en <span style=font-size:12pt><span style=line-height:normal><span style=tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt><span style=font-family:Times New Roman,serif><span style=color:black><b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Aims</span></span></span></b><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> One of the effective factors in preventing the complications of diabetes is stress management. The purpose of this study was to evaluate the effect of an intervention based on Lazarus’ Transactional Model on the level of stress in patients with type 2 diabetes.</span></span><b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#202124></span></span></span></b></span></span></span></span></span><br> <span style=font-size:12pt><span style=line-height:normal><span style=font-family:Times New Roman,serif><span style=color:black><b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Materials & Methods:</span></span></span></b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif> This quasi-experimental study was conducted among 80 patients with type 2 diabetes. Stress levels, coping methods, and hemoglobin A1C were evaluated before the intervention and three months afterward. In the intervention group, five training sessions were held based on the strategies outlined in the model. The data were analyzed using analysis of variance, Pearson’s correlation coefficient, and analysis of covariance</span></span><span style=font-size:10.0pt><span style=font-family:Cambria,serif>.</span></span></span></span></span></span><br> <span style=font-size:12pt><span style=line-height:normal><span style=font-family:Times New Roman,serif><span style=color:black><b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Findings:</span></span></span></b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif> The perceived stress score in the intervention group decreased after the intervention. The results of the Pearson correlation test indicated a negative and significant relationship between the stress score and confrontive and optimistic coping strategies. Additionally, there was a positive and significant relationship between the stress score and methods of emotional adaptation and fatalism (p<0.001). Analysis of covariance revealed that, after adjusting for group effects, the intervention had a significant impact on the use of adaptive methods and stress levels </span></span><span style=font-size:10.0pt><span style=font-family:Cambria,serif>(p<0.001).</span></span></span></span></span></span><br> <span style=font-size:12pt><span style=line-height:normal><span style=font-family:Times New Roman,serif><span style=color:black><b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Conclusion:</span></span></span></b><span lang=EN style=font-size:10.0pt><span style=font-family:Cambria,serif> Training and interventions aimed at utilizing coping approaches based on Lazarus’ Transactional Model of stress and adaptation is effective in controlling and reducing stress in patients with type 2 diabetes.</span></span></span></span></span></span> Diabetes Mellitus,Stress, Psychological,Adaptation, Psychological,Problem Solving, 597 603 http://hehp.modares.ac.ir/browse.php?a_code=A-10-84271-1&slc_lang=en&sid=4 M.R. Miraki 1003194753284600346061 1003194753284600346061 No “Department of Health Education and Health Promotion, School of Health” and “Student Research Committee”, Rafsanjan University of Medical Sciences, Rafsanjan, Iran M. Nasirzadeh 1003194753284600346062 1003194753284600346062 No Department of Health Education and Health Promotion, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran A.R. Sayadi 1003194753284600346063 1003194753284600346063 No “Department of Psychiatric Nursing, School of Nursing and Midwifery” and “Social Determinants of Health Research Center”, Rafsanjan University of Medical Sciences, Rafsanjan, Iran M. AbdolKarimi 1003194753284600346064 1003194753284600346064 Yes “Department of Health Education and Health Promotion, School of Health” and “Geriatric Care Research Center”, Rafsanjan University of Medical Sciences, Rafsanjan, Iran