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Determining the impact of a selfcare educational program designed based on the Peplau theory on adherence to treatment and self-care in elderly patients with diabetes.

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Title: Determining the impact of a selfcare educational program designed based on the Peplau theory on adherence to treatment and self-care in elderly patients with diabetes.
Alternate Title: Impacto de un programa educativo de autocuidado diseñado a partir de la teoría de Peplau sobre la adherencia al tratamiento y el autocuidado en pacientes ancianos con diabetes.
Impacto de um programa educacional de autocuidado elaborado com base na teoria de Peplau na adesão ao tratamento e autocuidado em idosos com diabetes.
Authors: Abkenar, Matin Roostaye1 matinr1997@gmail.com, Imani, Elham1 eimani@hums.ac.ir, Teshnizi, Saeed Hosseini1 saeed.teshnizi@gmail.com, Ahmadi, Neda Sadat1 nedaa.s.ahmadi@gmail.com, Moradi, Yasin1 yasinmoradi489@gmail.com
Source: Investigación & Educación en Enfermería. Jan-Apr2025, Vol. 43 Issue 1, p1-14. 14p.
Subjects: TREATMENT of diabetes, HEALTH self-care, PATIENT compliance, FOOT care, LIFESTYLES, PEARSON correlation (Statistics), PEOPLE with diabetes, T-test (Statistics), EVALUATION of human services programs, NURSING models, STATISTICAL sampling, QUESTIONNAIRES, INTERVIEWING, SMOKING, RANDOMIZED controlled trials, PSYCHOLOGICAL adaptation, DESCRIPTIVE statistics, MANN Whitney U Test, EXPERIMENTAL design, CONTROL groups, PRE-tests & post-tests, BLOOD sugar, COMMUNICATION, ANALYSIS of variance, DRUGS, DATA analysis software, CONFIDENCE intervals, PSYCHOSOCIAL factors, DIET, PHYSICAL activity, BLOOD sugar monitoring, OLD age
Geographic Terms: IRAN
Abstract (English): Objective. To examine the impact of a self-care program designed using Peplau's theory on adherence and self-care in elderly diabetic patients. Methods. This semi-experimental study involved 102 elderly diabetic patients from a diabetes clinic in Hormoz, Iran, in 2023. Participants were randomly allocated to either the control group (n=51) or the intervention group (n=51). Before and two weeks after the intervention, participants completed a demographic information questionnaire, the Modanloo Adherence to Treatment Questionnaire for Patients with Chronic Illness, and the Summary of Diabetes Self-Care Activities Scale. The intervention group received a self-care educational program based on Peplau's therapeutic communication theory, delivered in three phases: orientation, working, and termination. The program focused on key diabetes self-care factors including diet, medication adherence, physical activity, blood sugar monitoring, and foot care. Educational sessions were conducted in small groups or individually in the clinic's education room. The control group received routine educational content provided by the diabetes clinic. Results. The findings showed that the difference between the pre-post mean scores was significantly higher in the intervention group compared with the control group in the total self-care score, as well as in its dimensions: diet, blood sugar regulation, and foot care (p<0.001). On the other hand, in terms of adherence, no significant difference was observed in the mean difference between groups for the total score (p=0.307), although a statistical difference was found in the dimensions of willingness to participate in treatment (p=0.035) and ability to adapt (p<0.001). Conclusion. The self-care educational program based on Peplau's theory improved the self-care and two dimensions of the adherence: willingness to participate in treatment and ability to adapt in diabetic patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Examinar el impacto de un programa de autocuidado diseñado a partir de la teoría de Peplau sobre la adherencia al tratamiento y el autocuidado en pacientes ancianos diabéticos. Métodos. Estudio experimental en el que participaron 102 pacientes diabéticos de edad avanzada de una clínica de diabetes de Hormoz, Irán, en 2023. Los participantes fueron asignados aleatoriamente al grupo de control (n=51) o al grupo de intervención (n=51). Antes y dos semanas después de la intervención, los participantes completaron un cuestionario de información demográfica, el Cuestionario Modanloo de Adherencia al Tratamiento para Pacientes con Enfermedades Crónicas y la Escala abreviada de Actividades de Autocuidado de la Diabetes. El grupo de intervención recibió un programa educativo de autocuidado basado en la teoría de la comunicación terapéutica de Peplau, impartido en tres fases: orientación, trabajo y finalización. El programa se centró en factores clave del autocuidado de la diabetes, como la dieta, el cumplimiento de la medicación, la actividad física, la monitorización de la glucemia y el cuidado de los pies. Las sesiones educativas se llevaron a cabo en pequeños grupos o individualmente en la sala de educación de la clínica. El grupo de control recibió contenidos educativos rutinarios proporcionados por la clínica de diabetes. Resultados. Los resultados mostraron que la diferencia entre las puntuaciones medias pre-post fue significativamente mayor en el grupo de intervención en comparación con el grupo de control en la puntuación total de autocuidado, así como en sus dimensiones: dieta, regulación de la glucemia y cuidado de los pies (p<0.001). Por otro lado, en cuanto a la adherencia, no se observaron diferencias significativas entre las medias entre grupos para la puntuación total (p=0.307), aunque sí se encontró una diferencia estadística en las dimensiones de disposición a participar en el tratamiento (p=0.035) y capacidad de adaptación (p<0.001). Conclusión. El programa educativo de autocuidado basado en la teoría de Peplau mejoró el autocuidado y dos dimensiones de la adherencia: la voluntad de participar en el tratamiento y la capacidad de adaptación en pacientes diabéticos. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Objetivo. Examinar o impacto de um programa de autocuidado desenvolvido com base na teoria de Peplau na adesão ao tratamento e no autocuidado em pacientes idosos diabéticos. Métodos. Estudo experimental envolvendo 102 pacientes diabéticos idosos de uma clínica de diabetes em Hormoz, Irã, em 2023. Os participantes foram aleatoriamente designados para o grupo de controle (n=51) ou o grupo de intervenção (n=51). Antes e duas semanas após a intervenção, os participantes preencheram um questionário de informações demográficas, o Questionário Modanloo de Adesão ao Tratamento para Pacientes com Doenças Crônicas e a Escala Abreviada de Atividades de Autocuidado com Diabetes. O grupo de intervenção recebeu um programa educacional de autocuidado baseado na teoria da comunicação terapêutica de Peplau, ministrado em três fases: orientação, trabalho e conclusão. O programa se concentrou em fatoreschave do autocuidado do diabetes, como dieta, adesão à medicação, atividade física, monitoramento da glicemia e cuidados com os pés. As sessões educacionais foram conduzidas em pequenos grupos ou individualmente na sala de educação da clínica. O grupo de controle recebeu conteúdo educacional de rotina fornecido pela clínica de diabetes. Resultados. Os resultados mostraram que a diferença entre as médias das pontuações pré-pós foi significativamente maior no grupo intervenção em comparação ao grupo controle no escore total de autocuidado, bem como em suas dimensões: dieta, regulação da glicemia e cuidados com os pés (p<0.001). Por outro lado, em relação à adesão, não foram observadas diferenças significativas entre as médias entre os grupos para o escore total (p=0.307), embora tenha sido encontrada diferença estatística nas dimensões disposição para participar do tratamento (p=0.035) e adaptabilidade (p<0.001). Conclusão. O programa educacional de autocuidado baseado na teoria de Peplau melhorou o autocuidado e duas dimensões de adesão: disposição para participar do tratamento e adaptabilidade em pacientes diabéticos. [ABSTRACT FROM AUTHOR]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Determining the impact of a selfcare educational program designed based on the Peplau theory on adherence to treatment and self-care in elderly patients with diabetes.
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  Data: Impacto de un programa educativo de autocuidado dise&#241;ado a partir de la teor&#237;a de Peplau sobre la adherencia al tratamiento y el autocuidado en pacientes ancianos con diabetes.&lt;br /&gt;Impacto de um programa educacional de autocuidado elaborado com base na teoria de Peplau na ades&#227;o ao tratamento e autocuidado em idosos com diabetes.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To examine the impact of a self-care program designed using Peplau&#39;s theory on adherence and self-care in elderly diabetic patients. Methods. This semi-experimental study involved 102 elderly diabetic patients from a diabetes clinic in Hormoz, Iran, in 2023. Participants were randomly allocated to either the control group (n=51) or the intervention group (n=51). Before and two weeks after the intervention, participants completed a demographic information questionnaire, the Modanloo Adherence to Treatment Questionnaire for Patients with Chronic Illness, and the Summary of Diabetes Self-Care Activities Scale. The intervention group received a self-care educational program based on Peplau&#39;s therapeutic communication theory, delivered in three phases: orientation, working, and termination. The program focused on key diabetes self-care factors including diet, medication adherence, physical activity, blood sugar monitoring, and foot care. Educational sessions were conducted in small groups or individually in the clinic&#39;s education room. The control group received routine educational content provided by the diabetes clinic. Results. The findings showed that the difference between the pre-post mean scores was significantly higher in the intervention group compared with the control group in the total self-care score, as well as in its dimensions: diet, blood sugar regulation, and foot care (p&lt;0.001). On the other hand, in terms of adherence, no significant difference was observed in the mean difference between groups for the total score (p=0.307), although a statistical difference was found in the dimensions of willingness to participate in treatment (p=0.035) and ability to adapt (p&lt;0.001). Conclusion. The self-care educational program based on Peplau&#39;s theory improved the self-care and two dimensions of the adherence: willingness to participate in treatment and ability to adapt in diabetic patients. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Examinar el impacto de un programa de autocuidado dise&#241;ado a partir de la teor&#237;a de Peplau sobre la adherencia al tratamiento y el autocuidado en pacientes ancianos diab&#233;ticos. M&#233;todos. Estudio experimental en el que participaron 102 pacientes diab&#233;ticos de edad avanzada de una cl&#237;nica de diabetes de Hormoz, Ir&#225;n, en 2023. Los participantes fueron asignados aleatoriamente al grupo de control (n=51) o al grupo de intervenci&#243;n (n=51). Antes y dos semanas despu&#233;s de la intervenci&#243;n, los participantes completaron un cuestionario de informaci&#243;n demogr&#225;fica, el Cuestionario Modanloo de Adherencia al Tratamiento para Pacientes con Enfermedades Cr&#243;nicas y la Escala abreviada de Actividades de Autocuidado de la Diabetes. El grupo de intervenci&#243;n recibi&#243; un programa educativo de autocuidado basado en la teor&#237;a de la comunicaci&#243;n terap&#233;utica de Peplau, impartido en tres fases: orientaci&#243;n, trabajo y finalizaci&#243;n. El programa se centr&#243; en factores clave del autocuidado de la diabetes, como la dieta, el cumplimiento de la medicaci&#243;n, la actividad f&#237;sica, la monitorizaci&#243;n de la glucemia y el cuidado de los pies. Las sesiones educativas se llevaron a cabo en peque&#241;os grupos o individualmente en la sala de educaci&#243;n de la cl&#237;nica. El grupo de control recibi&#243; contenidos educativos rutinarios proporcionados por la cl&#237;nica de diabetes. Resultados. Los resultados mostraron que la diferencia entre las puntuaciones medias pre-post fue significativamente mayor en el grupo de intervenci&#243;n en comparaci&#243;n con el grupo de control en la puntuaci&#243;n total de autocuidado, as&#237; como en sus dimensiones: dieta, regulaci&#243;n de la glucemia y cuidado de los pies (p&lt;0.001). Por otro lado, en cuanto a la adherencia, no se observaron diferencias significativas entre las medias entre grupos para la puntuaci&#243;n total (p=0.307), aunque s&#237; se encontr&#243; una diferencia estad&#237;stica en las dimensiones de disposici&#243;n a participar en el tratamiento (p=0.035) y capacidad de adaptaci&#243;n (p&lt;0.001). Conclusi&#243;n. El programa educativo de autocuidado basado en la teor&#237;a de Peplau mejor&#243; el autocuidado y dos dimensiones de la adherencia: la voluntad de participar en el tratamiento y la capacidad de adaptaci&#243;n en pacientes diab&#233;ticos. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Examinar o impacto de um programa de autocuidado desenvolvido com base na teoria de Peplau na ades&#227;o ao tratamento e no autocuidado em pacientes idosos diab&#233;ticos. M&#233;todos. Estudo experimental envolvendo 102 pacientes diab&#233;ticos idosos de uma cl&#237;nica de diabetes em Hormoz, Ir&#227;, em 2023. Os participantes foram aleatoriamente designados para o grupo de controle (n=51) ou o grupo de interven&#231;&#227;o (n=51). Antes e duas semanas ap&#243;s a interven&#231;&#227;o, os participantes preencheram um question&#225;rio de informa&#231;&#245;es demogr&#225;ficas, o Question&#225;rio Modanloo de Ades&#227;o ao Tratamento para Pacientes com Doen&#231;as Cr&#244;nicas e a Escala Abreviada de Atividades de Autocuidado com Diabetes. O grupo de interven&#231;&#227;o recebeu um programa educacional de autocuidado baseado na teoria da comunica&#231;&#227;o terap&#234;utica de Peplau, ministrado em tr&#234;s fases: orienta&#231;&#227;o, trabalho e conclus&#227;o. O programa se concentrou em fatoreschave do autocuidado do diabetes, como dieta, ades&#227;o &#224; medica&#231;&#227;o, atividade f&#237;sica, monitoramento da glicemia e cuidados com os p&#233;s. As sess&#245;es educacionais foram conduzidas em pequenos grupos ou individualmente na sala de educa&#231;&#227;o da cl&#237;nica. O grupo de controle recebeu conte&#250;do educacional de rotina fornecido pela cl&#237;nica de diabetes. Resultados. Os resultados mostraram que a diferen&#231;a entre as m&#233;dias das pontua&#231;&#245;es pr&#233;-p&#243;s foi significativamente maior no grupo interven&#231;&#227;o em compara&#231;&#227;o ao grupo controle no escore total de autocuidado, bem como em suas dimens&#245;es: dieta, regula&#231;&#227;o da glicemia e cuidados com os p&#233;s (p&lt;0.001). Por outro lado, em rela&#231;&#227;o &#224; ades&#227;o, n&#227;o foram observadas diferen&#231;as significativas entre as m&#233;dias entre os grupos para o escore total (p=0.307), embora tenha sido encontrada diferen&#231;a estat&#237;stica nas dimens&#245;es disposi&#231;&#227;o para participar do tratamento (p=0.035) e adaptabilidade (p&lt;0.001). Conclus&#227;o. O programa educacional de autocuidado baseado na teoria de Peplau melhorou o autocuidado e duas dimens&#245;es de ades&#227;o: disposi&#231;&#227;o para participar do tratamento e adaptabilidade em pacientes diab&#233;ticos. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.17533/udea.iee.v43n1e05
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 1
    Subjects:
      – SubjectFull: TREATMENT of diabetes
        Type: general
      – SubjectFull: HEALTH self-care
        Type: general
      – SubjectFull: PATIENT compliance
        Type: general
      – SubjectFull: FOOT care
        Type: general
      – SubjectFull: LIFESTYLES
        Type: general
      – SubjectFull: PEARSON correlation (Statistics)
        Type: general
      – SubjectFull: PEOPLE with diabetes
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: EVALUATION of human services programs
        Type: general
      – SubjectFull: NURSING models
        Type: general
      – SubjectFull: STATISTICAL sampling
        Type: general
      – SubjectFull: QUESTIONNAIRES
        Type: general
      – SubjectFull: INTERVIEWING
        Type: general
      – SubjectFull: SMOKING
        Type: general
      – SubjectFull: RANDOMIZED controlled trials
        Type: general
      – SubjectFull: PSYCHOLOGICAL adaptation
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: MANN Whitney U Test
        Type: general
      – SubjectFull: EXPERIMENTAL design
        Type: general
      – SubjectFull: CONTROL groups
        Type: general
      – SubjectFull: PRE-tests & post-tests
        Type: general
      – SubjectFull: BLOOD sugar
        Type: general
      – SubjectFull: COMMUNICATION
        Type: general
      – SubjectFull: ANALYSIS of variance
        Type: general
      – SubjectFull: DRUGS
        Type: general
      – SubjectFull: DATA analysis software
        Type: general
      – SubjectFull: CONFIDENCE intervals
        Type: general
      – SubjectFull: PSYCHOSOCIAL factors
        Type: general
      – SubjectFull: DIET
        Type: general
      – SubjectFull: PHYSICAL activity
        Type: general
      – SubjectFull: BLOOD sugar monitoring
        Type: general
      – SubjectFull: OLD age
        Type: general
      – SubjectFull: IRAN
        Type: general
    Titles:
      – TitleFull: Determining the impact of a selfcare educational program designed based on the Peplau theory on adherence to treatment and self-care in elderly patients with diabetes.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Abkenar, Matin Roostaye
      – PersonEntity:
          Name:
            NameFull: Imani, Elham
      – PersonEntity:
          Name:
            NameFull: Teshnizi, Saeed Hosseini
      – PersonEntity:
          Name:
            NameFull: Ahmadi, Neda Sadat
      – PersonEntity:
          Name:
            NameFull: Moradi, Yasin
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan-Apr2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01205307
          Numbering:
            – Type: volume
              Value: 43
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Investigación & Educación en Enfermería
              Type: main
ResultId 1