オレムのセルフケアモデルを用いた在宅糖尿病セルフマネジメント教育と支援：ランダム化比較試験

The aim of this study was to provide health interventions by integrating the Diabetes Self-Management Education and Support recommended by the American Diabetes Association with Orem's self-care model to address the challenges in diabetes self-management. This research is a randomized controlled experimental research. Sixty-five diabetic patients (30 controls, 35 experimental) were included in the study. Before intervention, data were collected using a questionnaire form that includes the identifying characteristics of patients and the self-care agency scale, and biochemical analysis was performed. The patients in the experimental group were visited in their homes four times in weekly intervals, their self-care needs were evaluated, and nursing diagnoses were established. Then, home care was carried out and face-to-face individual diabetes education was delivered. Six weeks after the intervention, the post-test data were collected, and again, biochemical analysis was performed. It was determined that blood glucose levels, HbA1c, lipid levels, blood pressure values. and self-care needs of individuals in the experimental group were decreased during the study and the self-care agency score was increased, and there was a statistical difference between the experimental and control groups (P < .05). The intervention significantly improved glycaemic control and self-care agency.