOI] [PubMed]
20. Funnell MM, Anderson RM. Empowerment and Self-Management of Diabetes. Clin Diabetes. 2004;22(3):123-7. DOI: 10.2337/diaclin.22.3.123 [PubMed]
21. Alhani F. [Designing and evaluation of family centered empowerment model in preventing iron deficiency anemia ]. Tehran: Tarbiat Modares University; 2003.
22. Park M, Chesla CK. Understanding complexity of Asian American family care practices. Arch Psychiatr Nurs. 2010;24(3):189-201. DOI: 10.1016/j.apnu.2009.06.005 PMID: 20488345 [DOI] [PubMed]
23. Donovan F, Sands K, Judith N, Marianne M, Green C. Phipps medical surgical nursing health and illness perspective 8 th ed. St Louis: Lippincott Williams & Wilkins; 2007. 882 p.
24. Musick K, Mare RD. Family structure, intergenerational mobility, and the reproduction of poverty: evidence for increasing polarization? Demography. 2004;41(4):629-48. DOI: 10.1016/j.ssresearch.2004.11.006 PMID: 15622947 [DOI] [PubMed]
25. Allahyari A. [The effect of family- centered empowerment model on the Quality of life of school age B- thalassemic children]. Tehran, Iran: Tarbiat Modares Univercity; 2006.
26. Masoodi R, Alhani F, Moghadassi J, Ghorbani M. [The effect of family-centered empowerment model on skill, attitude, and knowledge of multiple sclerosis caregivers]. J Birjand Univ Med Sci. 2010;9:175-82.
27. Vahedian Azimi A, Alhani F, Ahmadi F, Kazemnejad A. [Effect of family-centered empowerment model on the life style of myocardial infarction patients]. Iran J Crit Care Nurs. 2010;2(4):1-2.
28. Sanaie N, Nejati S, Zolfaghari M, Alhani F, Kazemnezhad A. [The effects of family-based empowerment on family cooperation in following patient treatment regime after coroner arteries bypass surgery]. Mod Care Sci Q Birjand Nurs Midwifery Fac. 2014;11(1):19-27.
29. Hajizadeh E, Asghari M. Looking research methods and statistical analysis. Tehran: Jahad university press; 2011.
30. Salsali M, Silverstone PH. Low self-esteem and psychiatric patients: Part II - The relationship between self-esteem and demographic factors and psychosocial stressors in psychiatric patients. Ann Gen Hosp Psychiatry. 2003;2(1):3. PMID: 12622872 [PubMed]
31. Modanloo M. [Development and psychometric tools adherence of treatment in patients with chronic]. Iran: Iran university; 2013.
32. Aghamolaei T, Eftkhar H, Mohammad K, Nakhjavani M, Shojaiezadeh D, Ghofranipour F, et al. [effect of health education program on behavior and health- related quality of life in diabetic patients]. Acta Med Iranica. 2005;43(2):89-94.
33. Mosnier-Pudar H, Hochberg G, Eschwege E, Virally ML, Halimi S, Guillausseau PJ, et al. How do patients with type 2 diabetes perceive their disease? Insights from the French DIABASIS survey. Diabetes Metab. 2009;35(3):220-7. DOI: 10.1016/j.diabet.2009.02.001 PMID: 19303338 [DOI] [PubMed]
34. Milenkoviæ T, Gavriloviæ S, Percan V, Petrovski G. Influence of diabetic education on patient well-being and metabolic control. Diabetologia Croat. 2004;33(3):91-6.
35. Sadeghi M, Pedram Razi S, Nikbakht Nasrabadi A, Ebrahimi H, Kazemnejad A. [Comparison of the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus]. J Nurs Educ. 2013;2(3):18-27.
36. Heydari M, Mir Mohammad Ali M, Khakbazan Z, Mahmoodi M. [The study of comparison of two educational methods of lecture and training package on self-efficacy 9-12 years old girls student in relation with adolescent health]. Iranian J Nurs Res. 2015;1(36):1-15.
37. Alizadeh H, Nasirifard N, Karami A. [The effect of training on the efficacy of Adlerian-based encouragement of self-esteem in adolescent girls. Winter 2010]. Soc Stud Psychol Women. 2010;4(26):143-67.
38. Heidari M, Alhani F, Kazemnejad A, Moezzi F. [The effect of empowerment model on quality of life of diabetic adolescents]. Iran J Pediatr. 2007;17(1):87-94.
39. Hakim A, Mahmoodi F, Alijani Renani H, Latifi M. [Effect of family-centered empowerment model on treatment regimen of the school-aged children with diabetes: A randomized controlled trial]. Jundishapur J Chron Dis Care. 2013;2(2):46-53.
40. Samadi N, Safavi M, Mahmoodi M. [The relationship between quality of life and self-esteem in patient with type 2 diabetes in Ardabil 2011. A short report]. Rafsanjan J Med Sci. 2011;12(3):251-6.
41. Armour TA, Norris SL, Jack L, Jr., Zhang X, Fisher L. The effectiveness of family interventions in people with diabetes mellitus: a systematic review. Diabet Med. 2005;22(10):1295-305. DOI: 10.1111/j.1464-5491.2005.01618.x PMID: 16176186 [DOI] [PubMed]
42. Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23(7):934-42. PMID: 10895843 [PubMed]
43. Wong FK, Mok MP, Chan T, Tsang MW. Nurse follow-up of patients with diabetes: randomized controlled trial. J Adv Nurs. 2005;50(4):391-402. DOI: 10.1111/j.1365-2648.2005.03404.x PMID: 15842446 [DOI] [PubMed]
44. Kim HS, Kim NC, Ahn SH. Impact of a nurse short message service intervention for patients with diabetes. J Nurs Care Qual. 2006;21(3):266-71. PMID: 16816608 [PubMed]
45. Ghavami H, Ahmadi F, Entezami H, Memarian R. [Effect of applying continuous care model on quality of life in diabetic patients]. Tehran, Iran: Tarbiat Modares Univercity; 2004.
46. Rakhshandehru S, Heydarnia A, Rajab A. [Effect of education on quality of life of diabetic patients]. Shahed J Med. 2002;62:15-20.
47. Narges G, Maddah Sadat SB, Dalvandi A, Arsalani N, Farzi M. The effect of education of self care behaviors based on family-centered empowerment model in type II diabetes. J Sch Nurs Midwifery Shahid Beheshti Univ Med Sci Health Serv. 2014;23(83):43-50.
48. Razmaraei S, Hemmati Maslakpak M, Khalkhali H. [The Effect Of Family-Centered Education On Self-Care In Patients With Type 2 Diabetes]. J Urmia Nurs Midwifery Fac. 2016;14(2):118-27.
49. Aggarwal B, Liao M, Allegrante JP, Mosca L. Low social support level is associated with non-adherence to diet at 1 year in the Family Intervention Trial for Heart Health (FIT Heart). J Nutr Educ Behav. 2010;42(6):380-8. DOI: 10.1016/j.jneb.2009.08.006 PMID: 20696617 [DOI] [PubMed]
50. Gance-Cleveland B. Motivational interviewing: improving patient education. J Pediatr Health Care. 2007;21(2):81-8. DOI: 10.1016/j.pedhc.2006.05.002 PMID: 17321907 [DOI] [PubMed]
51. Teufel-Shone NI, Drummond R, Rawiel U. Developing and adapting a family-based diabetes program at the U.S.-Mexico border. Prev Chronic Dis. 2005;2(1):A20. PMID: 15670473 [PubMed]
52. Kwon HS, Cho JH, Kim HS, Lee JH, Song BR, Oh JA, et al. Development of web-based diabetic patient management system using short message service (SMS). Diabetes Res Clin Pract. 2004;66 Suppl 1:S133-7. DOI: 10.1016/j.diabres.2003.10.028 PMID: 15563964 [DOI] [PubMed]
53. Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: a quasi-experimental study. Int J Nurs Stud. 2006;43(1):39-50. DOI: 10.1016/j.ijnurstu.2005.01.006 PMID: 16183062 [DOI] [PubMed]
54. Hashemi S, Tayebi A, Rahimi A, Einolahi B. [Examining the effect of continuous care model on adherence to dietary regimen among patients receiving hemodialysis]. J Crit Care Nurs. 2015;7(4):215-20.
55. Musavifar A, Zolfaghari M, Pedram S, Haghani H. [Assess follow-up (mobile, phone) on adherence to treatment in patient with diabetes]. Iran Diabetes Lipid J. 2012;10(4):407-18.
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H R A, M S M, SAH P, F A. The Effectiveness of “Family-Centered Empowerment Model” on the Treatment Adherence of Patients with Type II Diabetes and Heart Disorder Admitted to AJA Hospitals, During Year 2015. MCS. 2017; 4 (1) :58-69
URL: http://mcs.ajaums.ac.ir/article-1-158-en.html
Volume 4, Number 1 (Military Caring Sciences 2017) Back to browse issues page
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