The effect of home care on glycosylated hemoglobin, quality of life, and readmission of patients with type 2 diabetes who have undergone surgery and are being discharged from selected training centers

Determining the effect of home care on quality of life, glycosylated hemoglobin and readmission of patients with type 2 diabetes undergoing surgery and discharged from selected educational hospitals in Isfahan 1398

Randomized Clinical Trial.Double blind

for each patient in the intervention and control group, background and quality of life questionnaires will be completed and blood samples will be taken for glycosylated hemoglobin. The readmission questionnaire will be given to each patient to complete for each re-admission in three months priod and submit it to the researcher. In the intervention group, from the time of discharge, according to the protocol, visits will be planned and performed by the research team to determine and cover the educational, care and treatment needs of patients for 3 months. At the end of three months, for all patients in both intervention and control groups quality of Life Questionnaire will be completed .Blood samples will be taken for HbA1C testing.The research environment is patients' homes

1. The address of patients's residence is located in the geographical area of ​​Isfahan. 2. Patients who speak Persian, 3. Patients who are able to communicate verbally 4. Patients with type 2 diabetes 5. Patients who consent to participate in the study 6. At the time of the research, they are being discharged from the surgical wards of selected hospitals (the discharge order is recorded in the file). 7. First-degree family members of the intervention group consented to participate in the study. 8. The age of the patients is 45 years and older. 9. Male patients must be married and living with their spouse during the intervention.

One group: surgical patients being discharged

Quality of life, glycosylated hemoglobin and readmission

Random allocation by blocking method will be done as follows: The researcher will divide the total sample size into smaller groups (groups of four) called blocks, considering that with a sample size of 70 and a quadruple block, an integer is not obtained, so we consider the number 72 and as a result we will have eighteen blocks. . The situations of placing people (four people) inside each block can be imagined and documented from the total number of samples from the intervention and control group {ACAC, ACCA, CCAA, CAAC, AACC, CACA )then assign a number to each of these blocks .ACAC = 1, ACCA = 2, CCAA = 3CAAC = 4, AACC = 5, CACA = 6 )) We write the numbers on the balls of the same color and size and put them in the bag, and The three-year-old then pulls a ball out of the bag and, after recording the number on the ball, returns it to the bag and pulls out the next ball. In this way, during the sampling, according to the order of the blocks and the number taken out of the bag, sampling will be done. It is necessary to explain that the previous block must be completed to complete the next block.

In patient blinding, the researcher will explain the purpose of the study to both groups equally before randomly allocated the samples. Consent to participate in the study will be obtained from each participant in the study. Quality of life questionnaire for each of patients will be completed and a blood sample will be taken for glycosylated hemoglobin. Then, according to the block number (in which the four samples should be placed)patients will be randomly placed in intervention or control groups. Because sampling will be done on different days and in the morning and evening shifts, patients in the control and intervention groups will not be able to communicate with each other. In this study, blindness will also be performed for the statistical analyst. For this purpose, the letters A and B will be used to enter the data of the intervention and control group, and the analyst will not be aware of which letter belongs to which group under study.