The Effects of a Complication Control Program on The Behaviors and Clinical Outcomes of Non- Proliferative Diabetic Retinopathy Patients
Keywords:complication control program, behavio, clinical outcomes, non-proliferative diabetic retinopathy patients (NPDR)
Introduction: Diabetic retinopathy is a change in microangiopathy caused by high blood sugar level. If it remains negligently untreated, there would be the chance of ischemic retina complication, vitreous hemorrhage, and retinal traction detachment (RTD) caused of visual loss and blindness.
Research objectives: To investigate the effects of a complication control program on the behaviors and clinical outcomes of non-proliferative diabetic retinopathy (NPDR) patients.
Research methodology: This quasi-experimental study used a two-group pretest and posttest design. Moreover, 26 participants were randomly assigned to an experimental group and 26 to a control group. For a period of 24-weeks, the experimental group received a complication control program guided by a health belief model. Instruments consisted of two parts, including the complication control behavior assessment, and the complication control program. Data were analyzed using descriptive statistics, paired t-test, and MANOVA.
Results: The results of the study showed that at follow-up, mean score of the behavior in the experimental group was significantly higher than at baseline (p<.05). Furthermore, at follow-up, the HbA1c level was significantly lower than at baseline (p<.05). And diabetic retinopathy severity did not increase at follow-up. Regarding between-group difference at follow-up, mean score of behavior in the experimental group was significantly higher than the control group (p<.05). The HbA1c levels of the experimental group were significantly lower than the control group (p<.05). However, the severity of diabetic retinopathy of both groups did not change.
Conclusion: The findings suggest that a program focusing on perceptions and cues to action can help to appropriately modify behaviors and improve clinical outcomes among NPDR patients.
Implications: Activities should be implemented to promote correct perceptions and cues to action by healthcare providers of NPDR patients. The study duration should be increased to follow up behavior sustainability and HbA1c levels to monitor long term severity of diabetic retinopathy.
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