Volume 4, Issue 3 (September 2025)
IJER 2025, 4(3): 1-12 |
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Rezaei L, Emamipour S, Sepah Mansour M. (2025). The Effectiveness of Problem-Solving Skills Training on Biological Indicators and Self-Care Behaviors in Patients with Diabetic Nephropathy. IJER. 4(3), 1-12.
URL: http://ijer.hormozgan.ac.ir/article-1-525-en.html
URL: http://ijer.hormozgan.ac.ir/article-1-525-en.html
1- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran ,Susan.emameipour@ac.ir
3- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran ,
3- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
Abstract: (610 Views)
Objective: Diabetic nephropathy is one of the most serious chronic complications of diabetes and requires strict behavioral management and control of metabolic indicators. The present study aimed to determine the effectiveness of problem-solving skills training on self-care activities and biological indicators (HbA1c, fasting blood glucose, and kidney function) in patients with diabetic nephropathy.
Methods: This study employed a quasi-experimental pretest–posttest design with a control group. The statistical population included all patients with diabetic nephropathy who referred to the Broadcasting Health and Treatment Center in 2024. Forty patients were selected through convenience sampling and randomly assigned to an experimental group (n = 20) and a control group (n = 20). The experimental group received eight sessions of problem-solving skills training, while the control group received routine care. Data collection tools included the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and biological tests (HbA1c, fasting blood glucose, and creatinine). Data were analyzed using repeated measures analysis of variance in SPSS version 26.
Results: The findings showed that problem-solving skills training led to a significant increase in self-care scores (diet, physical activity, blood glucose monitoring, and foot care) in the experimental group compared with the control group. In addition, significant reductions were observed in biological indicators, particularly HbA1c and fasting blood glucose, in the experimental group.
Conclusions: Based on the results, problem-solving skills training, as an effective non-pharmacological intervention, can empower patients to manage daily disease-related challenges, leading to improved self-care behaviors and better control of biological indicators in patients with diabetic nephropathy. Therefore, integrating this training into care programs for these patients is recommended.
Methods: This study employed a quasi-experimental pretest–posttest design with a control group. The statistical population included all patients with diabetic nephropathy who referred to the Broadcasting Health and Treatment Center in 2024. Forty patients were selected through convenience sampling and randomly assigned to an experimental group (n = 20) and a control group (n = 20). The experimental group received eight sessions of problem-solving skills training, while the control group received routine care. Data collection tools included the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and biological tests (HbA1c, fasting blood glucose, and creatinine). Data were analyzed using repeated measures analysis of variance in SPSS version 26.
Results: The findings showed that problem-solving skills training led to a significant increase in self-care scores (diet, physical activity, blood glucose monitoring, and foot care) in the experimental group compared with the control group. In addition, significant reductions were observed in biological indicators, particularly HbA1c and fasting blood glucose, in the experimental group.
Conclusions: Based on the results, problem-solving skills training, as an effective non-pharmacological intervention, can empower patients to manage daily disease-related challenges, leading to improved self-care behaviors and better control of biological indicators in patients with diabetic nephropathy. Therefore, integrating this training into care programs for these patients is recommended.
Keywords: Problem-Solving Skills, Self-Care, Diabetic Nephropathy, Biological Indicators, Type 2 Diabetes
Type of Study: Original |
Subject:
Educational Psychology
Received: 2025/06/27 | Accepted: 2025/08/12 | Published: 2025/09/1
Received: 2025/06/27 | Accepted: 2025/08/12 | Published: 2025/09/1
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