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Showing 17 results for Diabetes

Z Monjamed , M Ali Asqharpoor , A Mehran , T Peimani ,
Volume 12, Issue 1 (5-2006)
Abstract

Background & Aim: Achieving to desire patients quality of life can result to programming for make use of strategies for prevention and control chronic complications of diabetes and promote quality of life.

Methods & Materials: This research is a descriptive and cross-sectional study. The purpose of this study was to assess the quality of life among 310 diabetic patients with chronic complications. The data were collected through interview. The tool of data collection was the questionnaire that consisted of two parts, demographic and disease charactristics, and questions about dimentions of Quality of life. Score were analyzed by descriptive and infrerntial methods (Chi square, Fisher exact test, and Pearson correlation coefficient).

Results: The findings of research showed that quality of life in majority of the subjects (71%) was moderate. The most percent of the health perception (68.3%), mental health (67.7%), Physical functioning (56.1%), and social/ role functioning (54.8%) of the quality of life were moderate. Also there was no relationship between the number of complications and Quality of life. Also there was a significant relationship between demographic variables [age (p=0.028), sex (p<0.001), BMI (p=0.024), grade (p<0.001)] and Quality of life.

Conclusion: According to the results of this study, quality of life in majority of patients with chronic complications of diabetes was moderate.


Fatemeh Vasegh Rahimparvar, Afsar Rezaeepoor, Anoshiravan Kazemnejad, Sima Nazari,
Volume 13, Issue 4 (2-2008)
Abstract

Background & Aim: Screening methods of gestational diabetes mellitus (GDM) diagnosis is controversy. The survey of relation between GDM and its risk factors helps to determine screening methods. This study was performed to find weather the prevalence of gestational diabetes mellitus (GDM) is influenced by higher hemoglobin (Hb) level and mean corpuscular volume (MCV) before 14 weeks gestation in GDM women and healthy women.

Methods & Materials: In this case-control study, 33 pregnant women with GDM in case group (diagnosed according to the Carpenter and Costan criteria) were compared with 33 pregnant women in control group without GDM after 24-28 weeks&apos gestation. Data were gathered using a questionnaire and a data registration form by interview and biophysical methods. The data were analysed by descriptive and inferential statistics (Chi-squared, Fisher exact test, two samples Kolmogrov-Smirnov test, and Pearson correlation coefficient).

Results: There was no significant difference between two groups in demographic factors and medical history. T-test showed a significant difference between the amount of Hb in the control group (13.23±0.078 gr/dl) and the case group (12.23±0.70 gr/dl) before 14 weeks gestation (P<0.001). There was no significant difference between MCV level in two groups (P=0.294). Also MCV level before 14 weeks&apos gestation was 86.92+ 4.51 fl in the case group and 85/56+5/84 fl in the control group.

Conclusion: The result showed that GDM women had higher Hb level than the control group before 14 weeks&apos gestation. It seems that a high maternal Hb in the first trimester is a risk factor for GDM and it can be used for screening and diagnosing of GDM. Also more investigations of the logic of routine iron supplementation in pregnant women who have a high level of Hb are suggested.


M Zakerimoghadam, Sh Bassampour, A Rjab, S Faghihzadeh, M Nesari,
Volume 14, Issue 2 (12-2008)
Abstract

Background & Aim: Diabetes education does not assure adherence to diabetic regimen. The aim of this study was to investigate the effect of nurse-led telephone follow ups (Tele-Nursing) program on adherence to diabetic diet among type 2 diabetic patients.

Methods & Materials: This was a quasi experimental study. Sixty patients who were registered at Iranian Diabetes Society were selected using convenience sampling method. Data gathering instruments included a data sheet to record glycosylated hemoglobin and a questionnaire. Data were gathered at baseline and 12 weeks after the intervention. First, all participants attended in a three-day self-care education and dietary consultation program at Iranian Diabetes Society. Then, they were randomly assigned to the experiment and control groups. Telephone follow ups were applied in experiment group for 3 months, twice a week for the first month and then weekly for the second and third months. Data were analyzed using SPSS version 13.

Results: Results showed that there were significant statistical differences between control and experiment groups in adherence to diabetic diet (P=0.035). There were significant differences in glycosylated hemoglobin between control and experiment groups after the intervention (P<0.000).

Conclusion: According to the results of the study, it is concluded that the nurse-led telephone follow ups can improve HbA1c and diet adherence in type 2 diabetic patients.


E Shakibazadeh, A Rashidian, B Larijani, D Shojaeezadeh, Mh Forouzanfar, A Karimi Shahanjarini,
Volume 15, Issue 4 (3-2010)
Abstract

Background & Aim: Regarding the importance of determining the determinants of diabetes self-care, this study aimed to examine two major determinants of self-care activities, i.e. perceived barriers, and perceived self-efficacy among type two diabetic patients in Tehran, Iran.
Methods & Materials: In this cross-sectional study, 128 patients were recruited to the study using convenience sampling. The validated diabetes instruments were completed by the patients. The included participants aged older than 18 years. Data were analyzed using bivariate correlation and path analysis.
Results: The mean score of the perceived barriers and perceived self-efficacy were 3.05 and 2.18, respectively. The maximum score of self-care was 4.18. There was a positive correlation between self-efficacy and the self-care (r=0.22 P<0.01). Positive correlations were also found between education with self-efficacy and self-care (r=0.28 P<0.05), (r=0.29 P<0.05). There was a negative correlation between perceived barriers and self-care behaviors (r=-0.68 P<0.000). Using serial multiple regressions and path analysis, we had a final model (RMSEA=0.05 GFI=0.95 CFI=0.98 P=0.44 and Chi-Square=26.5). This model showed that perceived barriers were the strongest predictor for self-care behaviors. Perceived barriers mediated the effect of self-efficacy on the self-care behaviors.
Conclusion: The intervention efforts that address the studied determinants related to self-care behavior could potentially impact type two diabetic patients&apos self-care activities. These determinants should be mentioned in the program developing.

 


F Bastani, R Zarrabi,
Volume 16, Issue 3 (1-2011)
Abstract

Background & Aim: Gestational diabetes is a major concern during pregnancy. Psychological factors such as self-efficacy play important role in adherence of the treatment, control of blood glucose, and the outcomes of the pregnancy. The main purpose of this study was to determine correlations of self-efficacy in women with gestational diabetes attending to educational medical centers of Iran University of Medical Sciences in Tehran.

Methods & Materials: In this descriptive correlational study, we recruited 100 women aged 15-49 years old with gestational diabetes and singleton pregnancies using consecutive sampling method. Data were collected using Diabetic Self-Efficacy scale.

Results: The mean age of the women was 31 years. The majority of the women (66%) had moderate economic status and more than half (60%) had no higher education. Sixty eight percent of the study participants were obese or overweight. About 33% of the participants were nullipara and 69% had wanted pregnancies. The results showed that 43% of the women had low self-efficacy. The self-efficacy scores were significantly correlated with education (P=0.005) and occupation (P=0.016).

Conclusion: Self-efficacy is an important determinant of self-management and self-control in gestational diabetes. Regarding low self-efficacy among the women, it seems that implementing educational-counseling strategies to enhance self-efficacy can be helpful to promote optimum self-care among women with gestational diabetes


M Hemmati Maslakpak, F Ahmadi, A Feizi,
Volume 17, Issue 1 (4-2011)
Abstract

Background & Aim: Parents participation in management of diabetes has been recognized to be beneficent. Recognizing parents&apos worries should be addressed to plan effective health promoting programs. This study aimed to explore parents&apos worries about life problems of adolescent girls with diabetes.

Methods & Materials: In this qualitative study, 26 parents (16 mothers and 10 fathers) of adolescent girls with type 1 diabetes were recruited using purposive sampling from the Diabetes Society in west Azerbaijan. Data were collected using in-depth and semi-structured interviews. Analysis of the transcripts was guided by qualitative content analysis.

Results: Qualitative content analysis demonstrated three original categories from parents&apos worries: 1) worries about the future 2) worries about the treatments and 3) worries about the society.

Conclusion: Better perception of parents&apos concerns may promote effective communication between health professionals and parents. Modification of parents&apos personal control and perceived threat through appropriate educational programs that acknowledge and address their concerns may be a means of empowering parents.


Farideh Bastani, Asghar Pourmohammadi, Hamid Haghani,
Volume 20, Issue 3 (11-2014)
Abstract

  Background & Aim: Demographic transition and aging are global conditions result in increased risk of disability and chronic diseases such as diabetes. Considering stress as having mutual interaction with different aspects of health is vital in treatment of common disorders among older adults with diabetes. This study aimed to assess the relationship between the perceived stress with spiritual health among older adults with diabetes registered to the Association of Diabetes Prevention and Control in Babol .

  Methods & Materials: In this cross-sectional (descriptive- analytical) study, 194 older adults aged 60-75 years old were selected using convenience sampling from the Association of Diabetes Prevention and Control in Babol. Data were collected using the demographic form as well as the Perceived Stress Scale (PSS) and the Spiritual Well-being Questionnaire (SWB). The validity and reliability of the scales were confirmed previously. Data were analyzed using descriptive and inferential statistics including ANOVA, Chi-Squared tests, t-test and Pearson correlation coefficient in the SPSS-21 . 

  Results: The study findings showed that perceived stress was low in a substantial percentage of the elderly (74.2%) with the mean ± SD of 22.52±8.06. Also, the levels of spiritual health were medium to high among most participants (97.72 ± 11.51). Interestingly, there was a significant negative relationship between the perceived stress and spiritual health (r=-0.48, P<0.001) .

  Conclusion: This study elaborated the relationship between the perceived stress with spiritual health of elderly patients with diabetes. Considering the results, enhancing spiritual health as one of the health dimensions seems necessary .

  


Shima Shahmoradi , Mehrnoosh Zakerkish , Seyed Mahmood Latifi , Nafiseh Shokri , Mehdi Zarei , Majid Mohammadshahi ,
Volume 21, Issue 3 (12-2015)
Abstract

Background & Aim: Adherence to the principles of appropriate nutrition and diet therapy is one of the most important aspects of diabetes management. The present study aimed to assess the effect of nutrition education based on "MyPlate" Food Guidance on the anthropometric indices and blood profiles in people with type 2 diabetes.

Methods & Materials: In this randomized clinical trial study conducted in 2014, 44 people with type 2 diabetes were randomly allocated either into the control group or the intervention group. Anthropometric measurements, blood profiles, energy intake and physical activity data were collected before and three months after the 2 hours face-to-face “MyPlate” nutrition education session for the intervention group or the usual educational sessions for the control group. Paired t-test, independent sample t-test, ANCOVA, and nonparametric tests were utilized to analyze the data.

Results: At the beginning of the study, the two groups were similar in terms of the anthropometric indices, glycosylated hemoglobin, blood sugar and physical activity. After intervention, except for physical activity which was higher in the nutrition education group based on "MyPlate" Food Guidance, the other above cases were lower than the control group (P<0.05), but no significant differences were seen in the changes of blood pressure (systolic and diastolic) and energy intake between two groups of education and control.

Conclusion: Nutrition education based on "MyPlate" Food Guidance for three months decreases the anthropometric indices and blood profiles in people with type 2 diabetes.


Maryam Moradi, Mehrnaz Geranmayeh, Mandana Mirmohammadali, Abbas Mehran,
Volume 22, Issue 2 (7-2016)
Abstract

Background & Aim: Sexual dysfunction is a common complication of diabetes in women. Although sexual function is important, often is neglected as a component of diabetes care. This study aimed to investigate the effect of counseling on sexual function in women with type 2 diabetes.

Methods & Materials: The present study is a clinical trial conducted on 120 married women with type 2 diabetes and sexual dysfunction, referred to diabetes clinic in Gorgan in 2014. Sexual function was assessed using the Female Sexual Function Index (FSFI). Samples were randomly divided into intervention and control groups. Sexual counseling sessions were held once a week for three weeks. Sexual function was assessed in two stages (before the intervention as well as two months after the intervention). Data analysis was performed using SPSS software version 20.

Results: There was a significant difference in the mean score of sexual function between the control and experimental groups two months after intervention (P<0.001). The comparison of different domains of sexual function (desire, arousal, lubrication, orgasm, satisfaction and pain) before and after intervention showed a significant difference in the experimental group compared to the control group.

Conclusion: Sexual counseling has a favorable effect on sexual function in women with diabetes. Sexual function is recommended to be assessed in women with diabetes during routine health care visit.


Mahdieh Azizi, Narges Arsalani, Farahnaz Mohammadi Shahboulaghi, Samaneh Hosseinzadeh, Asadollah Rajab,
Volume 22, Issue 4 (1-2017)
Abstract

Background & Aim: Diabetes is a chronic disease that needs lifelong special self-care behaviors. Adolescents with type 1 diabetes need self-care education for the control of diabetes and the prevention of its complications. Therefore, this study aimed to determine the impact of self-care education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes.

Methods & Materials: This study is a non-randomized clinical trial (IRCT2015051322258N1) carried out on seventy four adolescents aged 12-18 years old with type 1 diabetes referred to the Iran diabetes association. They were selected using convenience sampling method and allocated into two groups (intervention: 34 people, control: 40 people). An educational intervention was performed in five sessions for the intervention group. After education, the patients were trained and followed up using mobile services for three months. The instruments consisted of a demographic characteristics form and a section of the self-care behaviors scale evaluating medications and the control of complications. Data were analyzed by the SPSS software v.18.

Results: Before the education, no significant difference was observed in the mean scores of medications and control of complications and level of HbA1C between the two groups of intervention and control (P>0.05). After the education, there was a significant difference between two groups in the mean scores of medications and control of complications and level of HbA1C (P<0.05).

Conclusion: Self-care education and the follow up after educational sessions can lead to the reduction in diabetes complications and HbA1C level among adolescents with type 1 diabetes.

Background & Aim: Diabetes is a chronic disease that needs lifelong special self-care behaviors. Adolescents with type 1 diabetes need self-care education for the control of diabetes and the prevention of its complications. Therefore, this study aimed to determine the impact of self-care education on the control of diabetes complications, medications and HbA1C in adolescents with type 1 diabetes.

Methods & Materials: This study is a non-randomized clinical trial (IRCT2015051322258N1) carried out on seventy four adolescents aged 12-18 years old with type 1 diabetes referred to the Iran diabetes association. They were selected using convenience sampling method and allocated into two groups (intervention: 34 people, control: 40 people). An educational intervention was performed in five sessions for the intervention group. After education, the patients were trained and followed up using mobile services for three months. The instruments consisted of a demographic characteristics form and a section of the self-care behaviors scale evaluating medications and the control of complications. Data were analyzed by the SPSS software v.18.

Results: Before the education, no significant difference was observed in the mean scores of medications and control of complications and level of HbA1C between the two groups of intervention and control (P>0.05). After the education, there was a significant difference between two groups in the mean scores of medications and control of complications and level of HbA1C (P<0.05).

Conclusion: Self-care education and the follow up after educational sessions can lead to the reduction in diabetes complications and HbA1C level among adolescents with type 1 diabetes.


Dr Azita Noroozi, Elahe Afrazeh, Rahim Tahmasebi,
Volume 24, Issue 1 (5-2018)
Abstract

Background & Aim: Diabetes is the most common metabolic disease that needs self-management. The aim of this study was to compare the effects of loss- and gain-framed messages on knowledge, self-efficacy and self-management in diabetic patients.
Methods & Materials: In this randomized clinical trial (IRCT2016122931653N1), 112 patients with type 2 diabetes referred to the 17th Shahrivar Diabetes clinic in Borazjan in 2017, were divided into three groups including loss-framed message, gain-framed message, and control. The data were collected by questionnaires in three steps; before, one week and three months after intervention. Chi-square test, one way analysis of variance and repeated measures analysis of variance were used to analyze the data on the SPSS software version 22.
Results: Before the intervention, mean scores for knowledge, self-efficacy and self-management in loss-framed messages group and gain-framed messages group were lower than control. One week and three months after the intervention, mean scores for knowledge, self-efficacy and self-management in both the loss-framed messages and gain-framed messages groups showed a significant increase compared to the control group (P<0.001). One week after the education, self-management score in the gain-framed messages group was 102.26±11.20, in the loss-framed messages group was 111.53±13.73 and in the control was 88.75±11.41. Three months after the education, self-management score in the mentioned groups were 105.58±11.80, 108.72±15.39 and 88.49±13.51, respectively.
Conclusion: The results of this study showed that designing and implementing educational programs based on loss-framed messages and especially gain-framed messages can improve knowledge, self-efficacy and self-management behavior in diabetic patients.
 
 
Safoura Dorri, Hamideh Hakimi, Forough Rafii, Mansoureh Ashghali Farahani, Hossein Mohammadi,
Volume 25, Issue 3 (10-2019)
Abstract

Background & Aim: Iranian elderly population is increasing, and a high percentage of this population suffers from diabetes. Considering that the concept of active aging has not been developed in the context of chronic diseases that are common in aging (such as diabetes), the purpose of this study was to analyze the concept of active aging in diabetic elderly patients based on a hybrid model.
Methods & Materials: Three stages of hybrid model (theoretical, field work and final analysis) were used in this study. In the theoretical phase, 35 articles (published in 1990-2016) from scientific databases were analyzed. In the field work phase, 10 participants were interviewed and then a qualitative content analysis was performed. In the final phase, the findings of the two previous stages were merged and analyzed.
Results: The definition of active aging for the diabetic elderly is a comprehensive, dynamic, multidimensional and culturally dependent process that requires a sense of satisfaction, happiness, well-being, security, and physical and mental health, that is achieved through social participation, providence of appropriate health and employment services, awareness of diabetes, and financial, emotional, family, and governmental support that brings subjective and objective benefits to the international, national and individual levels (such as adaptation to illness, a sense of worth and self-esteem). In order to achieve this, paying attention to the whole life span from childhood to old age is needed.
Conclusion: The results of this study suggest that health, security, satisfaction, participation, access to health services, support and knowledge of diabetes play an important role in activating elderly people with diabetes in Iran.
 
Sahar Rostampour, Fatemeh Erfanian Arghavanian, Masoumeh Kordi, Mohammad Taghi Shakeri, Farideh Akhlaghi, Seyyed Mohsen Asghari Nekah,
Volume 26, Issue 1 (5-2020)
Abstract

Background & Aim: Gestational diabetes mellitus is the most common medical disorder during pregnancy that has many negative psychosomatic effects on the pregnant women and their fetus. According to existing studies, the role of counseling and husband’s support in gestational diabetes has been less studied, so the present study aimed to determine the effect of couples' supportive counseling on self-care behavior in women with insulin-treated gestational diabetes.
Methods & Materials: In this randomized clinical trial, 64 pregnant women (26-30 weeks of gestation) with gestational diabetes referred to the diabetes clinic of Umm al-Banin Hospital in Mashhad in 2018-2019 were divided into the intervention or control groups using the 4-way blocking method. For the women and their husbands in the intervention group, couples' supportive counseling was conducted by the researcher in the form of three one-hour sessions with one week interval. A diabetes self-care questionnaire was completed in two stages, before and four weeks after the intervention for both groups, and data were analyzed by independent t-test and paired t test using the SPSS software version 16.
Results: There were no statistically significant differences between the two groups in pre-intervention self-care scores (P>0.05). After the intervention, the difference between the mean of self-care scores before and after the intervention in the intervention group was 12.09±7.56 and in the control group was 0.00±3.60, which a significant increase was observed in the self-care score for the intervention group compared to the control group (P<0.001).
Conclusion: Couples' supportive counseling helps to promote self-care behavior in patients with gestational diabetes and can be used as an effective method to reduce the adverse consequences of gestational diabetes.
Clinical trial registry: IRCT20181002041202N1
 
Zahra Tayebi Myaneh, Farnoosh Rashvand, Fariba Abdolahi,
Volume 26, Issue 3 (9-2020)
Abstract

Background & Aim: Sleep disturbances in type II diabetes patients due to insulin resistance is a risk factor for the exacerbation of the disease. Therefore, assessment of the factors affecting the improvement of sleep in diabetic patients is a necessity for health care providers. The aim of this study was to investigate the relationship between sleep quality and self-management in type 2 diabetes patients.
Methods & Materials: This is a descriptive, cross-sectional study. A total number of 170 patients with type 2 diabetes referred to the medical centers affiliated to Qazvin University of Medical Sciences were included using the convenience sampling method in 2018-2019. Data were collected by the Richards-Campbell Sleep Questionnaire (RCSQ) and the Diabetes Self-management Questionnaire (DSMQ). Data were analyzed by the SPSS software version 21 using the descriptive/analytical statistics.
Results: The results showed that the mean score of sleep quality was 49.89±25.90 (range: 0-100) and mean score of self-management was 31.82±6.80 (range: 0-48). The results from the Pearson correlation analysis showed a significant relationship between sleep quality and self-management (P<0.05). Also, the stepwise linear regression model showed that the use of health care systems and physical activity and other variables such as marital status and weight of patients had a significant effect on their sleep quality (P<0.05).
Conclusion: The results of the study showed that an increase in the patients’ self-care status, use of health care systems, increased daily physical activity and having an ideal weight can be predictors in improving patients' sleep quality. Therefore, providing infrastructure programs such as continuing education and providing appropriate care programs for diabetics to improve self-management activities, as well as increasing daily physical activity, increasing the use of health systems, and weight control can improve the sleep quality of this group of patients who account for a significant proportion of chronic diseases in communities.
 
Tahereh Nasrabadi, Marjan Akhavan Amjadi, Nasrin Hoseinzadeh,
Volume 28, Issue 3 (10-2022)
Abstract

Background & Aim: Pregnancy is a very important period that is sometimes associated with various complications such as diabetes and poor sleep quality. Therefore, early identification of possible risk factors can play an important role in the health of pregnant women. The purpose of this study was to investigate the relationship of gestational anxiety with sleep quality and gestational diabetes in pregnant women.
Methods & Materials: The present study was a descriptive-analytical study. In this study, 359 pregnant women referred to health centers in Baneh during 24-28 weeks of pregnancy were included through the convenience sampling method. Data collection tools were the demographic information questionnaire, the Petersburg sleep quality questionnaire, the short form of pregnancy-related anxiety questionnaire (PRAQ-17), and gestational diabetes screening result recorded in each patient's health record.
Results: The results revealed that 12.3% of pregnant women were anxious, of which 78.8% suffered from poor sleep quality and 10% had gestational diabetes. Statistical analysis showed that there was no statistically significant relationship between gestational anxiety and poor sleep quality, and gestational diabetes (P>0.05).
Conclusion: It seems that gestational anxiety is not related to sleep disorders and gestational diabetes. However, further research and prospective cohort studies are needed in this regard.

 
Ali Mohammadpour, Samane Najafi, Javad Bazeli, Mahnaz Parimoo,
Volume 29, Issue 1 (4-2023)
Abstract

Background & Aim: Diabetic neuropathy is found in 50% of people with diabetes and refers to a group of diseases that affect all nerves such as peripheral, autonomic and spinal nerves. This study aimed to investigate the effect of topical heat therapy on clinical symptoms of peripheral neuropathy in patients with type 2 diabetes.
Methods & Materials: The present study was a randomized controlled clinical trial conducted on 52 patients with type 2 diabetes with peripheral neuropathy referred to the clinic of Allameh Behlool Gonabadi Hospital in 2018. The participants were randomly divided into two groups of intervention and placebo. The intervention group received heat therapy using a hot pack at 40 ° C twice a day for 20 minutes for a week. The control group received all routine care similar to the intervention group. A demographic information form and NSS questionnaire were used to collect the data through interview. Data were analyzed using the SPSS software version 23 at a significance level of less than 0.05.
Results: The mean scores of neuropathy symptoms before and after the intervention were 5.46±1.90 and 4.12±1.55 respectively for the intervention group, and 4.88±1.53 and 5.08±1.52 for the control group that no significant difference was observed between the both groups before the intervention (P=0.23), but there was a statistically significant difference after the intervention (P=0.03). Also, the comparison of the mean scores of two groups after the intervention showed a significant difference (P<0.001).
Conclusion: The findings showed that topical heat therapy can improve the clinical symptoms of peripheral neuropathy. Since this technique is easy to learn and inexpensive, it can be used to reduce treatment costs and drug side effects, as well as to improve patient self-care.
Clinical trial registry: IRCT20181015041354N1

 
Leila Mardanian Dehkordi, Shahrzad Ghiyasvandian,
Volume 30, Issue 1 (3-2024)
Abstract

Diabetes is one of the most challenging chronic conditions, necessitating continuous and complex management efforts that impacts all aspects of an individual's life (1). Those living with diabetes often experience many social and psychological challenges alongside the disease, ultimately affecting the disease management (2). Addressing and managing these psychological challenges in individuals with diabetes are crucial for optimal disease management and the prevention of serious consequences (3). This issue necessitates the design and implementation of interventions to manage the psychological consequences of diabetes.
Storytelling has emerged as a therapeutic approach utilized in social projects, health promotion, disease prevention, coping with grief, and other concerns (4). Therapeutic storytelling aims to explore the psychological problems experienced by individuals through creative narratives, using problem-solving skills, and providing narrative-based alternatives (5).
Stories serve as a means of expressing viewpoints, revealing emotions, sharing experiences, and transferring information. By engaging in storytelling activities whether through oral or written narratives individuals can absorb valuable lessons, gaining insights into effective problem-solving strategies and emotional expression
Storytelling serve as a means of expressing opinions, revealing emotions, sharing experiences, and transferring information (6). By engaging in storytelling activities whether through oral or written narratives individuals (7)

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