Zeinab Elyasi, Nasrin Ghiasi, Ali Khorshidi, Salar Bakhtiyari, Mohsen Jalilian
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引用次数: 0
Abstract
Background: Improving medication adherence plays a crucial role in preventing adverse complications of type 2 diabetes.
Objectives: This study aimed to determine the effect of a health education program on knowledge, medication adherence, and HbA1c in rural patients with type 2 diabetes.
Methods: This experimental study was conducted in Ilam County, Iran. Participants were selected via multistage cluster sampling and randomly assigned to either the intervention group (n=43) or the control group (n=42). The intervention group underwent a one-month educational program based on self-regulation theory, consisting of 12 sessions, while the control group received no educational intervention. Data were collected at baseline, three months, and six months using a diabetes knowledge test (DKT), the Iranian version of the Morisky Medication Adherence Scale-8 (IVMMAS-8), and laboratory measurements of HbA1c. Statistical analysis was performed using SPSS version 16, employing chi-square tests, independent sample t-tests, repeated-measures ANOVA, and Bonferroni correction at a significance level of 0.05.
Results: After 3 and 6 months, the intervention group showed significant improvements in diabetes knowledge and medication adherence and a significant reduction in HbA1c levels compared to the control group (p<0.001). No significant changes were observed in the control group over time (p>0.05).
Conclusion: This study demonstrated that health education based on self-regulation theory can effectively increase knowledge, improve treatment adherence, and decrease HbA1c levels in rural patients with type 2 diabetes.
背景：提高药物依从性在预防2型糖尿病不良并发症中起着至关重要的作用。目的：本研究旨在确定健康教育计划对农村2型糖尿病患者知识、药物依从性和HbA1c的影响。方法：本实验研究在伊朗伊拉姆县进行。参与者通过多阶段整群抽样选择，并随机分配到干预组（n=43）或对照组（n=42）。干预组接受为期一个月的基于自我调节理论的教育项目，共12次，对照组不接受教育干预。使用糖尿病知识测试（DKT）、伊朗版Morisky药物依从性量表-8 （IVMMAS-8）和实验室HbA1c测量在基线、3个月和6个月收集数据。统计学分析采用SPSS version 16，采用卡方检验、独立样本t检验、重复测量方差分析和Bonferroni校正，显著性水平为0.05。结果：干预组患者在治疗3个月和6个月后糖尿病知识和药物依从性均显著提高，HbA1c水平明显低于对照组（p0.05）。结论：本研究表明，基于自我调节理论的健康教育可以有效提高农村2型糖尿病患者的知识水平，提高治疗依从性，降低HbA1c水平。
期刊介绍：
Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
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