Volume 16, Issue 1 (Jan & Feb 2026)
J Research Health 2026, 16(1): 39-50 |
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Ethics code: IR.GMU.REC.1400.013
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Saberi Noghabi E, Noori R, Razizadeh A, Mohammadzadeh F. Effect of a Structured Nurse-led Follow-up on Self-care and Metabolic Indices in Diabetes Patients. J Research Health 2026; 16 (1) :39-50
URL: http://jrh.gmu.ac.ir/article-1-2653-en.html
URL: http://jrh.gmu.ac.ir/article-1-2653-en.html
1- Nursing Research Center, Allameh Bohlool Gonabadi Hospital, Gonabad University of Medical Sciences, Gonabad, Iran.
2- Clinical Research Development Unit, Bohlool Hospital, Gonabad University of Medical Sciences, Gonabad, Iran.
3- Department of Epidemiology & Biostatistics, Social Development & Health Promotion Research Center, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran. ,fmhz.uni@gmail.com
2- Clinical Research Development Unit, Bohlool Hospital, Gonabad University of Medical Sciences, Gonabad, Iran.
3- Department of Epidemiology & Biostatistics, Social Development & Health Promotion Research Center, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran. ,
Abstract: (2301 Views)
Background: Diabetes is a metabolic disorder that is associated with several complications. This study 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: A total of 144 adults with diabetes were randomly assigned to intervention and control groups. The intervention group received self-care education and scheduled follow-up with a nurse educator. Data on self-care behaviors, glycosylated hemoglobin A1C (HbA1c), fast blood sugar (FBS), total cholesterol (TC), and adverse health outcomes were collected at the baseline and after a 3-month intervention. Outcome analyses were conducted based on the intention-to-treat principles.
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 (from 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% confidence interval [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 (odds ratio [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 patients with diabetes. Implementing such interventions in routine diabetes care could enhance disease management and reduce the risk of complications.
Methods: A total of 144 adults with diabetes were randomly assigned to intervention and control groups. The intervention group received self-care education and scheduled follow-up with a nurse educator. Data on self-care behaviors, glycosylated hemoglobin A1C (HbA1c), fast blood sugar (FBS), total cholesterol (TC), and adverse health outcomes were collected at the baseline and after a 3-month intervention. Outcome analyses were conducted based on the intention-to-treat principles.
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 (from 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% confidence interval [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 (odds ratio [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 patients with diabetes. Implementing such interventions in routine diabetes care could enhance disease management and reduce the risk of complications.
Keywords: Diabetes mellitus, Hemoglobin A1C (HbA1C), Fast blood sugar (FBS), Patient discharge, Follow-up studies
Type of Study: Orginal Article |
Subject:
● Health Systems
Received: 2024/10/22 | Accepted: 2025/03/5 | Published: 2026/01/1
Received: 2024/10/22 | Accepted: 2025/03/5 | Published: 2026/01/1
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