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Study aim
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Determine the effect of teamwork on HbA1c in patients with type 2 diabetes
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Design
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To determine the sample size, the guide study and the mean comparison formula with 95% confidence interval and 80% test power were used, 35 of which were estimated in each group (23). Considering the probable loss of samples, 40 people were estimated for each group. Therefore, 80 patients with type 2 diabetes in the diabetes unit of Bahar in 1395 would be eligible for a simple random sampling in two intervention and control groups.
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Settings and conduct
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The present study is an interventional study with the aim of evaluating the effect of teamwork on HbA1c in patients with type 2 diabetes in diabetes mellitus in Bahar in 1396.
The population under study in this study is type 2 diabetes patients living in Bahar, Hamadan province, who are referred to the diabetes department. The main tool of the research is a questionnaire containing personal information and patient's laboratory and educational records.
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Participants/Inclusion and exclusion criteria
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Admission criteria for inclusion in the study include: aged 30 years and above, at least one year after diagnosis of type 2 diabetes, patients treated with oral pill, patients treated with insulin injections, and patients treated with both methods Treatment, having at least literacy, reading and writing, and having.Exclusion criteria include discontinuation of entry into the study, the occurrence of gestational diabetes, complications of diabetes mellitus such as kidney stroke, blindness, etc., of severe illnesses such as various cancers and other chronic and debilitating illnesses. The need for home care is the occurrence of a variety of diseases that affect the level of HbA1c, such as the occurrence of anemia, hemoglobinopathy, uremia, kidney failure, etc., the types of diseases that affect the understanding or receipt of patient support The family is affected, such as having a mental illness or having an addiction.
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Intervention groups
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The number of training sessions in the intervention group was performed by the diabetes team of the diabetes community in Bahar city, consisting of 3 people (internist, nurse and nutrition expert); 12 sessions of maximum 3 hours (4 sessions each month). The intervention group was randomly divided into four groups: 13-12 They will receive a training session each month (in the whole intervention group they will attend 3 times in the training sessions). In each session, each member of the trainer will provide at least 0.5 hours of relevant training to the intervention team and their attendants, and then answer 0.5 hours to the questions and answers of the patients.
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Main outcome variables
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Reduce complications of diabetes, increase patient quality of life, self-care in patients, counseling and team training on disease improvement, lifestyle changes in patients