THE EFFECT OF THE PARALLEL PROCESS PATTERN DEVELOPED ON COMPLIANCE WITH THE DIET OF DIABETIC ADOLESCENTS IN GOLESTAN PROVINCE IN 2019

Zamani, KH and Hojjati, H and Akhondzadeh, GH.B (2020) THE EFFECT OF THE PARALLEL PROCESS PATTERN DEVELOPED ON COMPLIANCE WITH THE DIET OF DIABETIC ADOLESCENTS IN GOLESTAN PROVINCE IN 2019. Nursing and Midwifery Jouranl, 18 (6). pp. 479-485.

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Abstract

Diabetes is an increasingly important health concern and causes serious complications. Most adolescents struggle with blood sugar changes due to the growing conditions of puberty and reduced adherence to treatment. Meanwhile, one of the problems of the health system is not following treatment among adolescents which is affected by social factors. Considering that training based on theoretical approaches is one of the most basic methods of treatment and control of chronic diseases, this study aims to influence the pattern of the parallel process developed on compliance with the diet of diabetic adolescents in Golestan province in 2019. Materials & Methods: This classical intervention study with pre-test and post-test with two intervention and control groups was conducted on 50 diabetic adolescents in Golestan province using simple random sampling method in 2019. In the intervention group, based on the developed parallel process model, the content of the training program was presented in 5 sessions of 45 to 60 minutes as a group in groups of 5-6 people twice a week. Data analysis was performed using SPSS software version 23 with the help of descriptive statistics (table, mean, standard deviation) and inferential statistics (independent t, even t, ANOVA). Results: ANCOVA test showed a significant difference (p <0.01 and Eta = 0.25) with the elimination of the pre-test effect so that probably 25% of the post-test changes are due to training and intervention. Conclusion: According to the findings, training based on the pattern of the parallel development process and follow-up after training sessions can increase compliance with the drug regimen for adolescents with diabetes. The findings of this study can be used to instruct and educate diabetic patients in clinics and medical centers

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