EFFECT OF DIABETES NURSE COACHING ON DIABETES
Condition: Nurse's Role; Diabetes Mellitus, Type 2
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 2
Study type: Interventional

Summary: 
      American Diabetes Association and American Clinical Endocrinology American Association of
      Clinical Endocrinologists, treatment and care of individuals with diabetes in achieving their
      goals; regulation of nutrition, regulation of physical activity, pharmacological treatment,
      diabetes education, continuous monitoring and health checks should be done.

      emphasizes (3,4). Individuals with diabetes receive diabetes self-management education and
      support when necessary.

      they should. Diabetes self-management is the knowledge, skills and abilities necessary for
      the individual's self-care.

      It is defined as the facilitation process (4,5). Competent and skilled in self-management
      individuals with diabetes can improve their health outcomes. American Diabetes Association
      (ADA), diabetes self-management education necessary for the self-care of people with
      diabetes.

      take an individual-centered approach and make joint decisions to facilitate knowledge, skills
      and abilities It defines it as a process based on diagnosis, starting at the diagnosis stage
      and continuing (5).

      The goal of diabetes self-management is to introduce new skills and abilities that support
      diabetes patients' self-management goals.

      Developing behaviors and forming habits. General objectives of diabetes self-management
      education On the other hand, it enables individuals diagnosed with diabetes to make informed
      decisions, problem solving, personal care behavior, metabolic outcomes, health status and
      quality of life to improve (5). To strengthen the diabetes patient by providing
      self-management needs knowledge, skills and motivation about the disease. Counseling for
      nurses ability of the patient to adapt to his/her illness and self-care by doing and
      educating provides access (6). Coaching sessions to strengthen diabetes self-management and
      diabetes is applied. The coach is committed to maximizing the client's strengths, To ensure
      that it is used fully through continuous education, to be more effective, new to develop
      skills and activities, to be ready for new responsibilities, and to self-management.

      It is the person who provides the necessary motivation (7). Life Coaching with Diabetes,
      about lifestyle with diabetes professional life coaching practices, aiming at behavior change
      in approaches (ICF-International Coaching Federation) is based on the basic principles and
      principles. life with diabetes coaching is used to help people who have been diagnosed with
      diabetes make the necessary changes in life through coaching.

      to give practical applications. Walt Disney is a goal setting coaching exercise. The work
      consists of 6 steps. These steps it is as follows.

        1. Detection of the subject and 3 anchor methods

        2. Dreamer + Ground Anchor + Separator

        3. Planner + Ground Anchor + Separator

        4. Critic + Ground Anchor + Separator

        5. Brainstorming

        6. Metatest
    

Detailed description: 
      Expected benefits:

      Diabetes is a non-communicable disease that is increasing rapidly day by day. Providing
      support integrated with life coaching with diabetes will increase the awareness of people
      with diabetes and enable them to manage their diabetes.

        -  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,

        -  The individual with diabetes becomes self-managing self-care practices,

        -  Improving decision-making and problem-solving skills of individuals with diabetes,

      H0: Diabetes nurse coaching given to individuals with Type 2 Diabetes has no effect on HbA1c
      value and on strengthening diabetes.

      H1: Diabetes nurse coaching given to individuals with Type 2 Diabetes has an effect on HbA1c
      value and strengthening diabetes.

      The Universe of the Research The population of the study consists of patients with Type 2
      Diabetes between the ages of 18-64 who applied to Ankara Pursaklar State Hospital Internal
      Medicine outpatient clinic.

      Sample Selection of the Research The sample size was calculated using G*Power Software (ver.
      3.1.9.7). The effect size was calculated by using the mean and standard deviation values of
      the last test of the experimental and control groups of the 'Diabetes strengthening scale'
      used in the randomized controlled study by Zamanzadeh (2017), the sample of the study. The
      sample size required for the study was calculated as 34 patients, 17 patients for each group,
      in the power analysis performed with 95% confidence level and 5% tolerance. However, it was
      aimed to reach 21 individuals from each group with the foresight that there may be
      participant losses during the study process. To avoid bias in assigning the individuals to be
      included in the study to the groups, https://randomizer.org/ With the help of the help of
      1-42, random numbers were generated as 2 groups and the incoming individuals will be assigned
      to the relevant groups.

      Data Collection Technique and Tools The data in the research will be collected through the
      data collection form, the diabetes empowerment scale, which was prepared based on the
      researcher's experiences and the 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 empowerment scale: The scale developed by Özcan and Korkmaz (2012); It has 3
           sub-dimensions: management of psychosocial aspects in diabetes, level of dissatisfaction
           and readiness for change, setting and achieving diabetes goals.
    

Intervention name(s): nurse coaching
Intervention type(s): Behavioral
Intervention description(s): 2 sessions of nurse coaching including the Walt Disney method will be applied to the participants.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Health Services Research
Keywords: walt disney; nurse coaching; nursing