Middle Eastern Journal of Disability Studies

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Hassannezhad M, Nejat H, Toozandejani H. Acceptance and Commitment Group Therapy on Self-care and life Satisfaction Behaviors in Patients with Type 2 Diabetes. MEJDS 2019; 9 :54-54
URL: http://jdisabilstud.org/article-1-1127-en.html

Background & Objective: Diabetes mellitus is a metabolic disorder and a multifactorial disorder characterized by hyperglycemia, due to disfunction in insulin secretion or activity, and it cuses to an extinct disease. Diabetes as a chronic disease affects all levels of individual and social life of a patient, including life satisfaction. In this regard, according to existing studies, the most important cause of mortality in diabetic patients is the lack of self–care. Self–care in diabetes patients is the correct and timely delivery of insulin, dieting, regular exercise activities, identifying signs of increased blood glucose, taking regular medications, taking care of the legs, and improving the quality of life. Therefore, diabetes in addition affect physiological, psychological, and satisfaction of life in these patients. Considering the increasing prevalence of diabetes, which suggests that self–care activities in diabetic patients are not performed, and the effects of diabetes on life satisfaction in these patients. Finding the most effective treatments in diabetes mellitus seems necessary, since admission and commitment treatment is affected by local culture, it is necessary to test in different social and cultural contexts in order to increase its effectiveness. Therefore, this study aimed to investigate the effectiveness of group therapy based on admission and commitment on self–care behaviors and life satisfaction in patients with type 2 diabetes.
Methods: This study designed as a semi–experimental pre–test, post–test with control group. The statistical population was all patients with type 2 diabetes who referred to Neyshabour (Khorasan Razavi province, Northeaset of Iran) diabetes clinic in 2017. Among them 30 were selected by convenience sampling and randomly assigned to two groups of experimental (n=15) and control (n=15). The research tools included a short–term self–care scale of diabetes mellitus, Tubert et al. (2000), Diner et al. (1985), and eight sessions of 90–minute group therapy based on acceptance and commitment from Grik et al. (2007). For data analysis, SPSS software version 22 and single–variable covariance analysis was used. 
Results: The mean and standard deviation of the self–care group in the experimental group before intervention was 23.93±5.970 and after intervention was 27.07±5.45. Mean and standard deviation of life satisfaction scores in the experimental group before intervention was 13.13±3.91 and 17.27±3.78 after intervention. Therefore, there was a significant difference in the mean scores of self–care behaviors and life satisfaction among the experimental group in comparison to the score before and after the intervention (p<0.05), but these changes were not significant in the control group.
Conclusion: Using an admission and commitment group, as an effective educational intervention, improves self–care behaviors and life satisfaction in patients with type 2 diabetes. Studies showed the importance of treatment interventions to increase self–care and life satisfaction in type 2 diabetic patients. Given the growing trend of diabetes and high rates of sufferers, it is worthwhile for patients to take the necessary training from educational programs and pay more attention to the role of counseling and education. In addition, according to results of this study, acceptance and commitment therapy showed improving in self–care and life satisfaction in patients with type 2 diabetes; attention to acceptance and commitment group therapy, as an approach It is essential to support patients with type 2 diabetes.