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Effects of Predisposing, Reinforcing and Enabling Factors on Self-Care Behaviors of the Patients With Diabetes Mellitus in the Minoodasht City, Iran Publisher



Borhani M1 ; Rastgarimehr B2 ; Shafieyan Z3 ; Mansourian M4 ; Hoseini SM5 ; Arzaghi SM6 ; Qorbani M7, 8 ; Rezapoor A9 ; Asayesh H10 ; Charkazi A11 ; Ansari H12
Authors
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Authors Affiliations
  1. 1. Health Education and Promotion Department, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Abadan School of Medical Sciences, Abadan, Iran
  3. 3. Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran
  4. 4. Public Health Department, Ilam University of Medical Sciences, Ilam, Iran
  5. 5. Mazandaran University of Physical Education and Sport Sciences, Babolsar, Iran
  6. 6. Elderly Health Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Departments of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
  8. 8. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Health Economics, School of Health Management and Information Sciences, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran
  11. 11. Department of Public Health, Golestan University of Medical Sciences, Gorgan, Iran
  12. 12. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Source: Journal of Diabetes and Metabolic Disorders Published:2015


Abstract

Background: To control diabetes mellitus (DM) it is necessary to make overall changes in the life style of the patients. The aim of this study was to determine the effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with DM in the Minoodasht city, Iran in 2012.Methods: In this quasi-experimental study, 78 people with DM were selected by convenience sampling method. In the first stage of study, the educational program was compiled and executed on six information sessions. To present the informative content, a video projector and different lecturing methods including questions and answers, dynamic group discussion and different educational materials such as pamphlets and CDs were employed. After one month, the efficiency of the educational program was determined by using the same questioner. Data were analyzed using paired sample T-test and McNemar test. Results: The mean age of participants was 49 (SD: 3.27.) years old, 87.2% were married, and 19.2% were illiterate. The results showed that the enabling factors like adopting to go on a diet and the educational classes facilitated by the staff had significant effects on health care behavior of the patients. Furthermore 69.2% of the participants adopted to go on a diet before the educational sessions; that figure increased to 94.9% after the educational sessions. According to the results the mean scores for the knowledge, attitude, and behavior, reinforcement factors and enabling factors increased significantly after of the educational intervention (p- value >0.001).Conclusion: Predisposing, enabling and reinforcement factors affected in taking self-care behavior in the patient with DM. © 2015 Borhani et al.; licensee BioMed Central.
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