Journal of Diabetes Nursing
فصلنامه پرستاری دیابت
J Diabetes Nurs
Medical Sciences
http://jdn.zbmu.ac.ir
1
admin
2345-5020
2423-5571
fa
jalali
1397
11
1
gregorian
2019
2
1
6
4
online
1
fulltext
fa
بررسی ﺗﺄﺛﯿﺮ الگوی توانمندسازی خانواده محور ﺑﺮ کنترل گلیسمی و ﭘﯿﺮوی دارویی در ﺑﯿﻤﺎران مبتلا به دیابت ﻧﻮع دو
Effect of Family-centered Empowerment Model on Glycemic Control and Drug Compliance in Patients with Type II Diabetes
آموزش پرستاری دیابتی
Diabetic nursing teaching
پژوهشي
Research
<p dir="RTL"><strong>مقدمه و هدف: </strong>یکی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> از<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بزرگترین<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> چالش­هایی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> که<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بیماران<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دیابتی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> با<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آن<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مواجهند<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> یادگیری<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نحوه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> کنترل<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> قند<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> خون<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> می­باشد.<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> از<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> این<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> رو<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> توانمندسازی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بیماران در این زمینه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و در<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نهایت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بهبود<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> کیفیت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> زندگی،<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> عنوان<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> یکی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> از<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شاخص­های<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مهم<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> سلامتی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> در بیماری<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دیابت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شمار می­رود. لذا<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> این<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مطالعه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> با<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> هدف<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بررسی ﺗﺄﺛﯿﺮ الگوی توانمندسازی خانواده محور ﺑﺮ کنترل گلیسمی و ﭘﯿﺮوی دارویی در ﺑﯿﻤﺎران مبتلا به دیﺎﺑﺘﯽ ﻧﻮع دو انجام<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شد<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span>.<span lang="FA" style="margin: 0px;"></span></p>
<p dir="RTL"><strong>مواد و روشها: </strong>این<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پژوهش<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> یک<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مطالعه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تجربی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بود<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> طی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آن<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>70<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بیمار<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مبتلا به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دیابت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نوع<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دو<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مراجعه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> کننده<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> کلینیک<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دیابت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شهرستان<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> زابل بر اساس معیارهای ورود انتخاب و به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> صورت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تصادفی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دو<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> گروه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مداخله<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> کنترل<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تقسیم<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شدند. ابتدا دو<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پرسشنامه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شرح<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> حال<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پیروی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دارویی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>8<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> سوالی <span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span>(Morisky Medication Adherence)<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> تکمیل<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نمونه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آزمایش HbA1C<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> گرفته<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شد. سپس برای<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> گروه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مداخله<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> طی 8 جلسه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>۶۰<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تا<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>۹۰<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دقیقه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> ای<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بر<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> طبق<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> الگو<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آموزش<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> های<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> لازم<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> داده<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> شد.<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> در پایان مجدداً<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پرسشنامه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پیروی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> دارویی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تکمیل<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نمونه HbA1C<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> اندازه­گیری شد. داده­های به دست آمده<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> در<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نرم افزار<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> SPSS نسخه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>۲۱<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مورد<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تجزیه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> و<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> تحلیل<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> قرار<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> گرفتند<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span>.<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> <span lang="FA" style="margin: 0px;"></span></p>
<p dir="RTL"><strong>یافتهها</strong>: بر اساس یافته­ها بین میانگین نمره پیروی دارویی دو گروه، قبل از مداخله تفاوت معنی­دار آماری وجود نداشت (0/21=p <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>) اما پس از انجام مداخله این تفاوت معنی دار بود (0/0001>p). همچنین نتایج نشان داد بین میانگین HbA1C<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> دو گروه، قبل از مداخله اختلاف معنی­دار آماری وجود ندارد (0/32=p <span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>) اما پس از انجام مداخله این اختلاف معنی دار بود (0/0001>p).<span lang="FA" style='margin: 0px; font-family: "Times New Roman","serif";'></span></p>
<strong>نتیجه­گیری</strong>: نتایج<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مطالعه<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> حاکی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> از<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> اثرات<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> مثبت<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> اجرای<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> الگوی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> توانمندسازی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> خانواده<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> محور<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بر<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> افزایش<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> پیروی دارویی و بهبود کنترل گلیسمی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> در<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بیماران<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بود<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span>.<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> لذا می­توان از این<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> روش<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آموزشی<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> در<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> برنامه­های<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> آموزش<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> به<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> بیمار<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> استفاده<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span> نمود<span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span>.
<p style="margin: 0px; text-align: justify; line-height: 115%; unicode-bidi: embed; direction: ltr;"><font color="#000000"><b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">Introduction:</span></b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times=""> One of the biggest challenges for diabetic patients is learning how to control blood glucose; therefore, empowering patients in this regard and ultimately improving the quality of life is considered as one of the health indicators<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> </span>in diabetes<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span>Consequently, the aim of this study was to investigate the effect of family-centered empowerment model on glycemic control and drug compliance in patients with type II diabetes<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>.</span></span></font><span style='margin: 0px; line-height: 115%; font-family: "Times New Roman","serif"; font-size: 10.5pt;'></span></p>
<p style="margin: 0px; text-align: justify; line-height: 115%; unicode-bidi: embed; direction: ltr;"><font color="#000000"><b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">Materials and Methods</span></b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">: This experimental study was conducted on a total of 70 patients with type II diabetes that referred to diabetes clinic in Zabol, Iran. The subjects were selected based on inclusion criteria and randomly assigned to intervention and control groups<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span>At first, eight questionnaires were completed for the history taking and drug compliance, including eight questions (</span><span new="" style="margin: 0px; font-family:;" times=""><font size="3">Morisky Medication Adherence Scale -8</font></span><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">), and the hemoglobin A1C (HbA1C)</span></font><span style="background: white; margin: 0px; color: rgb(84, 84, 84); line-height: 115%; font-family:;"> </span><span new="" style="margin: 0px; line-height: 115%; font-family:;" times=""><font color="#000000">test was performed<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span>Then, for the intervention group, eight training sessions of 60 to 90 min were held according to the model<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span>Finally, the drug compliance questionnaire was completed and the HbA1C samples were measured<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;" dir="LTR"></span><span style="margin: 0px;"> </span>In addition, the data were analyzed by SPSS software (version 21)<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>.</span></font></span><span style="margin: 0px; line-height: 115%; font-size: 10.5pt;"></span></p>
<p style="margin: 0px; text-align: justify; line-height: 115%; unicode-bidi: embed; direction: ltr;"><font color="#000000"><b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">Results:</span></b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times=""> According to the results, there was no statistically significant difference between the mean scores of drug adherence in the two groups pre-intervention (P=0.21); however, the difference was statistically significant post-intervention (P<0.001).<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span> </span>Furthermore, based on the findings, no statistically significant difference was observed between the mean scores of HbA1C in the two groups pre-intervention (P=0.32); nonetheless, this difference was significant post-intervention (P<0.001).</span></font></p>
<p style="margin: 0px; text-align: justify; line-height: 115%; unicode-bidi: embed; direction: ltr;"><font color="#000000"><b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times="">Conclusion:</span></b><span new="" style="margin: 0px; line-height: 115%; font-family:;" times=""> The obtained results of this study indicated the positive effects of the family-centered empowerment model on increasing drug compliance and improving glycemic control in patients<span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span><span dir="RTL" lang="FA" style="margin: 0px;"><span style="margin: 0px;" dir="RTL"></span><span style="margin: 0px;" dir="RTL"></span>. </span>Therefore, this training method can be utilized in patient education programs</span></font><span style='margin: 0px; line-height: 115%; font-family: "Times New Roman","serif"; font-size: 10.5pt;'></span></p>
توانمندسازی خانواده محور, کنترل گلیسمی, پیروی دارویی, دیابت نوع 2
Family-centered empowerment, Glycemic control, Drug compliance, Type II diabetes
596
606
http://jdn.zbmu.ac.ir/browse.php?a_code=A-10-94-20&slc_lang=fa&sid=1
Zahra
Mansouri
زهرا
مدنی
10031947532846004201
10031947532846004201
No
Zabol University of Medical Sciences
دانشگاه علوم پزشکی زابل
Ali
Mansouri
علی
منصوری
alimansuri1369@gmail.com
10031947532846004202
10031947532846004202
Yes
Zabol University of Medical Sciences
دانشگاه علوم پزشکی زابل
Forough
Zardosht
فروغ
زردشت
10031947532846004203
10031947532846004203
No
Tehran Medical Sciences Branch, Islamic Azad University
دانشگاه علوم پزشکی زابل
Parastoo
Nazarnia
پرستو
نظرنیا
10031947532846004204
10031947532846004204
No
Tehran Medical Sciences Branch, Islamic Azad University
دانشگاه علوم پزشکی آزاد اسلامی تهران
Afsanh
Sarabandi noe
افسانه
سرابندی نو
10031947532846004205
10031947532846004205
No
Islamic azad university,zahedan
دانشگاه آزاد اسلامی زاهدان