@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):17-22
ISSN: 2252-0805 The Horizon of Medical Sciences 2018;24(1):17-22
Effects of Peer-education on Quality of Life in Adults with Type 2 Diabetes
ARTICLE INFO
Article Type
Original ResearchAuthors
Mohsenikhah M. (1)Esmaili R. (2)
Tavakolizadeh J. (3)
Khavasi M. (4)
Jaras M. (1)
Delshad Noughabi A. (*)
(*) Community & Mental Health Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(1) “Student Research Committee” and “Community & Mental Health Nursing Department, Nursing & Midwifery Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Social Development & Health Promotion Research Center” and “Public Health Department,, Health Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Basic Sciences Department, Medicine Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(4) Nursing Department, Nursing Faculty, Abadan University of Medical Sciences, Abadan, Iran
Correspondence
Article History
Received: January 29, 2017Accepted: July 18, 2017
ePublished: January 11, 2018
ABSTRACT
Aims
Diabetes is the most prevalent metabolic disease in human being. Self-care is the most important way of preventing complications. This study aimed at investigating the effects of peer-education on quality of life in adult patients with type 2 diabetes.
Materials & Methods This semi experimental study was conducted at a diabetes clinic affiliated to Gonabad University of medical sciences, Iran in 2017 among 80 patients with type 2 diabetes. Patients were selected based on available sampling method, and they were randomly divided into two groups, namely intervention and control (40 patients each group). The data of all patients were collected by demographic and disease information questionnaire and diabetic patient quality of life (QOL) questionnaire. The present study was carried out in three main steps: In the first step (before intervention), peers were trained by the researcher during four sessions. In the second step (intervention), quality of life of patients was assessed before training; then, patients in intervention group were trained and instructed during three sessions; the control group received the usual instruction, too. In the third step (one month later), quality of life of patients in both groups was assessed. The data were analyzed by SPSS statistics software Version 20, using Chi-square, Fisher, independent t test, paired t test, Mann-Whitney U, and Wilcoxon.
Findings The mean scores of quality of life in intervention group did not have any significant difference with control group before instruction (p>0.05). After instruction, the mean scores of quality of life in the intervention group compared with the control group increased significantly (p<0.001).
Conclusion Peer education improves quality of life in adult patients with type 2 diabetes.
Materials & Methods This semi experimental study was conducted at a diabetes clinic affiliated to Gonabad University of medical sciences, Iran in 2017 among 80 patients with type 2 diabetes. Patients were selected based on available sampling method, and they were randomly divided into two groups, namely intervention and control (40 patients each group). The data of all patients were collected by demographic and disease information questionnaire and diabetic patient quality of life (QOL) questionnaire. The present study was carried out in three main steps: In the first step (before intervention), peers were trained by the researcher during four sessions. In the second step (intervention), quality of life of patients was assessed before training; then, patients in intervention group were trained and instructed during three sessions; the control group received the usual instruction, too. In the third step (one month later), quality of life of patients in both groups was assessed. The data were analyzed by SPSS statistics software Version 20, using Chi-square, Fisher, independent t test, paired t test, Mann-Whitney U, and Wilcoxon.
Findings The mean scores of quality of life in intervention group did not have any significant difference with control group before instruction (p>0.05). After instruction, the mean scores of quality of life in the intervention group compared with the control group increased significantly (p<0.001).
Conclusion Peer education improves quality of life in adult patients with type 2 diabetes.
CITATION LINKS
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[3]Tazakori Z, Zare M, Mirzarahimi M. The effect of nutrition education on blood sugar level and macronutrients intake in IDDM patients in Ardabil, 1999. J Ardabil Univ Med Sci. 2002;2(4):17-22. [Persian]
[4]Bate KL, Jerums G. 3: Preventing complications of diabetes. Med j Australia. 2003;179(9):498-503.
[5]Kadirvelu A, Sivalal Sadasivan, Shu Hui Ng. Social support in type II diabetes care: A case of too little, too late. Diabetes Metab Syndr Obes. 2012;5:407-17.
[6]Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 Diabetes. Iran J Diabetes Metab. 2016;14(3):199-208. [Persian]
[7]Khavasi M, Masroor D, Varai S, Joudaki K, Rezaei M, Mehr BR, et al. The effect of peer education on diabetes self-efficacy in patients with type 2 diabetes: A randomized clinical trial. J Knowl Health. 2016;11(2):67-74. [Persian]
[8]Rad GS, Bakht LA, Feizi A, Mohebi S. Importance of social support in diabetes care. J Educ Health Promot. 2013;2:62.
[9]Montazeri A, Gashtasbi A, Vahdani Nia MS. Translation, reliability and validation of persian type SF-36 tool. J Med Sci Res Inst. 2005;5(1):49-56. [Persian]
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[12]Ferrans CE, Powers MJ. Quality of life index: Development and psychometric properties. ANS Adv Nurs Sci. 1985;8(1):15-24.
[13]Khoshraftar Roudi E, Ildarabadi E, Behnam Voshani HR, Emami Moghaddam Z. The effect of peer education on the mental aspect of quality of life of elderly patients with hypertension. J North Khorasan Univ Med Sci. 2016;7(3):585-95. [Persian]
[14]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.
[15]Moniei R. Development of distance education in the higher education system (Opportunities and challenges). Rahyaft J. 2002;31(1):43-52. [Persian]
[16]Bastable SB. Nurse as educator: Principles of teaching and learning for nursing practice (Jones and Bartlett series in nursing). 2nd edition. Burlington: Jones and Bartlett Learning; 2003.
[17]Price N, Knibbs S. How effective is peer education in addressing young people’s sexual and reproductive health needs in developing countries?. Child Soci. 2009;23(4):291-302.
[18]Robinson JS, Burkhalter BR, Rasmussen B, Sugiono R. Low-cost on-the-job peer training of nurses improved immunization coverage in Indonesia. Bull World Health Organ. 2001;79(2):150-8.
[19]Ghadiri E, Shahriari M, Maghsoudi J. The effects of peer-led education on anxiety of the family caregivers of patients undergoing coronary artery bypass surgery (CABG) in Shahid Chamran center Isfahan University of Medical Sciences. J Nurs Educ. 2016;4(2):50-6. [Persian]
[20]Daneshnia F, Razmara A, Aghaei A, Molavi H. Effect of working memory software on self-esteem, self-concept and moddle aged memory. Bimon J Hormozgan Univ Med Sci. 2013;17(1):45-52. [Persian]
[21]Saeid pour J, Jafari M, Ghazi Asgar M, Dayani Dardashti H, Saeid Pour E. Effect of educational program on quality of life in diabetic patients. J Health Adm. 2013;16(52):26-36. [Persian]
[22]Nasihatkon AA, Pishva AR, Habibzadeh F, Tabatabaei M, Taher Ghashgaeezadeh M, Hojat F, et al. Determining the reliability and validity of a clinical questionnaire for quality of life in diabetic patients (DQOL) in Persian. Iran J Diabetes Metab. 2012;11(5):483-7. [Persian]
[23]King CR, Hinds P. Quality of life: From nursing and patient perspectives. 3rd edition. Burlington: Jones and Bartlett Learning; 1998. pp. 313-7.
[24]Johansson T, Keller S, Winkler H, Ostermann T, Weitgasser R, Sönnichsen AC. Effectiveness of a peer support programme versus usual care in disease management of diabetes mellitus type 2 regarding improvement of metabolic control: A cluster-randomised controlled trial. J Diabetes Res. 2016;2016:3248547.
[25]Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N, Masoumi S. The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 2010;8:74. [Persian]
[26]Tghizadeh ME, Bigheli Z, Mohtasami T. The Effect of educational modification behavior in lifestyle of diabetic patients. Sci J Manag Sys. 2014;3(9):30-45. [Persian]
[27]Liu Y, Han Y, Shi J, Ruixia L, Li S, Jin N, et al. Effect of peer education on self‐management and psychological status in type 2 diabetes patients with emotional disorders. J Diabetes Investig. 2015;6(4):479-86.
[28]Kaya T, Goskel Karatepe A, Atici Ozturk P, Gunaydin R. Impact of peer-led group education on the quality of life in patients with ankylosing spondylitis. Int J Rheum Dis. 2016;19(2):184-91.
[2]Forbes A, While A. The nursing contribution to chronic disease management: A discussion paper. Int J Nurs Stud. 2009;46(1):119-30.
[3]Tazakori Z, Zare M, Mirzarahimi M. The effect of nutrition education on blood sugar level and macronutrients intake in IDDM patients in Ardabil, 1999. J Ardabil Univ Med Sci. 2002;2(4):17-22. [Persian]
[4]Bate KL, Jerums G. 3: Preventing complications of diabetes. Med j Australia. 2003;179(9):498-503.
[5]Kadirvelu A, Sivalal Sadasivan, Shu Hui Ng. Social support in type II diabetes care: A case of too little, too late. Diabetes Metab Syndr Obes. 2012;5:407-17.
[6]Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 Diabetes. Iran J Diabetes Metab. 2016;14(3):199-208. [Persian]
[7]Khavasi M, Masroor D, Varai S, Joudaki K, Rezaei M, Mehr BR, et al. The effect of peer education on diabetes self-efficacy in patients with type 2 diabetes: A randomized clinical trial. J Knowl Health. 2016;11(2):67-74. [Persian]
[8]Rad GS, Bakht LA, Feizi A, Mohebi S. Importance of social support in diabetes care. J Educ Health Promot. 2013;2:62.
[9]Montazeri A, Gashtasbi A, Vahdani Nia MS. Translation, reliability and validation of persian type SF-36 tool. J Med Sci Res Inst. 2005;5(1):49-56. [Persian]
[10]Park K. Park textbook of preventive and social medicine. 23rd edition. Jabalpur: Bhanot; 2015.
[11]Easom LR. Concepts in health promotion: Perceived self-efficacy and barriers in older adults. J Gerontol Nurs. 2003;29(5):11-9.
[12]Ferrans CE, Powers MJ. Quality of life index: Development and psychometric properties. ANS Adv Nurs Sci. 1985;8(1):15-24.
[13]Khoshraftar Roudi E, Ildarabadi E, Behnam Voshani HR, Emami Moghaddam Z. The effect of peer education on the mental aspect of quality of life of elderly patients with hypertension. J North Khorasan Univ Med Sci. 2016;7(3):585-95. [Persian]
[14]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.
[15]Moniei R. Development of distance education in the higher education system (Opportunities and challenges). Rahyaft J. 2002;31(1):43-52. [Persian]
[16]Bastable SB. Nurse as educator: Principles of teaching and learning for nursing practice (Jones and Bartlett series in nursing). 2nd edition. Burlington: Jones and Bartlett Learning; 2003.
[17]Price N, Knibbs S. How effective is peer education in addressing young people’s sexual and reproductive health needs in developing countries?. Child Soci. 2009;23(4):291-302.
[18]Robinson JS, Burkhalter BR, Rasmussen B, Sugiono R. Low-cost on-the-job peer training of nurses improved immunization coverage in Indonesia. Bull World Health Organ. 2001;79(2):150-8.
[19]Ghadiri E, Shahriari M, Maghsoudi J. The effects of peer-led education on anxiety of the family caregivers of patients undergoing coronary artery bypass surgery (CABG) in Shahid Chamran center Isfahan University of Medical Sciences. J Nurs Educ. 2016;4(2):50-6. [Persian]
[20]Daneshnia F, Razmara A, Aghaei A, Molavi H. Effect of working memory software on self-esteem, self-concept and moddle aged memory. Bimon J Hormozgan Univ Med Sci. 2013;17(1):45-52. [Persian]
[21]Saeid pour J, Jafari M, Ghazi Asgar M, Dayani Dardashti H, Saeid Pour E. Effect of educational program on quality of life in diabetic patients. J Health Adm. 2013;16(52):26-36. [Persian]
[22]Nasihatkon AA, Pishva AR, Habibzadeh F, Tabatabaei M, Taher Ghashgaeezadeh M, Hojat F, et al. Determining the reliability and validity of a clinical questionnaire for quality of life in diabetic patients (DQOL) in Persian. Iran J Diabetes Metab. 2012;11(5):483-7. [Persian]
[23]King CR, Hinds P. Quality of life: From nursing and patient perspectives. 3rd edition. Burlington: Jones and Bartlett Learning; 1998. pp. 313-7.
[24]Johansson T, Keller S, Winkler H, Ostermann T, Weitgasser R, Sönnichsen AC. Effectiveness of a peer support programme versus usual care in disease management of diabetes mellitus type 2 regarding improvement of metabolic control: A cluster-randomised controlled trial. J Diabetes Res. 2016;2016:3248547.
[25]Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N, Masoumi S. The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 2010;8:74. [Persian]
[26]Tghizadeh ME, Bigheli Z, Mohtasami T. The Effect of educational modification behavior in lifestyle of diabetic patients. Sci J Manag Sys. 2014;3(9):30-45. [Persian]
[27]Liu Y, Han Y, Shi J, Ruixia L, Li S, Jin N, et al. Effect of peer education on self‐management and psychological status in type 2 diabetes patients with emotional disorders. J Diabetes Investig. 2015;6(4):479-86.
[28]Kaya T, Goskel Karatepe A, Atici Ozturk P, Gunaydin R. Impact of peer-led group education on the quality of life in patients with ankylosing spondylitis. Int J Rheum Dis. 2016;19(2):184-91.