Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients
Introduction: In managing diabetes, the self-efficacy of patients for self-care and adherence to treatment is important. One of the nursing theories that can lead to patients’ participation in care is King’s theory of goal attainment. Objective: This study aims to investigate the effect of a nursing...
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2025-01-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/article-1-2270-en.pdf |
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| author | Delshad Shahmohammadi Seyedeh Narjes Mousavizadeh Mahnaz Ilkhani Malihe Nasiri Mahtab Sattari |
| author_facet | Delshad Shahmohammadi Seyedeh Narjes Mousavizadeh Mahnaz Ilkhani Malihe Nasiri Mahtab Sattari |
| author_sort | Delshad Shahmohammadi |
| collection | DOAJ |
| description | Introduction: In managing diabetes, the self-efficacy of patients for self-care and adherence to treatment is important. One of the nursing theories that can lead to patients’ participation in care is King’s theory of goal attainment.
Objective: This study aims to investigate the effect of a nursing care program based on the theory of goal attainment on the self-efficacy of patients with diabetes.
Materials and Methods: This quasi-experimental study was conducted on 60 patients with type 2 diabetes admitted to the endocrinology departments of two hospitals in Tehran, Iran. They were randomly assigned to two intervention (n=30) and control (n=30) groups. The data were collected using a sociodemographic/clinical form, the diabetes management self-efficacy scale (DMSES), and the goal attainment scaling (GAS). The intervention group received the nursing care program based on King’s theory. The self-efficacy of the patients was measured before, two weeks after (post-test), and two months after (follow-up) the intervention. Chi-square, paired t-test, independent t-test, and repeated measures ANOVA were used for data analysis.
Results: Most of the participants were female (68%) and married (71%), and illiterate (30%) in the age group of 51-60 years (43%). Before the intervention, the DMSES score was 144.10±14.13 in the intervention group and 139.63±13.46 in the control group. Two weeks after the intervention, the scores were 162.26±8.97 and 137.36±13.29, respectively. Two months after the intervention, the scores were 166.5±8.16 and 136.96±11.8, respectively. There was a statistically significant difference in the two groups in the post-test and follow-up phases, compared to the pre-test phase (P=0.001). The difference was also significant between the two groups after intervention (P=0.001). According to repeated measures ANOVA results, the effect of time (P=0.001, η2=0.438) and the interaction effect of time and group (P=0.001, η2=0.538) in the intervention and control groups were significant.
Conclusion: The nursing care program based on the theory of goal attainment can improve diabetic patients’ self-efficacy two weeks and two months after implementation. The theory of goal attainment can be used in care programs for diabetic patients. |
| format | Article |
| id | doaj-art-a8caf11058b4421080c19dde7014bc9e |
| institution | Kabale University |
| issn | 2588-3712 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-a8caf11058b4421080c19dde7014bc9e2025-08-20T03:41:49ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122025-01-013516270Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic PatientsDelshad Shahmohammadi0Seyedeh Narjes Mousavizadeh1Mahnaz Ilkhani2Malihe Nasiri3Mahtab Sattari4 Nursing (MsN), Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Assistant Professor, Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Associate Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Assistant Professor, Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. PhD Candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Introduction: In managing diabetes, the self-efficacy of patients for self-care and adherence to treatment is important. One of the nursing theories that can lead to patients’ participation in care is King’s theory of goal attainment. Objective: This study aims to investigate the effect of a nursing care program based on the theory of goal attainment on the self-efficacy of patients with diabetes. Materials and Methods: This quasi-experimental study was conducted on 60 patients with type 2 diabetes admitted to the endocrinology departments of two hospitals in Tehran, Iran. They were randomly assigned to two intervention (n=30) and control (n=30) groups. The data were collected using a sociodemographic/clinical form, the diabetes management self-efficacy scale (DMSES), and the goal attainment scaling (GAS). The intervention group received the nursing care program based on King’s theory. The self-efficacy of the patients was measured before, two weeks after (post-test), and two months after (follow-up) the intervention. Chi-square, paired t-test, independent t-test, and repeated measures ANOVA were used for data analysis. Results: Most of the participants were female (68%) and married (71%), and illiterate (30%) in the age group of 51-60 years (43%). Before the intervention, the DMSES score was 144.10±14.13 in the intervention group and 139.63±13.46 in the control group. Two weeks after the intervention, the scores were 162.26±8.97 and 137.36±13.29, respectively. Two months after the intervention, the scores were 166.5±8.16 and 136.96±11.8, respectively. There was a statistically significant difference in the two groups in the post-test and follow-up phases, compared to the pre-test phase (P=0.001). The difference was also significant between the two groups after intervention (P=0.001). According to repeated measures ANOVA results, the effect of time (P=0.001, η2=0.438) and the interaction effect of time and group (P=0.001, η2=0.538) in the intervention and control groups were significant. Conclusion: The nursing care program based on the theory of goal attainment can improve diabetic patients’ self-efficacy two weeks and two months after implementation. The theory of goal attainment can be used in care programs for diabetic patients.http://hnmj.gums.ac.ir/article-1-2270-en.pdftheory of goal attainmentnursingself-efficacydiabetes mellitus |
| spellingShingle | Delshad Shahmohammadi Seyedeh Narjes Mousavizadeh Mahnaz Ilkhani Malihe Nasiri Mahtab Sattari Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients Journal of Holistic Nursing and Midwifery theory of goal attainment nursing self-efficacy diabetes mellitus |
| title | Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients |
| title_full | Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients |
| title_fullStr | Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients |
| title_full_unstemmed | Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients |
| title_short | Effect of a Nursing Care Program Based on King’s Theory of Goal Attainment on the Self-efficacy of Diabetic Patients |
| title_sort | effect of a nursing care program based on king s theory of goal attainment on the self efficacy of diabetic patients |
| topic | theory of goal attainment nursing self-efficacy diabetes mellitus |
| url | http://hnmj.gums.ac.ir/article-1-2270-en.pdf |
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