Volume 16, Issue 1 (Jan & Feb-In Press 2026)
J Research Health 2026, 16(1): 4-4 |
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Ethics code: IR.GMU.REC.1400.013
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Saberi Noghabi E, Noori R, Mohammadzadeh F. The Effect of a Structured Nurse-Led Post-Discharge Follow-Up on Self-Care Behaviors, Metabolic Control Indices and Adverse Health Outcomes in Type 2 Diabetics: A Randomized Controlled Trial. J Research Health 2026; 16 (1) :4-4
URL: http://jrh.gmu.ac.ir/article-1-2653-en.html
URL: http://jrh.gmu.ac.ir/article-1-2653-en.html
1- Allameh Bohlool Gonabadi Hospital, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran. , saberinoghabie@gmu.ac.ir
2- Allameh Bohlool Gonabadi Hospital, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
3- Department of Epidemiology & Biostatistics, School of Health, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
2- Allameh Bohlool Gonabadi Hospital, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
3- Department of Epidemiology & Biostatistics, School of Health, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Abstract: (16 Views)
Background: Diabetes is one of the metabolic disorders that associated with many complications. This study was aimed to assess the effect of a structured nurse-led post-discharge follow-up plan on self-care behaviors, metabolic control indices and adverse health outcomes in diabetics.
Methods: 144 adults with diabetes were randomly assigned to intervention and control groups. The intervention group got self-care education and planned follow-ups from a nurse educator. Data on self-care behaviors, glycosylated hemoglobin (HbA1c), Fast blood sugar (FBS), total cholesterol (TC) and adverse health outcomes were collected at the baseline and after 3-month intervention. Outcome analyses were conducted based on the intention-to-treat principle.
Results: During the three-month project, the intervention group showed a significant increase in self-care behaviors (from 31.17 ± 7.69 to 31.32 ± 13.58, p < 0.001), while the control group exhibited no significant change (31.17 ± 7.69 to 31.32 ± 13.58, p = 0.907). After the intervention, the mean self-care behavior score was significantly higher in the intervention group (B=20.02; 95% CI: 14.49, 25.56; p < 0.001). Additionally, the mean HbA1c level in the nurse-led follow-up group was 0.70 units lower than in the control group (95% CI: 0.15, 1.26; p < 0.001). The odds of achieving a good FBS level were significantly higher in the intervention group compared to the control group (OR = 7.79; 95% CI: 1.21, 50.40; p < 0.001). Furthermore, the mean TC level in the intervention group was 20.31 units lower than in the control group (95% CI: 11.56, 29.04; p < 0.001).
Conclusion: A structured nurse-led post-discharge follow-up plan significantly improves self-care behaviors and metabolic control in diabetic patients. Implementing such interventions in routine diabetes care could enhance disease management and reduce the risk of complications.
Methods: 144 adults with diabetes were randomly assigned to intervention and control groups. The intervention group got self-care education and planned follow-ups from a nurse educator. Data on self-care behaviors, glycosylated hemoglobin (HbA1c), Fast blood sugar (FBS), total cholesterol (TC) and adverse health outcomes were collected at the baseline and after 3-month intervention. Outcome analyses were conducted based on the intention-to-treat principle.
Results: During the three-month project, the intervention group showed a significant increase in self-care behaviors (from 31.17 ± 7.69 to 31.32 ± 13.58, p < 0.001), while the control group exhibited no significant change (31.17 ± 7.69 to 31.32 ± 13.58, p = 0.907). After the intervention, the mean self-care behavior score was significantly higher in the intervention group (B=20.02; 95% CI: 14.49, 25.56; p < 0.001). Additionally, the mean HbA1c level in the nurse-led follow-up group was 0.70 units lower than in the control group (95% CI: 0.15, 1.26; p < 0.001). The odds of achieving a good FBS level were significantly higher in the intervention group compared to the control group (OR = 7.79; 95% CI: 1.21, 50.40; p < 0.001). Furthermore, the mean TC level in the intervention group was 20.31 units lower than in the control group (95% CI: 11.56, 29.04; p < 0.001).
Conclusion: A structured nurse-led post-discharge follow-up plan significantly improves self-care behaviors and metabolic control in diabetic patients. Implementing such interventions in routine diabetes care could enhance disease management and reduce the risk of complications.
Type of Study: Orginal Article |
Subject:
● Health Systems
Received: 2024/10/22 | Accepted: 2025/03/5 | Published: 2026/01/27
Received: 2024/10/22 | Accepted: 2025/03/5 | Published: 2026/01/27
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