Nurse Coaching Given According to Integrative Nurse Coaching Theory the Effect of on Glisemic Control, Fear of Hypoglycemia and Risk Perception in Adults With Type 1 Diabetes.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- The hypoglycemıc attıtudes and behavıor
研究概览
简要总结
Because of the unforeseen rate of increase in case numbers, the high rates of mortality and morbidity, and the increased socio economic load it causes, diabetes has become the most discussed chronic and widespread metabolic disease in Turkey, and throughout the World, there are focused efforts to find a solution. It is very important for a person to self-assesss and evaluate to draw a roadmap for improved outcomes in a disease with a high financial and moral burden. A nurse is not only a caregiver to patients, but also a person who guides them to increased engagement and motivation in the care of their illness. Integrative Nurse Coaching is gaining notoriaty as an effective method to improve patient engagament and motivation in self-responsibility for health. The Integrative Nurse Coach Academy in the USA carries out studies and trainings to further this improvement. With cooperation between United States and Turkish nurse colleagues, it aims to bring Integrative Nurse Coach practice to Turkey. The Integrative Nurse Coach uses the nursing process as a framework to guide nurse coaching practice. This requires a shift in traditional nursing terminology and meaning to understand and incorporate the patient's subjective experience as follows: from assessment to stablishing a relationship, identifying readiness for change and the resources available to the patient for change; from nursing diagnosis to identifying opportunities and issues; from outcomes to having the patient set the agenda for achievement of the patient's goals; from 3 planning to creating the structure of the coaching interaction; from intervention to empowering the patient to reach goals; and from evaluating to assisting the patient to determine the extent to which goals were achieved.
The Theory of Integrative Nurse Coaching (TINC) , developed by the Integrative Nurse Coach Association , sheds light on this point. The TINC encompasses many holistic nursing theories and contains three concepts and five components. The three concepts are healing, metaparadigm in nursing theory (nurse, person, health, environment), and patterns of knowing in nursing (personal, empirics, aesthetics, ethical, not knowing, sociopolitical. The TINC five components include Integrative Nurse Coach Self-Development (self-reflection, self-assessment, self-evaluation self-care), Integral Perspective and Change, Integrative Lifestyle Health and Well-Being, Awareness and Choice, and Listening With Heart The five components all have equal value and form the basis for the nurse coach professional practice model. There is a parallel process of self-development for both the nurse coach and the client. The SelfDevelopment component empowers individuals (including the nurse coach) to focus on their health and wellness from an integral perspective and to identify their individual knowledge, expertise, strengths, and resources, while recognizing the fluidity of the change. The TINC is designed to guide nurse coaching practice, education, research, and health care policy. The theory emphasizes, describes, and directs the practice of nurse coaching, a recognized holistic nursing modality. It has been seen that the TINC framework is very suitable for individuals with diabetes to provide their own management.
详细描述
This research is a quasi-experimental study in pretest-posttest design research; It will be conducted with individuals with Type 1 diabetes who applied to Ankara City Hospital Endocrine Polyclinic. The sample size required for the study was found to be 95% power at 95% confidence level and 35 individuals for high-level effect size (f=0.40). However, the aim is to reach 40 individuals with the thought that data loss may occur during the study process.
Inclusion Criteria for Research; The patient;
- Being between the ages of 18-65,
- Having a smart phone and being able to use it actively,
- Having been diagnosed with type 1 diabetes at least 1 year ago,
- HbA1c > 7,
- Absence of any psychiatric or mental problems,
- Having the cognitive competence to answer the questions,
- Being able to speak, understand and read and write Turkish
- Patients who voluntarily agreed to participate in the study were included in the study.
Hypotesis H0: Nurse coaching given to individuals with Type 1 Diabetes has no effect on glycemic control, fear of hypoglycemia, and risk perception.
H1: Nurse coaching given to individuals with Type 1 Diabetes has an effect on glycemic control, fear of hypoglycemia and risk perception.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient;
- •Being between the ages of 18-65,
- •Having a smart phone and being able to use it actively,
- •Having been diagnosed with type 1 diabetes at least 1 year ago,
- •HbA1c > 7,
- •Absence of any psychiatric or mental problems,
- •Having the cognitive competence to answer the questions,
- •Being able to speak, understand and read and write Turkish
- •Patients who voluntarily agreed to participate in the study were included in the study.
排除标准
- •individual not participating in more than one interview
- •unwillingness to quit
结局指标
主要结局
The hypoglycemıc attıtudes and behavıor
时间窗: 1 month
The 14-item 5-point Likert-type scale has 3 sub-dimensions. Anxiety, trust, avoidance. The score of the sub-dimensions is calculated by dividing the number of items.The highest score that can be obtained is 70 and the lowest score is 14.
次要结局
- The risk perception(1 month)
研究者
Tuğba Bilgehan
Asst Prof
Ankara Yildirim Beyazıt University
