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IJEM-Iranian Journal of Endocrinology and Metabolism. 2018; 19 (5): 330-339
in Persian | IMEMR | ID: emr-198503

ABSTRACT

Introduction: Type 1 diabetes is one of the most common of chronic metabolic disturbances in the adolescent period. This disease is often considered as a family disease because its management needs and support of family members, considering the nature of diabetes and the need for self-care in patients, the family-centered empowerment model of with emphasis on the effective role of the individual and family members in three-dimensions of prevocational, psychological and properties of the problem can be a suitable frame for instructional intervention. Therefore, this study aimed to determine the effects of the empowerment model of family-centered intervention on the quality of life and self-efficacy of adolescents with diabetes


Materials and Methods: This is quasi-experimental study of 100 adolescents with type 1 diabetes, have divided randomly in two groups [n=50 each] of intervention and controls. Family-centered empoverment model intervention with four dimensions of perceived threat, self-efficacy, instructional partnership and evaluation was done in 5 sessions in the intervention group. Data of the patient's demographic profile, questionnaire of standard scale self-efficacy in the management of diabetes and the quality of life of questionnaire for adolescents with diabetes were collected before, after immediately, and 1.5 months and 3 months after of intervention. For analysis of data, we used SPSS software version 21 and statistical test, K-square, paired and independent T and analysis of variance of duplicate sizes


Results: Results showed that after implementation of empowerment pattern of family-centered increased mean of the self-efficacy scores and quality of life at 1.5 months and 3 months after intervention in the intervention group a difference that was meaningful in terms of statistical significance [p<0.001]


Conclusion: Study results showed that diabetes education with the patient empowerment approach which performed at the family level can improve patients selfefficacy and increase quality of life adolescences with diabetes, and can be implemented by nurses to assist the family and patient in medical care

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