The effect of educational intervention based on continuous care model on self-monitoring of blood glucose in type 2 diabetics

• Main Authors: Javad Esmaeilzade, Ali Mohammadpour, Moosa Sajjadi
• Format: Article
• Language: fas
• Published: Birjand University of Medical Sciences and Health Services 2016-11-01
• Series: Journal of Birjand University of Medical Sciences
• Subjects: : Diabetes Mellitus; Self-Care; Self-monitoring of blood glucose; Educational intervention; Continuous care model.
• Online Access: http://journal.bums.ac.ir/browse.php?a_code=A-10-1950-1&slc_lang=en&sid=1
• ISSN: 1607-2197; 2423-6152

Background and Aim: Appropriate control of blood sugar delays the onset and progression of diabetes complications. Nurses have a decisive role in the education of self-care behaviors to diabetic patients, including self-monitoring of blood glucose. The current study aimed at assessing the effect of educational intervention based on continuous care model on self-monitoring of blood glucose is type 2 diabetics. Materials and Methods: This randomized controlled clinical trial study was conducted on 86 patients with type II DM referring to the Arian Diabetes Clinic of Torbat-e-heydaryyeh in 2015. The participants were randomly divided into intervention and control groups. Educational interventions based on continuous care model that has four basic steps: orientation, sensitization, control, and evaluation, was done on the intervention group for 3 months during 6 sessions. A reasearcher-designed questionnaire was completed before the intervention and two weeks after the last training session and the average scores of self-monitoring of blood glucose in both groups were evaluated. Finally,the obtained data was fed &nbsp;into SPSS software (V: 16) and analyzed using descriptive and analytic statistical tests including Chi-square, paired T, independent t-tests P<0.05 was taken as the significant level. Results: Out of the total participants 59.3 percent were females; and their mean age was 48.6&plusmn;8.4 years. Results showed significant difference between the two groups in terms of self-monitoring of blood glucose before and after the educational intervention based on continuous care model (P<0.001). It was found that mean and standard deviation of self-monitoring blood glucose in the intervention group before and after the intervention were 11.51&plusmn;3.02 and 12.13&plusmn;2.96 &nbsp;, and 18.13&plusmn;3.93 and 13.25&plusmn;3.74 ; respectively. Conclusion: The results showed that educational intervention based on continuous care model is effective on self-care behaviors of diabetic patients, especially their self-monitoring of blood glucose; therefore, applying it is recommended.