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IRCT20230522058256N1 IRCT 2023-07-26 Esfahan University of Medical Sciences Investigating the effect of implementing the Family Health Nurse Model on Self-management and Glycosylated Hemoglobin Investigating the Effect of Implementing the Family Health Nurse Model on Self-management and Glycosylated Hemoglobin of Middle-aged Women with Type 2 Diabetes 2023-08-08 anticipated 84 Complete https://irct.ir/trial/70566 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance. N/A Type 2 diabetes. Intervention 1: Intervention group: For this group, the steps of the localized family health nurse model, which was developed by Kishori et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan City: Designing a suitable model for providing family health care" It has been designed and will be implemented. This model will include three stages (before intervention, intervention, and evaluation). The pre-intervention stage included two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures were taken to meet the people with diabetes, and in the first meeting with the samples, after completing the relevant questionnaires, their initial evaluation in The home visit center and time will be coordinated with them. In the intervention stage, which includes (home visits, implementation in the center and provision of a localized family health model service package, formation of self-help groups, and follow-up for 3 months), at least during two home visit sessions and the selection of a family health ambassador, with Use the relevant forms to assess the educational needs of the family with the help of family members and after identifying the identified problems of the patient, based on the nursing diagnoses, plan nursing care for the affected person with the help of the family and a localized model package that includes (counseling Individual, educational booklet and holding training sessions, referral to the doctor, follow-up of internal referrals made by the doctor (to a psychiatrist, nutritionist, internal specialist) and follow-up of external referrals) will be provided according to the needs and problems of each patient. Then, for 3 months, in the form of self-help group meetings and monthly care, and fasting blood sugar control, he will follow up with the affected people. The evaluation stage of this model will be done in 3 stages (during the intervention, immediately after the intervention, and 3 months after the intervention by diabetes self-management questionnaire and glycosylated hemoglobin test). Intervention 2: Control group:Control group: In this study, the control group after being called to the center, performing the initial assessment, glycosylated hemoglobin test, and completing the relevant questionnaires, will be referred to the health care providers and will receive the center's routine care for 3 months, and after 3 months, the questionnaires will be re-administered. Completion and testing of their glycosylated hemoglobin will be done. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Tayebeh Karimi
Hazar Jarib St., Isfahan University of Medical Sciences and Health Services, Nursing and Midwifery College
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 7153 tkarimi@nm.mui.ac.ir Esfahan University of Medical Sciences scientific Tayyaba Karimi
Hazar Jarib St., Isfahan University of Medical Sciences and Health Services, Nursing and Midwifery College
Esfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 7153 tkarimi@nm.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Have an active file in the center At least one year has passed since the diagnosis of their disease There should be no restrictions on entering the house and visiting the house. HbA1C should be considered uncontrolled according to the patient's medical record and the doctor's opinion Willingness and informed consent to participate in the research Have Iranian nationality 30 years 59 years Female Suffering from chronic and advanced complications of diabetes such as nephropathy, proliferative retinopathy, amputation Suffering from cognitive problems including mental retardation or known psychological disorders Failure to complete HBA1c questionnaires and tests or their incomplete completion E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) Treatment - Other Treatment - Other Intervention group: For this group, the steps of the localized family health nurse model, which was developed by Kishori et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan City: Designing a suitable model for providing family health care" It has been designed and will be implemented. This model will include three stages (before intervention, intervention, and evaluation). The pre-intervention stage included two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures were taken to meet the people with diabetes, and in the first meeting with the samples, after completing the relevant questionnaires, their initial evaluation in The home visit center and time will be coordinated with them. In the intervention stage, which includes (home visits, implementation in the center and provision of a localized family health model service package, formation of self-help groups, and follow-up for 3 months), at least during two home visit sessions and the selection of a family health ambassador, with Use the relevant forms to assess the educational needs of the family with the help of family members and after identifying the identified problems of the patient, based on the nursing diagnoses, plan nursing care for the affected person with the help of the family and a localized model package that includes (counseling Individual, educational booklet and holding training sessions, referral to the doctor, follow-up of internal referrals made by the doctor (to a psychiatrist, nutritionist, internal specialist) and follow-up of external referrals) will be provided according to the needs and problems of each patient. Then, for 3 months, in the form of self-help group meetings and monthly care, and fasting blood sugar control, he will follow up with the affected people. The evaluation stage of this model will be done in 3 stages (during the intervention, immediately after the intervention, and 3 months after the intervention by diabetes self-management questionnaire and glycosylated hemoglobin test). Control group:Control group: In this study, the control group after being called to the center, performing the initial assessment, glycosylated hemoglobin test, and completing the relevant questionnaires, will be referred to the health care providers and will receive the center's routine care for 3 months, and after 3 months, the questionnaires will be re-administered. Completion and testing of their glycosylated hemoglobin will be done Diabetes self-management score in the Schmitt diabetes self-management questionnaire. Timepoint: Before, immediately and 3 months after the intervention. Method of measurement: Diabetes Self-Management Questionnaire. The percentage of people who have glycosylated hemoglobin above 7.7. Timepoint: Before and 3 months after the intervention. Method of measurement: Glycosylated hemoglobin blood test. Esfahan University of Medical Sciences Approved 2023-07-08 Ethical Committee of Isfahan University of Medical Sciences Hazar Jarib Street, Isfahan University of Medical Sciences, School of Nursing and Midwifery Esfahan Isfehan Iran (Islamic Republic of)