Effects of Group Counseling on Self-care Behaviors in Menopausal Women with Diabetes

Abstract

ObjectivesDiabetes is a chronic disease which is common in menopause period. Performing self-care behaviors is effective method for control of diabetes. This study aimed to investigate the effect of counseling on self-care behaviors in menopause diabetes women in 2016 in Hamadan, Iran.MethodsIn this study, 80 menopausal women were randomly selected and allocated to the experimental and control groups (40 per group). Data collected by a questionnaire included of demographic information, self-care behaviors, fasting blood sugar (FBS) and glycosylated hemoglobin (HbA1c). In the experimental group, training program was run during four sessions in the form of weekly group consulting sessions. During this period, the control group only received routine cares. Three months after intervention (group consultation) self-care behaviors, FBS and HbA1c were compared between two groups. Data were analyzed using SPSS 16 software.ResultsThe self-care score in the experimental group increased from 49.6 ± 12.2 before the intervention to 66.6 ± 9.3 after the intervention (P < 0.05). Also in the control group average of self-care score changed from 57.6 ± 11.5 to 62.0 ± 11.6 (P < 0.05). Three months after the group consultation, there was a significant difference between two groups in the dimensions of diet (P = 0.013), exercise (P = 0.009) and foot care (P < 0.001). In the experimental group, FBS decreased from 148.8 ± 62.4 mg/dL to 128.9 ± 46.3 mg/dL. Also, HbA1c changed from 7.2 ± 1.8 g/dL to 6.8 ± 1.6 g/dL three months after intervention (P = 0.058). No significant changes were observed in FBS and HbA1c in the control group.ConclusionsThe results showed that group counseling promoted self-care behaviors and metabolic indices in menopausal diabetic patients.

Effectiveness of a Multi-Dimensional Group Counseling Program Based on the GATHER Approach on the Quality of Life in Surgically Menopausal Women

“…The results of a study also showed the positive effect of group counseling on diabetic postmenopausal women who were recommended to have an exercise routine and a proper diet, taking dietary supplements as needed. The study showed that, after 3 months, with respect to the physical well-being, the quality of life improved in the intervention group [33]. Exercise, proper diet, and daily walks for at least 20 minutes were also included in the present study.…”

Midwifery-oriented group counseling based on the GATHER approach on quality of life of women during the transition to menopause: a randomized controlled trial

“…This was done in six stages by one of the researchers who was a master student in midwifery counseling for the intervention group in the meeting hall of Javanrood City Health Center. 25,26 The content used in the counseling sessions was prepared by two researchers using related books and articles. Then the content was studied and approved by five faculty members of the Hamadan Nursing and Midwifery Faculty (Table 1).…”

“…The GATHER model is a counseling model that can be used both individually, and in groups 21 . Various studies have shown the positive effects of this model in the field of women's health 22-25 …”

“…21 Various studies have shown the positive effects of this model in the field of women's health. [22][23][24][25] Considering that the transition to menopause and the symptoms that women experience during this period harm women's physical and mental health and can reduce women's quality of life, 16 finding effective ways to improve their quality of life is one of the duties of health care providers. Among healthcare providers, midwives have an important role in counseling and health education for women, the family, and the community.…”

The Beneficial and Adverse Effects of Raloxifene in Menopausal Women: A Mini Review

“…Menopause is a period in the life cycle of all women and is associated with hormonal changes,12 that presents with different symptoms, including hot flashes, night sweat, vaginal atrophy, stress, apprehension and decreased libido 3. Hormone replacement therapy (HRT) is a widely used therapeutic approaches to deal with menopausal symptoms 4.…”