Volume 30, Issue 2 (Spring 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(2): 134-141 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sadeghian A, Fallah R, Zirak M. The Effect of Patient Education through Social Media on the COVID-19-Related Anxiety in Patients with Diabetes: A Single-Blind Clinical Trial. Avicenna J Nurs Midwifery Care 2022; 30 (2) :134-141
URL: http://nmj.umsha.ac.ir/article-1-2410-en.html
1- School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- Department of Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
3- Department of Nursing, Maragheh University of Medical Sciences, Maragheh, Iran , mohammadzirak@gmail.com
Persian Full-Text [PDF 1294 kb]   (767 Downloads)     |   Abstract (HTML)  (1800 Views)
Extended Abstract:   (657 Views)
Background and Objective
The risk of Covid-19 infection is pathologically significant in patients with diabetes among other underlying diseases. Patients with diabetes are at risk for psychological trauma due to the Covid-19 anxiety. Accurate information and training help patients prevent and manage the Covid-19 infection which reduces anxiety and improves their quality of life. Many patients currently use social media such as chat groups for information, education, and medical support. The present study aimed to determine the effect of training through social media on the level of anxiety associated with Covid-19 in patients with diabetes due to the importance of controlling anxiety in patients with underlying diseases such as diabetes and the inadequacy of studies in this field.
Materials and Methods
The present study is a single-blind randomized clinical trial with a pretest-posttest design. A total of 113 participants were selected from patients with diabetes referred to educational and medical centers in Zanjan, Iran in 2021. Inclusion criteria included: 1) patients aged 18 to 60 years, 2) definitive diagnosis of diabetes, 3) being literate, 4) no mental illness, and 3) ability to work with a smartphone, tablet, or laptop. The exclusion criteria were the unwillingness of the person to continue cooperation and infection with Covid-19. Data collection was performed using demographic survey questions and the Coronavirus Anxiety Scale (CAS). The intervention group was trained through WhatsApp and Telegram messengers for two weeks after completing the questionnaires. CAS was completed by both groups to remeasure the level of anxiety in the patients at the end of the training sessions and immediately after the intervention. SPSS software (version 26.0) was used for data analysis. A P-value less than 0.05 was considered statistically significant.
Results
Based on the results, no statistically significant difference was observed in the mean scores of anxiety between the intervention and control groups before the intervention (P= .066) and after that (P= .493). However, the results of paired t-test indicated a statistically significant difference between the scores of anxiety before and after the intervention in the intervention group (P <.001).
Conclusion
Based on the results of the present study on Covid-19 anxiety, training through social media was effective in reducing the level of anxiety in the intervention group; however, it failed to significantly decrease the mean anxiety score of the intervention group compared to that of the control group. In this regard, Azadi et al. (2019) found that social network-based mindfulness intervention can be used as an effective treatment for psychological symptoms such as depression, anxiety, and stress in patients with diabetes who fail to attend regular group sessions of psychological therapy. Hayek et al. (2013) in a study on the effect of a training program on the level of anxiety, depression, blood sugar, self-care, and adherence to treatment in patients with type 2 diabetes indicated that a significant difference was observed in the scores of anxiety and depression in the intervention and control groups after the intervention. Therefore, they concluded that implementing educational interventions for these patients can reduce their level of anxiety and depression, as well as improve their level of self-care, blood sugar, and adherence to the treatment. The difference in the results of the above-mentioned studies and the present one can be due to the way of providing training, the study population, and the time of conducting the study. The results of the present study revealed that participants who received training on Covid-19 through social media had lower levels of anxiety compared to that before the intervention; however, the reduction was not significant in intergroup comparison.
Type of Study: Original Research | Subject: Nursing
Received: 2021/11/10 | Accepted: 2022/02/21 | Published: 2022/05/31

References
1. Tavakoli A, Vahdat K, Keshavarz M. Novel Coronavirus Disease 2019 (COVID-19): An Emerging Infectious Disease in the 21st Century. Iran South Med J. 2020;22(6):432-50. [Persian]
2. Abdi M. Coronavirus disease 2019 (COVID-19) outbreak in Iran: Actions and problems. Infect Control Hosp Epidemiol. 2020;41(6):754-55. [DOI] [PubMed]
3. WHO. Weekly epidemiological update on COVID-19.2021. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---7-december-2021. [Article]
4. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89(4):242-50. [DOI] [PubMed]
5. Cure E, Cure MC. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers may be harmful in patients with diabetes during COVID-19 pandemic. Diabetes Metab Syndr. 2020;14(4):349-50. [DOI] [PubMed]
6. Singh AK, Gupta R, Ghosh A, Misra A. Diabetes in COVID-19: Prevalence, pathophysiology, prognosis and practical considerations. Diabetes Metab Syndr. 2020;14(4):303-10. [DOI] [PubMed]
7. Hartmann Boyce J, Morris E, Goyder C, Kinton J, Perring J, Nunan D, et al. Diabetes and COVID-19: risks, management, and learnings from other national disasters. Diabetes Care. 2020;43(8):1695-703. [DOI] [PubMed]
8. Musche V, Kohler H, Bäuerle A, Schweda A, Weismüller B, Fink M, et al. COVID-19-Related Fear, Risk Perception, and Safety Behavior in Individuals with Diabetes Healthc (Amst). 2021;9(4):480. [DOI] [PubMed]
9. Bala R, Srivastava A, Potsangbam T, Anal L, Ningthoujam GD. Self care practices and psychological distress among diabetic patients in Manipur during COVID-19: A scenario from the North East. Diabetes Metab Syndr. 2021;15(1):93-98. [DOI] [PubMed]
10. Flowchart Diagnosis and Treatment of Covidian Disease at Outpatient and Inpatient Services Levels. Ministry of Health and Medical Education. March and may 2020;Fifth and Sixth Edition. https://behdasht.gov.ir/.
11. Kolmes K. Social media in the future of professional psychology. Prof Psychol Res Pr. 2012;43(6):606-12. [DOI]
12. McGonigle D, Mastrian KG. Nursing informatics and the foundation of knowledge: Jones & Bartlett Publishers; 2009.
13. Kamrani F, Nikkhah S, Borhani F, Jalali M, Shahsavari S, Nirumand Zandi K. The effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome. J Cardiovasc Nurs 2015;4(3):16-24. [Persian]
14. Attai DJ, Cowher MS, Al Hamadani M, Schoger JM, Staley AC, Landercasper J. Twitter social media is an effective tool for breast cancer patient education and support: patient-reported outcomes by survey. J Med Internet Res. 2015;17(7):e188. [DOI] [PubMed]
15. Hou F, Bi F, Jiao R, Luo D, Song K. Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China: a cross-sectional study. BMC public health. 2020;20(1):1648. [DOI] [PubMed]
16. Sujan MSH, Tasnim R, Islam MS, Ferdous MZ, Apu MAR, Musfique MM, et al. COVID-19-specific diabetes worries amongst diabetic patients: the role of social support and other co-variates. Prim Care Diabetes. 2021;15(5):778-85. [DOI] [PubMed]
17. Singhai K, Swami MK, Nebhinani N, Rastogi A, Jude E. Psychological adaptive difficulties and their management during COVID-19 pandemic in people with diabetes mellitus. Diabetes Metab Syndr. 2020;14(6):1603-05. [DOI] [PubMed]
18. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the Corona disease anxiety scale (CDAS) in the Iranian sample. J Health Psychol. 2020;8(4):163-75. [Persian] [DOI]
19. Azadi MM, Manshaee G, Golparvar M. Comparing the effectiveness of mobile social network-based mindfulness intervention with acceptance and commitment therapy and mindfulness therapy on self-management and glycated haemoglobin level among patients with type 2 diabetes. J Shahrekord Univ Med Sci. 2019;21(5):221-8. [Persian] [DOI]
20. Al Hayek AA, Robert AA, Al Dawish MA, Zamzami MM, Sam AE, Alzaid AA. Impact of an education program on patient anxiety, depression, glycemic control, and adherence to self-care and medication in Type 2 diabetes. J Family Community Med. 2013;20(2):77-82. [DOI] [PubMed]
21. Draffin CR, Alderdice FA, McCance DR, Maresh M, Harper R, Patterson CC, et al. Impact of an educational DVD on anxiety and glycaemic control in women diagnosed with gestational diabetes mellitus (GDM): A randomised controlled trial. Diabetes Res Clin Pract. 2017;126:164-71. [DOI] [PubMed]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb