Volume 31, Issue 3 (Avicenna Journal of Clinical Medicine-Autumn 2024)                   Avicenna J Clin Med 2024, 31(3): 178-189 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Koorki M, Isfandyari–Moghaddam A, Zarei A, Khoshravesh S, Ayubi E. Explaining the Understanding of Elderly Patients with Type 2 Diabetes Regarding Information Therapy Related to Self-care: A Qualitative Study. Avicenna J Clin Med 2024; 31 (3) :178-189
URL: http://sjh.umsha.ac.ir/article-1-3085-en.html
1- Department of Knowledge and Information Science, Hamedan Branch, Islamic Azad University, Hamedan, Iran
2- Department of Knowledge and Information Science, Hamedan Branch, Islamic Azad University, Hamedan, Iran , ali.isfandyari@gmail.com
3- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran
4- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (456 Views)
Background and Objective: Information therapy is one of the new methods of providing health-related information to patients. This method plays an important role in empowering patients to make informed health decisions and participate in the recovery process. In this regard, the present study was conducted to explain the understanding of elderly people with type 2 diabetes regarding information therapy related to self-care.
Materials and Methods: This study was carried out qualitatively using the content analysis method on 18 patients with type 2 diabetes referred to some specialized diabetes centers in Hamadan City in 2024. Participants were selected based on purposeful sampling method and content saturation with maximum diversity based on gender, education level, marital status, employment status, and duration of diabetes among patients eligible for the study. A semi-structured, in-depth personal interview method was used for data collection. All interviews were recorded, transcribed, and then analyzed using MAXQDA 2020 software.
Results: After data analysis, three categories and thirteen subcategories were extracted in relation to the theme of diabetes control and management. The obtained categories included promoting self-care behaviors, increasing individuals' motivation to perform self-care behaviors, and accessing information therapy communication channels. Subcategories included paying attention to physical, psychological, social, and spiritual self-care; boosting awareness; improving attitude; controlling disease and its complications; reducing costs and making better decisions; and interpersonal media, traditional media, digital media, and social networks.
Conclusion: According to the results, it seems that information therapy is one of the methods of increasing individuals' motivation to perform self-care behaviors and promoting self-care behaviors. Ultimately, it may assist elderly patients in controlling and managing type 2 diabetes.
 
Full-Text [PDF 1338 kb]   (233 Downloads)    
Type of Study: Original | Subject: Social Medicine

References
1. Mah-Najafabadi A, Ghasemi A-H, Papi A, Zare-Farashbandi F. Identifying the Opportunities and Challenges of Establishing an Information Therapy Center. Journal of Health Administration. 2022;25(2):116-33. Link
2. Andersen CM. Information Therapy: A Prescription for the Digital Era. The Health Care Manager. 2013;32(3):242-5. DOI: 10.1097/HCM.0b013e31829d766b
3. Mitchell DJ. A model of information therapy: Definition and empirical application: University of North Texas.1999. Link
4. Stout MB, Justice JN, Nicklas BJ, Kirkland JL. Physiological aging: links among adipose tissue dysfunction, diabetes, and frailty. Physiology. 2016;32(1):9-19. Link
5. Al-Saeed AH, Constantino MI, Molyneaux L, D’Souza M, Limacher-Gisler F, Luo C, et al. An inverse relationship between age of type 2 diabetes onset and complication risk and mortality: the impact of youth-onset type 2 diabetes. Diabetes Care. 2016;39(5):823-9. DOI: 10.2337/dc15-0991
6. Bastani F, Pourmohammadi A, Haghani H. Relationship between perceived stress with spiritual health among older adults with diabetes registered to the association of diabetes prevention and control in Babol, 2013. Journal of hayat. 2014;20(3):6-18. Link
7. Arastoo A, Ghassemzadeh R, Nasseh H, Kamali M, Rahimi FA, Arzaghi M, et al. Factors affecting quality of life in elderly diabetic residents of the kahrizak geriatric nursing home of Tehran. Iranian Journal of Endocrinology and Metabolism. 2012;14(1): Pe18-24. Link
8. Ghasemi M, Hosseini H, Sabouhi F. The effect of peer group training on self-care of elderly with diabetes mellitus. Journal of Clinical Nursing and Midwifery. 2017:33-43. Link
9. WHO. World population ageing report. 2017. Link
10. Moulaei K, Dinari Z, Dinari F, Jahani Y, Bahaadinbeigy K. The role of social networks in diabetes self-care: A cross-sectional study. Health Sci Rep. 2022;5(3):e601. DOI: 10.1002/hsr2.601
11. Kebede MM, Pischke CR. Popular Diabetes Apps and the Impact of Diabetes App Use on Self-Care Behaviour: A Survey Among the Digital Community of Persons With Diabetes on Social Media. Front Endocrinol. 2019;10:135. PMID: 30881349 DOI: 10.3389/fendo.2019.00135
12. Anderson R, Funnell M, Carlson A, Saleh‐Statin N, Cradock S, Skinner TC. Facilitating self‐care through empowerment. Psychol in Diabetes Care . 2000:69-97. DOI: 10.1002/0470846569.ch4
13. Allison SE. Self-care requirements for activity and rest: An Orem nursing focus. Nurs Sci Q. 2007;20(1):68-76. DOI: 10.1177/0894318406296297
14. Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of qualitative research. 1994;2(163-194):105. Link
15. Khiyali Z, Ghasemi A, Toghroli R, Ziapour A, Shahabi N, Dehghan A, et al. The effect of peer group on self-care behaviors and glycemic index in elders with type II diabetes. J Educ Health Promot. 2021;10(1):197. PMID: 34250131 DOI: 10.4103/jehp.jehp_990_20
16. Hooshmandja M, Mohammadi A, Esteghamti A, Aliabadi K, Nili M. Effect of mobile learning (application) on self-care behaviors and blood glucose of type 2 diabetic patients. J Diabetes Metab Disord. 2019;18(2):307-13. PMID: 31890655 DOI: 10.1007/s40200-019-00414-1
17. Dong Y, Wang P, Dai Z, Liu K, Jin Y, Li A, et al. Increased self-care activities and glycemic control rate in relation to health education via Wechat among diabetes patients: A randomized clinical trial. Medicine. 2018;97(50):e13632. PMID: 30558051 DOI: 10.1097/MD.0000000000013632
18. Lee SK, Shin DH, Kim YH, Lee KS. Effect of diabetes education through pattern management on self-care and self-efficacy in patients with type 2 diabetes. Int J Environ Res Public Health. 2019;16(18):3323. DOI: 10.3390/ijerph16183323
19. Madmoli M, Madmoli M, Aliabad MA, Khodadadi M, Ahmadi FP. A systematic review on the impact of empowerment in improving self-care behaviors and some other factors in diabetic patients. diabetes. 2019;13:19. DOI: 0.30750/ IJHBS.2.1.3
20. Khalili R, Parandeh A, Karimi L. The effect of educational intervention by nursing students in the field on self-care improvement of inpatient with diabetes typeII. Education Strategies in Medical Sciences. 2024;17(2):127-35. Link
21. Romain AJ, Bernard P, Galvez M, Caudroit J. Response to an exercise intervention for patients with Type 2 diabetes: A preliminary study of processes of change. J Appl Biobehav Res. 2015;20(3):130-6. DOI: 10.1111/jabr.12034
22. Plotnikoff RC, Pickering MA, Glenn N, Doze SL, Reinbold-Matthews ML, McLeod LJ, et al. The effects of a supplemental, theory-based physical activity counseling intervention for adults with type 2 diabetes. J Phys Act Health. 2011;8(7):944-54. PMID: 21885885 DOI: 10.1123/jpah.8.7.944
23. Jalilian F, Zinat Motlagh F, Solhi M. Effectiveness of education program on increasing self management among patients with type II diabetes. J Ilam Uni Med Sci. 2012;20(1):26-34. Link
24. Joshi R, Joshi D, Cheriyath P. Improving adherence and outcomes in diabetic patients. Patient Prefer Adherence. 2017;11:271-75. PMID: 28243070 DOI: 10.2147/PPA.S122490
25. Khani Jeyhoni A, Hazavehei S. The Effect of educational program on on the BASNEF Model in blood sugar control in patients with type 2 diabetes. Iran J Diabetes Lipid Disord. 2010;10(1):67-75. Link
26. Witusik A, Kaczmarek S, Pietras T. The role of music therapy in the treatment of patients with type 2 diabetes. Pol Merkur Lekarski. 2022;50(297):210-12. PMID: 35801608
27. Khoshkhou F, Bakhshipour A, Dashipour A, Keramati M R. Comparison of the effect of combined relaxation and music therapy on blood biochemical characters and blood pressure on type 2 diabetic patients. Zahedan J Res Med Sci. 2010;12(3):e94297. Link
28. Bobes J, González M, Bascarán M, Arango C, Sáiz P, Bousono M. Quality of life and disability in patients with obsessive-compulsive disorder. European psychiatry. 2001;16(4):239-45. DOI: 10.1016/S0924-9338(01)00571-5
29. Khavasi M, Shamsizadeh M, Varaei S, Rezaei M, Elhami S, Masroor D. The effect of peer education on diabetes quality of life in patients with type 2 diabetes: A randomized clinical trial. Avicenna J Nurs Midwifery Care . 2017;25(3):8-16. DOI: 10.21859/nmj-25032
30. Afshari A. Prediction of diabetic patients’ treatment adherence by self compassion, emotional regulation and spritual welbeing. RBS.2018;16(4):466-75. DOI: 10.52547/rbs.16.4.466
31. Mendoza-Núñez VM, Flores-Bello C, Correa-Muñoz E, Retana-Ugalde R, Ruiz-Ramos M. Relación entre las redes de apoyo social con el control de la diabetes y su impacto sobre la calidad de vida en ancianos mejicanos que viven en la comunidad. Nutr Hosp. 2016;33(6):1312-6. DOI: 10.20960/nh.776
32. Rashidi K, Safavi M, Yahyavi SH, Farahani H. The effect of the peers’ support on self efficacy level type II diabetic patients. Avicenna J Nurs Midwifery Care. 2015;23(3):15-26. Link
33. Sopjani I, Vehapi S, Gorani D, Imeri M, Vitoja S, Tahiri S. The relation between depressive symptoms and self-care in patients with diabetes mellitus type 2 in Kosovo. Med Arch. 2016;70(6):425-28. PMID: 28210013 DOI: 10.5455/medarh.2016.70.425-428
34. Zanjani F, Mohammad Khan Kermanshahi S, Gholami Fesharaki M. The Effect of Health Promotion Support Program on Quality of Life in Patients With Type 2 Diabetes. Qom University of Medical Sciences Journal. 2021;15(4):296-305. DOI:10.32598/qums.15.4.296
35. Ebadi A, Benampour N. Self-Spiritual experiences in adolescents: A qualitative study. JPEN. 2021;7(4):52-64. Link
36. Hajizad R, Abdollahzadeh H, Gholami M. The impact of training spiritual/religious coping skills on level of anxiety and stress coping strategies of patients with type II diabetes to provide nursing and caring strategies. J Diabetes Nurs . 2016;4(4):72-83. Link
37. Behdani S, Dastjerdi R, Sharifzadeh GR. Relationship between trust in God and self–efficacy With mental health in type II diabetics. Journal of Birjand University of Medical Sciences. 2012;19(3):302-11. Link
38. Ardiansyah G, Purwandari H, Wahyuni RT. spiritual well being with quality of life in diabetes mellitus patient in working area Tanjunganom Health Center of Nganjuk Regency. Journal of Vocational Nursing. 2020;1(1):6-10. Link
39. Ouyang C-M. Factors affecting diabetes self-care among patients with type 2 diabetes in Taiwan: Tufts University. 2007. Link
40. Solhi M, Hazrati S, Shabani M, Nejaddadgar N. Use of PRECEDE model for self-care educational need assessment among diabetic patients. J Diabetes Nurs. 2017;5(4):295-306. Link
41. Khakzadi H, Morshedi H. Association between health literacy and theory of planned behavior with self-care behaviors in Type 2 diabetic patients. jmsthums.2019;6(4):33-46. Link
42. Dashtian M, Eftekhar-Ardebili H, Karimzadeh-Shirazi K, Shahmoradi M, Azam K, Piraee E. The Effect of Educational Intervention, Based on the Theory of Planned Behavior, on Medication Adherence and Physical Activity in Patients with Type 2 Diabetes Mellitus. J Health Syst Res. 2018;14(1):41-7. DOI: 10.22122/jhsr.v14i1.3201
43. Zeidi IM, Morshedi H, Alizadeh Otaghvar H. A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients. J Prev Med Hyg. 2021;61(4):E601-13. PMID: 33628967 DOI: 10.15167/2421-4248/jpmh2020.61.4.1504
44. Kaveh MH, Montazer M, Karimi M, Hassanzadeh J. Effects of a theory-based training program with follow-up home visits on self-management behavior, glycemic index, and quality of life among Iranian patients with type 2 diabetes mellitus. BMC Public Health. 2022;22(1):1559. PMID: 35974352 DOI: 10.1186/s12889-022-13959-3
45. Bahrehmand L, Rafati F, Dastyar N, Moslemi Nia T, Sabzevari S. The Effect of Diabetes Self-care Education through WhatsApp Virtual Messenger on the Self-care Behavior of Patients with Type 2 Diabetes: A Semi-experimental Study. Avicenna J Nurs Midwifery Care. 2023;31(2):95-104. DOI: 10.32592/ajnmc.31.2.95
46. Fortmann AL, Gallo LC, Garcia MI, Taleb M, Euyoque JA, Clark T, et al. Dulce Digital: an mHealth SMS-based intervention improves glycemic control in Hispanics with type 2 diabetes. Diabetes care. 2017;40(10):1349-55. PMID: 28600309 DOI: 10.2337/dc17-0230
47. Alanzi T, Bah S, Alzahrani S, Alshammari S, Almunsef F. Evaluation of a mobile social networking application for improving diabetes Type 2 knowledge: an intervention study using WhatsApp. J Comp Eff Res. 2018;7(9):891-9. PMID: 29943647 DOI: 10.2217/cer-2018-0028
48. Salehi F, Ahmadian L, Ansari R, Sabahi A. The role of information resources used by diabetic patients on the management of their disease. medical journal of mashhad university of medical sciences. 2016;59(1):17-25. DOI: 10.22038/mjms.2016.6985

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb