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Fateme Khorashadizade * 
1, Habibeh Sadat Shakri2 , Adeleh Sahebnasagh2 , Rezvan Rajabzadeh2 , Zahra Salehee3 , Zohreh Abasi4
1, Habibeh Sadat Shakri2 , Adeleh Sahebnasagh2 , Rezvan Rajabzadeh2 , Zahra Salehee3 , Zohreh Abasi4
1- Department of Nursing, North Khorasan University of Medical, Bojnurd, Iran. , khorashadizadehf891@gmail.com
2- Department of Internal Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
3- Student Reaserch Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran.
4- Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
2- Department of Internal Medicine, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
3- Student Reaserch Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran.
4- Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Abstract: (263 Views)
Introduction: Medication adherence of the elderly is poor and HbA1C is . Model-based interventions are needed to change their life style. Pender Health Promotion Model is one of the models. The present study was conducted with the aim of effect of educational intervention based on Pender Health Promotion Model on the medication adherence of the elderly with type 2 diabetes.
Method: The present experimantal study was conducted on 80 elderly diabetics in Bojnourd health and treatment centers. The elderly were randomly divided into two groups of 40 people based on the entry and exit criteria. Both groups received routine training, but the intervention group received training based on Pender's Health Promotion Model during 8 sessions for 4 weeks.The data was re-collected by valid and reliable questionnaires of demographic information, Health Promoting Lifestyle Profile II(HPLP II) and The eight-item Morisky Medication Adherence Scale(MMAS) and HbA1C test before and three months after the intervention. Ethical considerations were observed. Data were analyzed with SPSS23 software and independent t, paired t and linear regression tests at a significance level of 5%.
Results:The results showed that the majority of the study samples )52( %were women and the average age was 67.5±5.85. Comparison between groups showed that the average score of all dimensions of health promotion and medication adherence and HBA1C in the intervention group had significantly increased compared to the control group three months after the intervention(p<0.001). The level of HBA1Cin the intervention group significantly from 7.38±0.657 to 6.94±0.661 compared to the control group(p<0.001).
Conclusion: This stdy was shoed that pender health promotion model as a comprehensive educational modle with changing all of life style domain can improve medication adherence and HbA1C.
Method: The present experimantal study was conducted on 80 elderly diabetics in Bojnourd health and treatment centers. The elderly were randomly divided into two groups of 40 people based on the entry and exit criteria. Both groups received routine training, but the intervention group received training based on Pender's Health Promotion Model during 8 sessions for 4 weeks.The data was re-collected by valid and reliable questionnaires of demographic information, Health Promoting Lifestyle Profile II(HPLP II) and The eight-item Morisky Medication Adherence Scale(MMAS) and HbA1C test before and three months after the intervention. Ethical considerations were observed. Data were analyzed with SPSS23 software and independent t, paired t and linear regression tests at a significance level of 5%.
Results:The results showed that the majority of the study samples )52( %were women and the average age was 67.5±5.85. Comparison between groups showed that the average score of all dimensions of health promotion and medication adherence and HBA1C in the intervention group had significantly increased compared to the control group three months after the intervention(p<0.001). The level of HBA1Cin the intervention group significantly from 7.38±0.657 to 6.94±0.661 compared to the control group(p<0.001).
Conclusion: This stdy was shoed that pender health promotion model as a comprehensive educational modle with changing all of life style domain can improve medication adherence and HbA1C.
Keywords: Aged, Diabetes Mellitus, Type 2, Medication adherence, Health promotion, Pender model, Glycated haemoglobin (HbA1c)
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