@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):187-193
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(3):187-193
Effect of Home Care Program on Therapeutic Adherence of Patients with Type 2 Diabetes
ARTICLE INFO
Article Type
Original ResearchAuthors
Amini R. (1)Najafi H. (2)
Samari B. (2)
Khodaveisi M. (*1)
Tapak L. (3)
(1) “Departmant of Community Health Nursing, School of Nursing & Midwifery” and “Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
(2) Departmant of Community Health Nursing, School of Nursing & Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Department of Biostatistics, School of Public Health” and “Modeling of Non-Communicable Diseases Research Center”, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Article History
Received: March 1, 2020Accepted: April 16, 2020
ePublished: September 20, 2020
ABSTRACT
Aims
One of the challenges for diabetics is following a treatment regimen. Educating the patient at home increases the ability to take care of themselves. Therefore, the aim of this study was to determine the effect of home care program on the therapeutic adherence of patients with type 2 diabetes.
Materials & Methods This quasi-experimental study was performed on 80 patients with type 2 diabetes referred to the Diabetes Research Center of Hamadan in 2019 who were selected by convenience sampling method. Samples were divided into intervention and control groups using permuted block method (40 people in each group). Educational intervention was performed in home care during two face-to-face sessions and two telephones follow-up. Before and two months after intervention, the questionnaire was completed by both groups. Data were analyzed by SPSS 16 software and Fisher's exact test, Chi-square, paired t-tests and one-way analysis of covariance were used.
Findings The mean score of therapeutic adherence was higher in control group than in intervention group, before home care (p<0.001); while after intervention, the mean score of therapeutic adherence significantly increased in intervention group compared to the control group (p<0.001).
Conclusion Implementation of home care program in patients with type 2 diabetes improves the therapeutic adherence of these patients.
Materials & Methods This quasi-experimental study was performed on 80 patients with type 2 diabetes referred to the Diabetes Research Center of Hamadan in 2019 who were selected by convenience sampling method. Samples were divided into intervention and control groups using permuted block method (40 people in each group). Educational intervention was performed in home care during two face-to-face sessions and two telephones follow-up. Before and two months after intervention, the questionnaire was completed by both groups. Data were analyzed by SPSS 16 software and Fisher's exact test, Chi-square, paired t-tests and one-way analysis of covariance were used.
Findings The mean score of therapeutic adherence was higher in control group than in intervention group, before home care (p<0.001); while after intervention, the mean score of therapeutic adherence significantly increased in intervention group compared to the control group (p<0.001).
Conclusion Implementation of home care program in patients with type 2 diabetes improves the therapeutic adherence of these patients.
CITATION LINKS
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[18]Morgan CL, Currie CJ, Stott NC, Smithers M, Butler CC, Peters J. The prevalence of multiple diabetes related complications. Diabet Med. 2000;17(2):146-51.
[19]Shobeiri F, Masoumi SZ, Nikravesh A, Heidari Moghadam R, Karami M. The impact of aerobic exercise on quality of life in women with breast cancer: a randomized controlled trial. J Res Health Sci. 2016;16(3):127-32.
[20]Shahraki Vahed A, Asadi Bidmeshki E, Shahraki H. Determine self-care assessmet with educational needs diabetic patients. J Diabetes Nurs. 2014;2(2):29-41. [Persian]
[21]Mohammadi Shahbolaghi F. Theoretical bases of rehabilitation nursing. 1st Edition. Tehran: Social Welfare & Rehabilitation Science; 2006. [Persian]
[22]Hosseini M, Rohani K, Hosseinizadeh S. Family health nursing. 9th Edition. Tehran: Boshra; 2013. [Persian]
[23]Hosseini M, Hosseinizadeh S. Text book of community health nursing. 1st Edition. Tehran: Andishe Rafi; 2012. [Persian]
[24]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. [Persian]
[25]Hernandez CA. The development and pilot testing of The Diabetes Activities Questionnaire (TDAQ): an instrument to measure adherence to the diabetes regimen. Appl Nurs Res. 1997;10(4):202-11.
[26]Aliha JM, Asgari M, Khayeri F, Ramazani M, Farajzadegan Z, Javaheri J. Group education and nurse-telephone follow-up effects on blood glucose control and adherence to treatment in type 2 diabetes patients. Int J Prev Med. 2013;4(7):797-802.
[27]Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of Nursing-E-Book. 9th Edition. St. Louis: Elsevier Health Sciences; 2016.
[28]Marrelli TM. Home care nursing: Surviving in an ever-changing care environment. Indianapolis: Sigma Theta Tau; 2016.
[29]Karimi S, Mansouri A, Shahdadi H, Pakizehdel P. The effect of health belief model-based education on adherence to the dietary regimen in pregnant women with gestational diabetes. J Diabetes Nurs. 2016;4(4):1-9. [Persian]
[30]Tiv M, Viel JF, Mauny F, Eschwege E, Weill A, Fournier C, et al. Medication adherence in type 2 diabetes: the ENTRED study 2007, a French population-based study. PLoS One. 2012;7(3):e32412.
[31]Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and type 2 diabetes-treatment adherence: a mediating role for perceived control. Health Psychol. 2015;34(5):505-13.
[32]Rezaei Asl H, Seyed Mazhari M, Pishgooei SAH, Alhani F. 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. J Milit Caring Sci. 2017;4(1):58-69. [Persian]
[33]Williams JS, Walker RJ, Egede LE. The role of family and peer support in diabetes. In: Delamater AM, Marrero DG, editors. Behavioral diabetes. Cham, Switzerland: Springer; 2020. p. 391-401.
[34]Adikusuma W, Qiyaam N. The effect of education through Short Message Service (SMS) messages on diabetic patients adherence. Sci Pharm. 2017;85(2):23.
[35]Aligholipour M, Feizollahzadeh H, Ghaffari M, Jabbarzadeh F. The effect of in-person and multimedia short message based education in telegram on fasting blood glucose and glycosylated hemoglobin in patients with insulin-dependent diabetes. Iran J Diabetes Metab. 2019;18(2):64-70. [Persian]
[36]Lee VR, Dubovi I. At home with data: Family engagements with data involved in type 1 diabetes management. J Learn Sci. 2020;29(1):11-31.
[37]Khodaveisi M, Miri F, Omidi A, Karami M, Vardanjani A, Mohammadi N. The effects of home-based nursing care on metabolic control among patients with type ii diabetes mellitus: a randomized clinical trial. Nurs Midwifery Stud. 2018;7(1):1-5.
[38]Dehi M, Noroozi K, Aghajari P, Khoshbakht M, Vosooghi N. The effect of home visit on quality of life of patients with type II diabetes. Iran J Diabetes Metab. 2018;17(1):31-8. [Persian]
[39]Goudarzi H, Barati M, Bashirian S, Moeini B. Determinants of medication adherence among hypertensive patients using the pender's health promotion model. J Educ Health Promot. 2020;9:89.
[40]Gholamaliei B, Karimi Shahanjarini A, Roshanaei G, Rezapour Shahkolaei F. Medication adherence and its related factors in patients with type II diabetes. J Educ Community Health. 2016;2(4):3-12. [Persian]
[2]Tabarsi B, Ghiyasvandian S, Moslemi Meheni S, Mohammadzadeh Zarankesh S. Evaluation of the effectiveness of collaborative care model on the quality of life and metabolic indexes in patients with type 2 diabetes. J Educ Community Health. 2018;5(1):4-12. [Persian]
[3]Moraveji M, Hatami M, Ahadi M, Seyrafi M, Chiti H. The effect of group motivational interview on therapeutic satisfaction and therapeutic adherence of patients with type 1 diabetes. J Health Promot Manag. 2019;8(6):39-47. [Persian]
[4]Matin H, Nadrian H, Jahangiri L, Sarbakhsh P, Shaghaghi A. psychometric properties of the persian health care climate questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran. Patient Prefer Adherence. 2019;13:783-93.
[5]Nasli-Esfahani E, Farzadfar F, Kouhnavard M, Ghodssi-Ghassemabadi R, Khajavi A, Peimani M, et al. Iran Diabetes Research Roadmap (IDRR) study: a preliminary study on diabetes research in the world and Iran. J Diabetes Metab Disord. 2017;16:9.
[6]Bharati DR, Pal R, Rekha R, Yamuna TV. Evaluation of the burden of type 2 diabetes mellitus in population of Puducherry, South India. Diabetes Metab Syndr Clin Res Rev. 2011;5(1): 12-6.
[7]Alavinia SM, Ghotbi M, Mahdavi Hezaveh A, Kermanchi J, Nasli-Esfahani E, Yarahmadi S. The national program to prevent and control type 2 diabetes, implemented in urban areas 2012. Tehran: Sepidbarg; 2012. [Persian]
[8]Khani Jeyhooni A, Bararti M, Kouhpayeh SA, Kashfi SM, Khiyali Z. Effectiveness of Educational intervention on reducing self-medication behaviors of patients with diabetes type 2: application of BASNEF model. J Educ Community Health. 2019;6(4):257-64. [Persian]
[9]Hashemi SM, Bouya S. Treatment adherence in diabetic patients: an important but forgotten issue. J Diabetes Nurs. 2018;6(1):341-51. [Persian]
[10]Richard C, Lussier MT. La communication professionnelle en santé. 2nd Edition. Montréal: Éditions du Renouveau Pédagogique; 2016. [French]
[11]Osterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005;353(5):487-97.
[12]Shamsi M, Tajik R, Mohammadbeigi A. Effect of education based on Health Belief Model on self-medication in mothers referring to health centers of Arak. J Arak Uni Med Sci. 2009;12(3):57-66. [Persian]
[13]Moayed MS, Khatiban M, Toosi MN, Khodaveisi M, Soltanian A, Ebadi A. Barriers to adherence to medical care programs in liver transplant recipients: a qualitative study. Int J Organ Transplant Med. 2019;10(3):115-26.
[14]Moayed MS, Ebadi A, Khodaveisi M, Toosi MN, Soltanian AR, Khatiban M. Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation. Patient Prefer Adherence. 2018;12:2425-36.
[15]Hamdzadeh S, Ezati J. A determination of self-care performance among diabetic patients in endocrine clinic of Taleghane hospital in Tehran. Iran J Nurs Res. 2014;8(4):11-8. [Persian]
[16]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):40-52. [Persian]
[17]Hinkle JL, Cheever KH. Clinical handbook for Brunner & Suddarth's textbook of medical-surgical nursing. 13th Edition. Philadelphia: Lippincott Williams & Wilkins; 2013.
[18]Morgan CL, Currie CJ, Stott NC, Smithers M, Butler CC, Peters J. The prevalence of multiple diabetes related complications. Diabet Med. 2000;17(2):146-51.
[19]Shobeiri F, Masoumi SZ, Nikravesh A, Heidari Moghadam R, Karami M. The impact of aerobic exercise on quality of life in women with breast cancer: a randomized controlled trial. J Res Health Sci. 2016;16(3):127-32.
[20]Shahraki Vahed A, Asadi Bidmeshki E, Shahraki H. Determine self-care assessmet with educational needs diabetic patients. J Diabetes Nurs. 2014;2(2):29-41. [Persian]
[21]Mohammadi Shahbolaghi F. Theoretical bases of rehabilitation nursing. 1st Edition. Tehran: Social Welfare & Rehabilitation Science; 2006. [Persian]
[22]Hosseini M, Rohani K, Hosseinizadeh S. Family health nursing. 9th Edition. Tehran: Boshra; 2013. [Persian]
[23]Hosseini M, Hosseinizadeh S. Text book of community health nursing. 1st Edition. Tehran: Andishe Rafi; 2012. [Persian]
[24]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. [Persian]
[25]Hernandez CA. The development and pilot testing of The Diabetes Activities Questionnaire (TDAQ): an instrument to measure adherence to the diabetes regimen. Appl Nurs Res. 1997;10(4):202-11.
[26]Aliha JM, Asgari M, Khayeri F, Ramazani M, Farajzadegan Z, Javaheri J. Group education and nurse-telephone follow-up effects on blood glucose control and adherence to treatment in type 2 diabetes patients. Int J Prev Med. 2013;4(7):797-802.
[27]Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of Nursing-E-Book. 9th Edition. St. Louis: Elsevier Health Sciences; 2016.
[28]Marrelli TM. Home care nursing: Surviving in an ever-changing care environment. Indianapolis: Sigma Theta Tau; 2016.
[29]Karimi S, Mansouri A, Shahdadi H, Pakizehdel P. The effect of health belief model-based education on adherence to the dietary regimen in pregnant women with gestational diabetes. J Diabetes Nurs. 2016;4(4):1-9. [Persian]
[30]Tiv M, Viel JF, Mauny F, Eschwege E, Weill A, Fournier C, et al. Medication adherence in type 2 diabetes: the ENTRED study 2007, a French population-based study. PLoS One. 2012;7(3):e32412.
[31]Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and type 2 diabetes-treatment adherence: a mediating role for perceived control. Health Psychol. 2015;34(5):505-13.
[32]Rezaei Asl H, Seyed Mazhari M, Pishgooei SAH, Alhani F. 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. J Milit Caring Sci. 2017;4(1):58-69. [Persian]
[33]Williams JS, Walker RJ, Egede LE. The role of family and peer support in diabetes. In: Delamater AM, Marrero DG, editors. Behavioral diabetes. Cham, Switzerland: Springer; 2020. p. 391-401.
[34]Adikusuma W, Qiyaam N. The effect of education through Short Message Service (SMS) messages on diabetic patients adherence. Sci Pharm. 2017;85(2):23.
[35]Aligholipour M, Feizollahzadeh H, Ghaffari M, Jabbarzadeh F. The effect of in-person and multimedia short message based education in telegram on fasting blood glucose and glycosylated hemoglobin in patients with insulin-dependent diabetes. Iran J Diabetes Metab. 2019;18(2):64-70. [Persian]
[36]Lee VR, Dubovi I. At home with data: Family engagements with data involved in type 1 diabetes management. J Learn Sci. 2020;29(1):11-31.
[37]Khodaveisi M, Miri F, Omidi A, Karami M, Vardanjani A, Mohammadi N. The effects of home-based nursing care on metabolic control among patients with type ii diabetes mellitus: a randomized clinical trial. Nurs Midwifery Stud. 2018;7(1):1-5.
[38]Dehi M, Noroozi K, Aghajari P, Khoshbakht M, Vosooghi N. The effect of home visit on quality of life of patients with type II diabetes. Iran J Diabetes Metab. 2018;17(1):31-8. [Persian]
[39]Goudarzi H, Barati M, Bashirian S, Moeini B. Determinants of medication adherence among hypertensive patients using the pender's health promotion model. J Educ Health Promot. 2020;9:89.
[40]Gholamaliei B, Karimi Shahanjarini A, Roshanaei G, Rezapour Shahkolaei F. Medication adherence and its related factors in patients with type II diabetes. J Educ Community Health. 2016;2(4):3-12. [Persian]