Nursing Development in Health

fa تأثیر مداخله آموزشی بر افسردگی در مبتلایان به دیابت نوع دو The effect of educational intervention on depression in patients with type 2 diabetes عمومى General پژوهشي Research <div> <table align="center" hspace="0" vspace="0"> <tbody> <tr> <td style="padding: 0cm 12px; text-align: justify;" valign="top">زمینه و هدف: دیابت یکی از شایع‌ترین بیماری‌های غیرواگیر در جهان است که به یک چالش جهانی تبدیل شده است. شیوع افسردگی در این بیماری مزمن منجربه کاهش تبعیت از درمان و در نتیجه تغییر در پیش آگهی دیابت در بیماران می‌شود. مطالعه حاضر با هدف بررسی تأثیر مداخله آموزشی بر افسردگی در مبتلایان به دیابت نوع دو انجام گردید. مواد و روش‌ها: مطالعه حاضر نیمه تجربی بوده که بر روی 60 بیمار (30 نفر گروه مداخله و 30 نفر گروه کنترل) مبتلا به دیابت نوع دو با افسردگی خفیف تا متوسط انجام شد. مقیاس Beck برای اندازه گیری نمره افسردگی استفاده شد. این پرسشنامه دوبار، قبل و بعد از مداخله آموزشی شش ماهه توسط شرکت‌کنندگان تکمیل گردید. داده‌ها با کمک نرم افزار  spssنسخه 18و از طریق آزمون‌های T زوجی و T مستقل تحلیل گردیدند. یافته‌ها: نتایج نشان داد قبل از مداخله اختلاف معناداری میان دو گروه از نظر نمره افسردگی وجود نداشت اما بعد از مداخله آموزشی نمره افسردگی در گروه مداخله نسبت به گروه کنترل به طور معناداری کاهش نشان داد (001/0 p<) نتیجه‌گیری : بر اساس نتایج مطالعه مداخله آموزشی می‌تواند منجر به کاهش علائم خفیف تا متوسط افسردگی در بیماران دیابتی نوع دو گردد. با این حال نیاز به شواهد بیشتری در این زمینه است.</td> </tr> </tbody> </table> </div> <div style="text-align: justify;"></div> <div class="WordSection1" dir="RTL">1. 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IDF Diabetes Atlas. 7th edn [Internet] ed. .Brussels, Belgium Available from: http:// www.diabetesatlas.org. 2015. 7. Zhao X, Yu X, Zhang X. The Role of Peer Support Education Model in Management of Glucose and Lipid Levels in Patients with Type 2 Diabetes Mellitus in Chinese Adults. J Diabetes Res. 2019;DOI: 10.1155/2019/5634030. 8. Young-Hyman D, De Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes care. 2016;39(12):2126-40. 9. Holt RI, De Groot M, Golden SH. Diabetes and depression. Current diabetes reports. 2014;14(6):1-9. 10.Badpar S, Bakhtiarpour S, Heidari A, Moradimanesh F. Structural Model of Diabetic Patients' Self-Care Based on Depression and Mindfulness: The Mediating Role of Health-Based Lifestyle. zbmu-jdn. 2020;8(1):1032-44. 11.Hermanns N, Caputo S, Dzida G, Khunti K, Meneghini LF, Snoek F. 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Koomesh. 2018;20(2):210-20. 17.Aikens JE. Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes care. 2012;35(12):2472-8. 18.Fisher L, Gonzalez J, Polonsky W. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetic medicine. 2014;31(7):764-72. 19.Ghamri RA, Jabali MA. Effect of Depression on Diabetes Self-Care in Type 2 Diabetes Patients at a Saudi Teaching Hospital: A Cross-Sectional Study. J Microsc Ultrastruct. 2020;8(3):115-20. 20.Lin EH, Katon W, Von Korff M, Rutter C, Simon GE, Oliver M, et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes care. 2004;27(9):2154-60. 21.A KHMAM. Interveiw and phsycological test. Tehran: sana publication. Institute for cognitive science studies; 2005. 22.Lustman PJ, Griffith LS, Clouse RE, Freedland KE, Eisen SA, Rubin EH, et al. Effects of nortriptyline on depression and glycemic control in diabetes: results of a double-blind, placebo-controlled trial. Psychosomatic medicine. 1997;59(3):241-50. 23.Lustman PJ, Griffith LS, Freedland KE, Kissel SS, Clouse RE. Cognitive behavior therapy for depression in type 2 diabetes mellitus: a randomized, controlled trial. Annals of internal medicine. 1998;129(8):613-21. 24.van der Feltz-Cornelis CM, Nuyen J, Stoop C, Chan J, Jacobson AM, Katon W, et al. Effect of interventions for major depressive disorder and significant depressive symptoms in patients with diabetes mellitus: a systematic review and meta-analysis☆,☆☆,★,★★. General Hospital Psychiatry. 2010;32:380-95. 25.Williams Jr JW, Katon W, Lin EH, Nöel PH, Worchel J, Cornell J, et al. The effectiveness of depression care management on diabetes-related outcomes in older patients. Annals of internal medicine. 2004;140(12):1015-24. 26.Van Der Feltz-Cornelis C. Comorbid diabetes and depression: do E-health treatments achieve better diabetes control. Diabetes Management. 2013;3(5):379-88. 27.Gonzalez JS, Peyrot M, McCarl LA, Collins EM, Serpa L, Mimiaga MJ, et al. Depression and diabetes treatment nonadherence: a meta-analysis. Diabetes care. 2008;31(12):2398-403.</div> <div aria-label="Page Break" class="cke_pagebreak" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break" contenteditable="false"></div>The effect of educational intervention on depression in patients with type 2 diabetes Masomeh Sarlak1, Fatemeh Jadidi2, Arezoo Shahsavari3 1. Diabetes Nurse, Aligudarz Diabetes Unit, Lorestan University of Medical Sciences, Khorramabad, Iran. 2. Department of Nursing, Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran. 3.Department of Nursing, Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran. Abstract Background and Objectives: Diabetes is one of the most common non-communicable diseases in the world and has become a global challenge. The prevalence of depression in this chronic disease leads to a decrease in adherence to treatment and thus a change in the prognosis of diabetes in patients. The aim of this study was to investigate the effect of educational intervention on depression in patients with type 2 diabetes. Materials and Methods: The present study was a quasi-experimental study performed on 60 patients (30 in the intervention group and 30 in the control group) with type 2 diabetes mellitus with mild to moderate depression. The Beck scale was used to measure depression score. This questionnaire was completed twice, before and after the six-month educational intervention by the participants. Data were analyzed using SPSS software version 18 through paired t-test and independent t-test. Results: The results showed that before the intervention there was a significant difference between the two groups in terms of depression score but after the educational intervention the depression score in the intervention group compared to the control group showed a significant decrease (p <0.001). Conclusion: According to the results of the study, educational intervention can reduce the symptoms of mild to moderate depression in type 2 diabetic patients. However, more evidence is needed. دیابت, افسردگی, آموزش Diabetes, Depression, Education 16 25 http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1-172&slc_lang=fa&sid=1 Masoomeh Sarlak معصومه سرلک 1003194753284600897 1003194753284600897 No ، ، Fatemeh Jadidi فاطمه جدیدی 1003194753284600898 1003194753284600898 No Arezoo Shahsavari آرزو شاهسواری 1003194753284600899 1003194753284600899 Yes