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Assessing the Effectiveness of the Family Health Nurse Model on Self-Management and Glycated Hemoglobin in Middle-Aged Women With Diabetes Type 2: A Randomized Controlled Trial Publisher

Summary: Study to test if nurse home visits improve diabetes control in middle-aged women, emphasizing family support. #Diabetes #FamilyHealth

A Esmaeili AZAM ; T Karimi TAYEBEH ; M Keshvari MAHROKH ; Z Farajzadegan ZIBA
Authors

Source: Journal of Education and Health Promotion Published:2025


Abstract

BACKGROUND: Empowering patients with the skills and knowledge to manage their diabetes themselves, along with providing them with family support, are crucial factors that play a critical role in controlling diabetes. Given that nurses provide home visits to assist patients in the family health nurse model, this study aims to assess its effectiveness in improving self-management and glycated hemoglobin levels in middle-aged women with type 2 diabetes. METHODS AND MATERIALS: The present clinical trial study, conducted in 2023, will be carried out on 84 middle-aged women who have been diagnosed with type 2 diabetes and are under the care of comprehensive health centers in Isfahan. They will be randomly assigned into two groups: intervention and control groups. Data will be collected using the Schmitt diabetes self-management questionnaire and glycated hemoglobin A1c test. For the intervention group, home visits will be conducted to identify diabetes self-management issues. Moreover, the intervention based on the family health nurse model will be implemented in three stages: pre-intervention, intervention, and evaluation. Statistical analysis will also include the Independent T-test and the Mancova and Ancova tests. CONCLUSION: The family health nurse model considers family as the cornerstone of healthcare, recognizing its crucial societal role. In addition, the family's emotional and psychological support improves the patient's problem-solving ability. Evaluating the effectiveness of this model could bring valuable insights for healthcare policymakers, guiding them in devising targeted and effective strategies. © 2025 Elsevier B.V., All rights reserved.
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