Effect of a Self-Regulation Enhancing Program via Tele-nursing on Health Behaviors Among Persons with Uncontrolled Diabetes Mellitus in Communities
Keywords:
Communities, Self-regulation enhancing program, Tele-nursing, Uncontrolled diabetesAbstract
The use of tele-nursing to promote self-regulation in working-age individuals with uncontrolled diabetes mellitus may lead to improved health behaviors. This quasi-experimental study with a pre-test and post-test design involving two groups aimed to compare health behavior mean scores between those who received a self-regulation enhancing program via tele-nursing and those who received standard nursing care. It also aimed to compare health behavior mean scores, before and after an intervention, of community-dwelling persons with uncontrolled diabetes mellitus. The participants consisted of 54 working-age individuals, diagnosed with type 2 diabetes and unable to control blood sugar levels. They were divided into an experimental group (27 participants) and a control group (27 participants). The research instruments comprised two parts: 1) experimental instruments, including the self-regulation enhancing program via tele-nursing developed by the researcher based on Bandura’s self-regulation theory, and 2) data collection instruments, including a general information questionnaire and a health behavior questionnaire. Data were analyzed using descriptive statistics, chi-square, paired t-tests, and independent t-tests.
The research findings indicated that health behavior mean scores after participating in the program were significantly higher than before the program (t = -4.841, p < .001). Moreover, the health behavior scores of the group with uncontrolled diabetes mellitus who participated in the self-regulation enhancing program were significantly higher than those of the group receiving standard nursing care (t = -6.232, p < .001).
These results suggest that the self-regulation enhancing program effectively helps individuals with diabetes to improve their health behavior control.
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