Diabetes Mellitus, Nursing Care, Self-care
Conditions
Keywords
Individualized Nursing Care, Diabetes Mellitus, Randomized Controlled Trial, Empowerment, Self-Efficacy
Brief summary
This randomized controlled trial aims to evaluate the effects of individualized nursing care interventions on self-efficacy, empowerment, and self-management behaviors in individuals diagnosed with diabetes. Diabetes requires lifelong management, and standard care approaches often fall short of meeting individual psychosocial and clinical needs. By implementing structured, patient-centered nursing care protocols, this study assesses how personalized education, follow-up, and support mechanisms influence patients' capacity to manage their condition, improve glycemic control, and enhance their overall quality of life.
Detailed description
Diabetes mellitus is a chronic metabolic condition that demands continuous daily self-care, dietary adherence, medication management, and regular monitoring to prevent long-term complications. Traditional clinical approaches are frequently standardized, which can limit their effectiveness in addressing the unique psychosocial, behavioral, and cultural needs of individual patients.
Interventions
BEHAVIORALIndividualized Nursing Care
Participants in this group receive structured, personalized nursing care sessions, including targeted education, individual goal-setting, self-monitoring guidance, and ongoing follow-up to enhance diabetes self-management.
Sponsors
University of Yalova
Yalova training and research hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants are blinded to their group assignment (or outcome assessors are blinded to group allocations to prevent bias during data collection and evaluation).
Intervention model description
Participants are allocated into two parallel groups (intervention group receiving individualized nursing care and control group receiving routine standard care) with a 1:1 allocation ratio.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed with diabetes (Type 1 or Type 2) * Age 18 years or older * Able to communicate in Turkish and cooperate with the study requirements * Voluntarily willing to participate and sign the informed consent form
Exclusion criteria
* Having severe cognitive impairment, psychiatric disorders, or communication barriers that prevent participation * Having severe terminal illnesses or acute medical complications that interfere with follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adult Diabetes Knowledge Score | Baseline and 3 months | Change in adult diabetes knowledge score as measured by the Adult Diabetes Knowledge Scale (ADKS) from baseline to 3 months. (Total score ranging from 0 to 28 points). |
| Diabetes Self-Management Behaviors Score | Baseline and 3 months | Change in diabetes self-management score as measured by the Diabetes Self-Management Questionnaire (DSMQ) from baseline to 3 months. (Total and subscale points). |
| Diabetes Empowerment and Psychosocial Self-Efficacy Score | Baseline and 3 months | Change in diabetes empowerment score as measured by the Diabetes Empowerment Scale (DES) from baseline to 3 months. (Likert scale points ranging from 0 to 5). |
Countries
Turkey (Türkiye)
Contacts
CONTACTŞeyda Can, associate professor
CONTACTEmel Avçin, Assistant Professor
Outcome results
None listed