Volume 28, Issue 3 (7-2020)                   Avicenna J Nurs Midwifery Care 2020, 28(3): 216-226 | Back to browse issues page


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1- Assistant Professor, Research Center for Nursing and Midwifery Care, Faculty of Nursing & Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , maryam-dafei@yahoo.com
2- Msc counseling in Midwifery, Department of Midwifery, International Campus University, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Associated Professor, Department of Statistics, School of Shahid Sadoughi University of Medical Sciences, Yazd, Iran Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract:   (4047 Views)
Background: Illness Perception and self-care behaviors are essential elements in treatment and management of patients with diabetes. The aim of this study was to investigate the effect of group counseling with a cognitive-behavioral approach to illness perceived and self-care behaviors in middle-aged women with type 2 diabetes (T2D).
Methods: The present study is a quasi - experimental study with two groups of intervention and control in parallel with pre-test, post-test and one month control in Isfahan, Iran, comprehensive health centers. For each group, 32 middle-aged women with T2D were selected by convenience sampling. Both groups received routine care of diabetic patients, but the experimental group received a cognitive behavioral group-counseling program. Data was collected through demographic questionnaire, the illness perception questionnair (IPQ), and summary of diabetes self-care activity (SDCS) and a checklist. Data was analyzed by SPSS 16 software using descriptive statistics, Chi-square test and independent t-test with significance level of 0.05.
Result: The groups were not significantly different demographically. The mean age was 38.65±4.23 and 39.19±4.87, and the duration of diagnosis was 2 years and less. Of patients, 77% had a history of hypertension or hyperlipidemia or both in both groups. There were no significant differences in self-care behaviors (t=-0.0222, P=0.859) and illness perception (t=-0.178, P=0.859) in the pre-test. However, in the post-test, the intervention group showed a significant improvement in self-care behaviors (t=4.25, P=0.01) and disease perception (t=3.93, standard deviation=0.87). There was also an improvement in self-care behaviors (t=4.41 and P=0.014) and illness perception (t=414 and P=0.01) in the follow-up period, indicating the persistence of changes in counseling
Conclusion: Group counseling based on cognitive-behavioral approach can enhance the perception of disease and self-care behaviors in T2D. Therefore, it can be used as a therapeutic approach to medication for patients with T2DM.
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Type of Study: Original Research | Subject: Midwifery
Received: 2019/12/16 | Accepted: 2020/03/19 | Published: 2020/05/30

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