Endocrine Abstracts

Background: Diabetes mellitus has become a serious problem worldwide. Effects of diabetes stress, in addition to the physical complications had mental complications that make its treatment difficult. Concept of empowerment, enabling patients to make informed decisions and play an active role in planning and decision-making in health-related activities\.

Aim: To determine the effect of empowering on self-care and coping strategies with type 1 diabetes.

Methods: This before-and-after experimental study was performed on one group of 40 diabetic. Patients referred to diabetes clinic of Mashhad Persian 1391 that they were randomly sampling in two groups. Prograrn empowering in intervention group during the 60 min and 6 session. But the control group did not receive any intervention. Research tools included a questionnaire to assess knowledge; copi.pg strategies questionnaire Tabin, glucose and insulin were measured by two check list. Data were analyzed by SPSS version 11.5 using independent t-test and paired t-test.

Results: Findings showed that self-care program on empowering (knowledge, skills insulin injections, measuring of blood glu ose) in diabetic patients and has a positive impact. The two groups did not Have statistically significant intervention variables. It also detected the empowerment program increase the use effective coping strategies (problem-solving, change perceptions, social relations, expression of feelings), and reduce the use of ineffective coping strategies (avoid the problems, vain thoughts, social withdrawal, self-criticism).

Conclusion: The results show the effectiveness of empowerment to improve self-care and also promote effective coping strategies: problem-solving, change perceptions, social relations, expression of feelings, and reduce the use of ineffective coping strategies: avoid the problems, vain thoughts, social withdrawal, and self-criticism.

Keywords: type 1 diabetes, self-care, empowerment