The impact of self-care education on self-esteem, self-care behavior, and blood glucose levels in people with type ۲ diabetes mellitus and pre-diabetes attending rural health centers in Gorgan City in ۲۰۲۳

Background: Self-care is defined as a strategy to adapt the events and stresses of life, which improves health and includes special activities that alleviate the symptoms of the disease. This study aimed to investigate the impact of a self-care program on the self-esteem of patients with type ۲ diabetes mellitus (T۲DM) attending rural health centers in Gorgan City in ۲۰۲۳. Methods: A quasi-experimental, pre-and post-test intervention study was conducted using a multistage sampling technique in patients with T۲DM and prediabetes attending health centers in rural health centers of Gorgan City. An educational program was conducted on ۶۸ patients divided into two groups of diabetes and pre-diabetes (۳۴ patients in each group). Data were collected using a personal information checklist, standard self-care questionnaires, and the Coopersmith Self-Esteem Inventory. Follow-up was conducted two months after the intervention. The data were described using mean and standard deviation, and analyzed by Kolmogorov-Smirnov, Chi-square, Independent T-test, and Paired T-test. Results: The mean age in the T۲DM group was ۵۸ ±۷.۲۶, and ۶۰.۲۹ ± ۹.۴۷ years in the pre-diabetes group. The mean fasting blood sugar levels in the T۲DM and pre-diabetes groups after the intervention were ۱۳۱.۲۴ and ۱۰۰.۹۴, respectively, which showed a significant statistical difference (P-Value=۰.۰۲). The mean self-esteem scores in the T۲DM and pre-diabetes groups after the intervention also showed a significant statistical difference (P-Value =۰.۰۰۶). Conclusion: In the current study, the present intervention led to the improvement of self-esteem and self-care scores in people with T۲DM and pre-diabetes.

کلیدواژه ها:

Blood Glucose ، Chronic Disease ، Diabetes Mellitus Type ۲ ، Self Care