The Effect of Life Coaching With Diabetes on Glycemic Control, Strengthening Diabetes and Self-management
Condition: Diabetes Mellitus; Nurse-Patient Relations; Nurse's Role
MeSH terms: Diabetes Mellitus
Study type: Interventional

Summary: 
      Diabetes Mellitus (DM) is an endocrine and metabolic disease that is characterized by
      hyperglycemia, develops microvascular and macrovascular complications, and requires chronic
      and continuous care. is a disease. According to IDF 2019 data, it is predicted that the
      number of diabetics in the world, which was 463 million in 2019, will reach 700 million in
      2045 with an increase of 51%. The global prevalence of diabetes between the ages of 20-79 in
      2019 is 9.3%, and it is estimated to increase to 10.2% in 2030 and 10.9% in 2045. Our
      country, on the other hand, has the highest prevalence with a rate of 11.1% among European
      countries. According to the IDF 2019 Diabetes Atlas data, 6.6 million people with diabetes
      live in our country as of 2019, and it is estimated that this rate will reach 10 million by
      2045.

      American Diabetes Association (American Diabetes Association) and American Association of
      Clinical Endocrinologists (American Association of Clinical Endocrinologists) to achieve the
      goals of treatment and care in individuals with diabetes; emphasizes the need for regulation
      of nutrition, regulation of physical activity, regulation of pharmacological treatment,
      diabetes education, continuous monitoring and health controls. Individuals with diabetes
      should receive diabetes self-management education and support when necessary. Diabetes
      self-management is defined as the process of facilitating the knowledge, skills and abilities
      necessary for the individual's self-care. Individuals with diabetes who are competent and
      skilled in self-management can improve their health outcomes. The American Diabetes
      Association (ADA) defines diabetes self-management education as a process that begins at the
      diagnosis stage and continues, based on an individual-centered approach and making joint
      decisions to facilitate the knowledge, skills and abilities necessary for the self-care of
      diabetes patients.

      The purpose of diabetes self-management is for diabetics to develop new skills and behaviors
      that support self-management goals, and to form habits. The general goals of diabetes
      self-management education are to support individuals diagnosed with diabetes to make
      conscious decisions, solve problems, perform self-care behaviors, and improve their metabolic
      results, health status and quality of life. Diabetes patients need knowledge, skills and
      motivation to strengthen their diabetes by providing self-management. The nurse helps the
      patient to adapt to the disease and achieve the ability to perform self-care by counseling
      and training individuals. Coaching sessions are used to strengthen self-management and
      diabetes in diabetes. The coach is the person who provides the necessary motivation to
      maximize the strengths of the client, to ensure that the potentials are fully used through
      continuous education, to develop new skills and activities to be more effective, to be ready
      for new responsibilities and to manage himself. Life Coaching with Diabetes is based on the
      basic principles and principles of professional life coaching practices (ICF-International
      Coaching Federation), aiming at behavioral change in approaches related to diabetes
      lifestyle. Life coaching with diabetes is to give practical applications to people who have
      been diagnosed with diabetes in order to gain necessary changes in life through coaching.

      2. Problem and Sub-Problems H0: Diabetes life coaching given to individuals with Type 2
      Diabetes has no effect on glycemic control, diabetes strengthening and self-management.

      H1: Diabetes life coaching given to individuals with Type 2 Diabetes has an effect on
      glycemic control, strengthening diabetes and self-management.

      3. Aims and Expected Benefits of the Research This study was planned as a control group
      intervention study to determine the effect of diabetes coaching on glycemic control, diabetes
      strengthening and self-management in individuals with Type 2 Diabetes.

      Expected benefits:

        -  Developing appropriate self-care activities (physical activity, medical nutrition, drug
           management, avoiding risky behaviors, etc.) by improving the self-management skills of
           the individual with diabetes,

        -  Individuals with diabetes become self-managed in their self-care practices,

        -  Ensuring metabolic control of the diabetic individual

        -  Developing decision-making and problem-solving skills of individuals with diabetes,

        -  Promoting diabetes coaching in the nursing profession and increasing its visibility and
           spreading diabetes coaching.
    

Detailed description: 
      Research Method In the study, data will be collected by means of the data collection form,
      the diabetes strengthening scale, the diabetes self-management scale in people with type 2
      diabetes, and based on the researcher's experiences and literature.

        1. Data collection form: It will be created by the researcher based on the literature.
           (such as age, gender, how many years have had diabetes).

        2. Diabetes strengthening scale: It has 3 sub-dimensions: management of psychosocial
           aspects in diabetes, level of dissatisfaction and readiness for change, setting and
           achieving diabetes goals.

        3. Diabetes self-management scale for people with type 2 diabetes: The scale developed by
           has 3 sub-dimensions: healthy lifestyle, blood sugar management, and use of health
           services. High scores on the scale indicate good self-management, and low scores
           indicate poor self-management.
    

Intervention name(s): life coaching group with diabetes
Intervention type(s): Behavioral
Intervention description(s): Each patient was interviewed once a week. Coaching interviews were conducted one-on-one and in accordance with coaching principles.
Allocation: Randomized
Intervention model: Factorial Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care