كليدواژه :
پزشكي , Type 2DM , eyes care , Educational BASNEF Model , مراقبتاز چشم
چكيده لاتين :
Introduction: Ocular complications are the most important impediment that result from
uncontrolled blood sugar among diabetics. For eye care, patients need to be educated on how to
control their blood sugar and increase their behavioral preventive skills. The purpose of this study
was to determine the effects of educational program based on the BASNEF (Belief, Attitude,
SUbjective Nonm, Enabling Factors) Model on Diabetic (Type II) eye care in Nader Kazemi Clinic,
Shiraz City. Material and methods: This is a perspective and quasi-experimental intervention study,
the research population being type II diabetics, between the ages of 40 and 65 years, having had
diabetes for over 5 years. During the first visit of the subjectsʹ eyes exam, 68 of 215 patients,
diagnosed with ocular complications, were eliminated from the study. Finally, 100 diabetic patients,
fufilling the inclusion criteria, participated in the study, and were randomly divided to two groups,
experimental and controls. The instruments for data collecting were a questionnaire established
based on the BASNEF Model, a check list related to patient practice on the basis of self reporting, a
check list for recording the patientsʹ HbA,c and FBS levels, and the ophthalmologistʹs eyes exam
report as well. All groups completed the questionnaires and check lists, and ophthalmic eye
examination results were documented before and three months after intervention. The patients of
the experimental group participated in 6 educational session classes during the one month of
intervention and again two months after, with 2 session meeting classes as the follow up of
intervention. The data were collected and analyzed by SPSS computer software. Results: Our
findings indicated that mean scores of BASNEF Model variables (beliefs, altitudes, subjective
norm, enabling factors) were significantly increased in the experimental group compared to the
controls after intervention. Also, behavioral eye care, rate of HbA1c (before intervention as 8.65%
after three months 7.47%) and FBS levels (before intervention 207.08, after three months 124.2)
improved significantly among the experimental group, compared to control group. Conclusion:
Applying the BASNEF Model is very effective for developing an educational program for diabetics,
in order to control their blood sugar and enhancing behavioral eye care. Besides such programs,
follow up education on controlling and monitoring is highly recommended.
