Showing 13 results for Education
Bagher Larijani, Hossein Fakhrzadeh, Zahra Komeylian, Ramin Heshmat, Reza Baradar-Jalili, Mansooreh Maadi,
Volume 3, Issue 1 (5-2004)
Abstract
Hyperlipidemia is a major risk factor for cardiovascular diseases (CVDs). A hundred and sixty six people die each day due to cardiovascular diseases in Iran which accounts for 12500 annual deaths. Several studies have revealed that changes in lifestyle are keys to the prevention of CVDs. This urges the role of continuous and comprehensive educational programs, which should be designed and performed by medical staff specially education nurses.In this study the effect of patient education thorough group discussion or an educational booklet is
compared on knowledge and practice of patients with hyerlipidemia.
Methods: This was an interventional study. Participants were randomly assigned to the "interactive discussion" group or "booklet" group. Knowledge and practice of participants in both groups were assessed before and after intervention using a standardized questionnaire. A total number of 304 patients with hyperlipidemia were studied which were equally divided into "booklet" or "Interactive
discussion" groups.
Results: "Interactive discussion" group showed %27 rise in knowledge and practice. This figure was %26 in the "booklet" group and no significant difference was observable.
Conclusion: It was concluded that interventional sessions and educational booklets had comparable efficacies. We suggest that these sessions be held on regular Intervals so as to achieve better results.
Bagher Larijani, Elaheh Motevaseli,
Volume 4, Issue 0 (2-2005)
Abstract
Background: In the recent years, new medical technologies and their probable misusing have emerged public concerns about medical ethics. Medical ethics is a practical discipline that provides a structured approach for identifying, analyzing, and resolving ethical issues in clinical medicine.
Methods: In this study we reviewed some new methods of teaching medical ethics in other countries by searching in internet and literature books.
Results: Two key features related to the teaching of medical ethics are actively involving students in the learning process instead of merely lecturing about ethical principles and assessing how students apply their knowledge of ethical principles in simulated and actual situations. In many countries such as Iran medical schools attempted to address medical ethics issues in formal ethics classes.
Conclusion: It is clear that the traditional method is no longer sufficient to meet the needs of practitioners and societies and new methods particularly those emphasizing active learning, individual participation, group interactions, and a process-based approach, should be developed and implemented. In addition, a concerted effort to improve education in medical ethics will benefit the medical profession and the patients served there by. Therefore, we recommended policy makers of medical ethics education to change the traditional method with regard to modern methods witch is used now in the world.
Nadya Rezaei, Farideh Tahbaz, Masoud Kimiagar, Hamid Alavi Majd,
Volume 5, Issue 3 (5-2006)
Abstract
Background: Medical-nutritional interventions, can reduce the risk of complicationsin T1DM. There has been some conflicting data on the issue of the association between diabetes knowledge and metabolic improvement of T1DM patients. Therefore the aim of this study was to evaluate the effect of nutrition education on biochemical changes, nutritional status, knowledge, attitude and practice of patients withT1DM in Aligoodarz.
Methods: This study was a self – control quasi survey. Census sampling was used for subject selection. ِِData was collected by observation and interview techniques. Biochemical indices were measured on blood samples by standard methods and anthropometric measurements, diet survey and KAP study were carried out on 30 patients with T1DM by a nutritionist at the first and 3 months after training. All cases participated in educating programs for 12 hours. The results were analyzed by SPSS and Food processor softwares and results compared with paired t-test and McNemar test. P-values less than 0.05 were considered as significant.
Results: 30 patients with 15 – 45 years old ( Mean ± SD = 30.8 ± 11.3 ) participated in study all participants were educated. Mean duration of diabetes was 10.9±6.44 years. FBS, HbA1c, total cholesterol and LDL-C levels decreased significantly. After educating interventions also hypoglycemic attacks reduced. Macronutrients intake were in recommended ranges for diabetic patients. Simple carbohydrates and cholesterol intakes decreased and dietary Folate, Vit c and fiber increased. Calcium intake was less than RDA. Both knowledge and practice scores increased significantly (P<0.001). Attitude was changed for some items significantly.
Conclusion: Findings of this project emphasyzed on the importance of nutrition education to patients with T1DM. It may significantly changes biochemical indices, dietary fiber and simple carbohydrate and improves metabolic control in T1DM. And the patients KAP scores increased. Thus appropriate nutrition education as well as insulin therapy are the main factors in metabolic control of T1DM.
Minou Asadzandi, Zahra Farsi, Soheil Najafi Mehri, Ali Akbar Karimizarchi,
Volume 6, Issue 2 (9-2006)
Abstract
Background: Diabetes is a chronic disease which requires patient participation in treatment process. The outcome of the treatment depends on the patient health belief and the cognition about illness. The aim of this study was to clarify the effect of educational intervention focusing on Health Belief Model in health beliefs and awareness of diabetic patients.
Methods: As a clinical trial 64 diabetic patients were selected from 4 hospitals in Tehran in 2006. Patients randomly assigned to two equal number groups, as case and control groups. After determine of education needs using the health belief model, education program were performed in intervention group. Data from each patient was collected by using questionnaire, at the initial visit and two month after education. Parametric and nonparametric tests were used for statistical analysis.
Results: Independent t test didn’t show a significant difference between two groups in the HBM's domains before the educational program (p>0.05). After education the same test indicated a significant difference between two groups (p<0.05), except in perceived barriers and perceived benefits domains (p>0.05). In the intervention group awareness from 11 to 15(p<0.0001), perceived susceptibility from 27 to 30 (p<0.05), perceived severity from 20 to 25 (p<0.0001), self efficacy from 19 to 22 (p<0.0001) and self care behaviors from 95 to 117 (p<0.0001) increased.
Conclusion: Educational intervention focusing on changing health beliefs and increasing awareness may be effective in promoting self care behaviors in diabetic patients.
Mohsen Khoshniat, Zahra Komeylian, Mansoureh Moadi, Maryam Peimani, Ramin Heshmat, Reza Baradar Jalili, Bagher Larijani,
Volume 6, Issue 4 (6-2007)
Abstract
Background: Children with Type 1 diabetes were present one of the greatest challenges in the worldwide. Health-care providers must be sufficiently aware of diabetes so that such children make utmost benefit of their educational opportunities. The aim of the present study was to compare the effect of three educational methods in raising the level of knowledge of school health-care providers. Therefore the best method would be applied for this purpose.
Methods: In this interventional study 132 samples were randomly chosen from the list of school health care providers of Tehran and divided to the three groups (educated by posters, booklets, and group education). A questionnaire was completed for all the three groups before and after the education. Questionnaire consisted of two parts: -demographic information and 16 questions about diabetes information. Scores were analyzed by descriptive and inferential methods (T-test, ANOVA).
Results: The level of knowledge of school health-care providers was weak in 23.5% of the case, average in 59.8% of cases, and good in 16.7% of cases. The level of knowledge in the groups educated by booklets and group education increased meaningfully, while no obvious increase was observed in the group trained via posters.
Conclusion: From the three aforementioned training methods, group education and education by booklets have the most effect on raising the level of knowledge of health-care providers.
Oussama Khatib, Ozra Tabatabaei Malazy,
Volume 7, Issue 2 (9-2007)
Abstract
Diabetes among Eastern Mediterranean (EM) population above age of 20 years is around 10.5% and is ranked among the leading causes of blindness, renal failure and lower limb amputation. While 50% of EM people with diabetes will die of cardiovascular diseases. This means that in our region, there are pandemic trends in prevalence of diabetes and associated complications. Globally, people with diabetes are 25 times more likely to have a leg amputated than those without the condition, and up to 70% of all leg amputations happen to people with diabetes. Somewhere in the world, a leg is lost to diabetes every 30 seconds. Foot ulcer is the most common single precursor to lower extremity amputations among diabetics. Hyperglycemia, impaired immunologic responses, neuropathy, and peripheral arterial disease are the major predisposing factors leading to limb-threatening diabetic foot infections. Diabetic foot represents a health problem and economic burden among majority of EM Countries. Infection in a diabetic foot is limb-threatening and must be treated empirically and aggressively. Treatment of infected foot wounds is the most common reason for diabetes- related hospitalization. The good news is that up to 85 percent of diabetic amputations can be prevented. As to above challenge, the best approach for EMR is education, community awareness and prevention of diabetic foot. The public approach and education that emphasize on proper footwear and foot care are best preventive and cost-effective modalities that can be easily implemented among EM Countries. EM Countries need to strengthen national health services that promote the concept of prevention and tight control of diabetes in order to prevention diabetes complications. This also necessitates building/strengthening diabetes registry and complications.
Ghasem Abedi, Abolhasan Naghibi, Mahtab Alizadeh , Hosain Faghrzadeh, Farshad Sharifi, Mojtaba Rezaei Rad, Reza Yosefi, Fereshteh Farshidi,
Volume 13, Issue 1 (1-2014)
Abstract
Objective: Health of old people is one of the critical issues in many societies that needs to accurate
health policy making and adjust planning in health issues of elderly. The present study designed to
compare the efficacy of the two traditional and electronic training methods in nutritional issues in order
to life style modification in old people to develop of healthy elderly.
Methods: This survey was a quasi-experimental method via applying the Pre-test and Post-test among
65+ years old people in a retirement association of Sari province, Mazandaran state. By simple random
sampling method, 60 old people were selected, and then trained in two separated classes to 15 persons as
women and men (30 persons) via film technique. The other method was a traditional which applied in the
two separated classes of 15 persons as women and men (30 persons) by book technique. The
questionnaire applied to measure of nutritional knowledge made up by the health center. Data were
described by using SPSS software in accordance to descriptive statistics indexes (mean and standard
deviation), and inferential statistics indexes (independent T and dependent T) were used in order to
generalize results.
Findings: The mean score of increasing knowledge in training group by film was 18/57 and the mean
score in training group by book was 16/90 (T =5/299, df= 58). To satisfaction evaluating, the mean score
in training group by film was 59 and the mean score in training group by book was 35/73 (T =1/96,
df=58).
Conclusion: Based on results training of old people by electronic method as a film is more effective than
traditional method to increasing of nutritional knowledge in elderly. On the other hand, they had more
satisfaction to life style modification by using film method in comparison with traditional method as
book reading technique. Also, the training cost of the elderly via educational film is lower than training
by book. So, should be suggested to consider in training by film rather than book as an efficient and
effective method to improve of elderly health.
Maryam Peimani, Camelia Rambod, Robabeh Ghodsi, Ensieh Nasli Esfahani,
Volume 15, Issue 4 (5-2016)
Abstract
Background: The objective of the current study is to assess the effectiveness of Mobile Short Message Service (SMS) intervention on education of basic self-care skills in patients with type 2 diabetes. Moreover, we aimed to determine whether delivering individually-tailored educational messages can be more effective than general educational messages.
Methods: A total of 150 patients with diabetes type 2 were randomized into three groups: tailored SMS group, non-tailored SMS group, and the control group. Biochemical parameters including HbA1c, FBS, lipid profile were evaluated for the three groups at baseline and after 12 weeks. Moreover, self-care Inventory (SCI), Diabetes Management Self-Efficacy Scale (DMSES) and Diabetes Self -Care Barriers assessment scale for Older Adults (DSCB-OA) were completed. In the tailored SMS group, each person received 75% of their messages based on the top two barriers to adherence that they had experienced and reported in their scale. In the non-tailored SMS group, random messages were sent to every patient.
Results: After12 weeks, although HgA1c levels did not significantly change, significant decline was observed in FBS and mean BMI in both intervention groups. Mean SCI-R scores significantly increased and mean DSCB and DMSES scores significantly decreased in both tailored and non-tailored SMS groups. In the control group, mean SCI-R scores decreased and mean DSCB and DMSES scores significantly increased (P< 0.001).
Conclusion: Sending short text messages as a method of education in conjunction with conventional diabetes treatment can improve glycemic control and positively influence other aspects of diabetes self-care. According to our findings, sending SMS regularly in particular times appears to be as effective as sending individually tailored messages.
Pouran Varvani Farahani, Davood Hekmat Pou, Mohamad Reza Rezvanfar, Afsaneh Talaei,
Volume 15, Issue 5 (7-2016)
Abstract
Background: Noticing to high prevalence and complications rates of Diabetes Mellitus and its effect on quality of life, and also considering low quality of life, can cause low self-care and increase complications among these patients. The goal of this study is comparing the effect of multimedia education with live successful experiments on quality of life in type 2 diabetic patients.
Methods: This is a semi experimental study. First 160 type 2 diabetic patients were selected First 160 type 2 diabetic patients were selected and then randomly allocated into two tests and one control groups. Research tools were self-statement demographic and WHO-QOL Brief questionnaires which were completed before interventions. For first test group educational classes with multimedia method (group discussion, educational film and slides) were hold in 5 sessions each in 45 minutes. For second test group education was based on narrating of live successful experiments by the patients who controlled their diabetes and answer to questions of the patients. After 3 month WHO-QOL Brief questionnaires which were completed again. All data were analyzed with SPSS version 20 software.
Results: There was no significant difference in means of quality of life among three groups before interventions (p= 0.194). There was significant difference in means of quality of life among three groups after interventions (p= 0.04). There were significant differences between the means of quality of life in first test group (P≤0.001) and second test group (P≤0.001) before and after interventions.
Conclusion: Qualities Of Life in first and second test group were increased more than control one.
Zakieh Ahmadi, Tabandeh Sadeghi, Marzeyeh Loripoor,
Volume 15, Issue 6 (7-2016)
Abstract
Background: Education is important aspect of diabetes management and important part of care for these patients. This study aimed to assess the effects of peer education on self-care behaviors among diabetic patients
Methods: In this randomized controlled trial, 80 type 2 diabetic patients were selected and randomly allocated into two groups of intervention and control. In the intervention group, In addition to routine training center, patients were receiving health and self- care education in the field of diabetes by peer. In the control group, patients were receiving usual education in accordance with normal procedures by doctors and nurses and through posters and pamphlets of the diabetes center. Study instruments included a questionnaire for demographic variables and self-care behaviors questionnaire (Summary of Diabetes Self-care Activities). Validity and reliability of questionnaire has been confirmed in previous studies. Data were collected at baseline and 12 weeks after the intervention. Data analysis was done using SPSS V.18.
Results: After the intervention, mean score of self-care behaviors in the intervention group was increased and showed a significant difference in self-care behaviors between two groups (independent t- test, P=0.001). In the intervention group, statistically significant difference was found before and after the intervention (paired t-test, P=0.001), whereas in the control group this difference was not statistically significant (paired t-test, p=0/28).
Conclusion: Peer education can improve self-care behaviors. Thus use of this method along with other training methods is recommended.
Smaneh Rahnavard, Nasrin Elahi, Darush Rokhafroz, Mohamad Hossin Hagighi, Mehrnosh Zakerkish,
Volume 18, Issue 2 (2-2019)
Abstract
Background: The lack of self-care is the most important in diabetic. Because it is important factor that lead to dead of diabetic patients.
The aim of this study was to Comparison of the Effect of Group Based and Mobile Based Education on Self-Care Behaviors in Type II Diabetic Patients
Methods: This randomized clinical trial was conducted on 90 patients' diabetic type 2 who referred to diabetic clinic of Ahvaz University of Medical Sciences. Initially, patients were divided into three groups of homogeneous mobile-based education, group training and control group based on individual characteristics. . In group training, eight sessions of training were conducted, mobile education was installed on the patient's phone and the control group through had given routine education. The data collection tool was self-care questionnaire, demographic, and demographic questionnaire for type II diabetic patients. Data were analyzed using SPSS 22 software and one-way and one-way ANOVA tests at a significant level was (0.05).
Results: Group training and mobile-based education had a significant effect on routine education (P = 0.001). Self-care education, except in the field of foot care that the effect of mobile-based education was more than group training. In comparison, self-care score in the three groups was statistically significant. Although there was no statistically significant difference between the two educational groups, the effectiveness of education in the mobile group was more effective.
Conclusion: However, the findings found the effectiveness of group-based and mobile-based education. However, the use of mobile-based training programs is recommended because of easy access, lack of time and space restrictions.
Mahtab Aligholipour, Hossein Feizollahzadeh, Mozaffar Ghaffari, Faranak Jabbarzadeh,
Volume 18, Issue 2 (2-2019)
Abstract
Background: Patients with diabetes need to be educated efficiently and effectively in order to increase their quality of life. According to modern technological developments, multimedia message-based education is considered as one of the effective educational strategies. The purpose of this study was to investigate the effect of multimedia-based education in the Telegram application and in-person method on fasting blood glucose and glycosylated hemoglobin levels in patients with insulin-dependent diabetes.
Methods: In this clinical trial study, a sample of 66 patients with insulin-dependent diabetes who referred to the emergency department and the clinic of Sina hospital in Tabriz, were randomly assigned in double blocks into two groups: in-person education and multimedia-based education. Data gathering tools included a demographic form, glycosylated hemoglobin and fasting blood glucose were measured before and three months after the educational intervention. Data were analyzed with independent and paired samples t-tests.
Results: The results indicated that there were no significant differences in the mean values of glycosylated hemoglobin and fasting blood glucose between two groups before and after education(P >0.05). In within-group comparison, there was a statistically significant difference in the multimedia message group on the reduction of mean values of glycosylated hemoglobin (p= 0.02) but these values differences were not significant in in-person group (p= 0.33).
Conclusion: Multimedia-based education in the Telegram application compared to in-person education improves self-care and reduces the mean values of glycosylated hemoglobin in diabetic patients. This educational context can be used to facilitate the self-care education process to patients.
Marziyeh Alijani, Mansour Siavash, Parvaneh Abazari,
Volume 23, Issue 5 (12-2023)
Abstract
Background: The health assistant and treatment assistant in the Ministry of Health and Medicine are in charge of educating people with diabetes and empowering them to achieve self-management of diabetes. The present study was conducted with the aim of determining the status of education and support for diabetes self-management in comprehensive health service centers and diabetes clinics in Isfahan province.
Methods: The diabetes education units of 20 comprehensive health service centers and 11 diabetes clinics in Isfahan province formed the sample size. The data collection tool was a checklist with 107 items, which was completed by observing and reviewing 170 paper/electronic files of patients with diabetes.
Results: In more than two-thirds of the files of diabetes centers/clinics, initial assessment were neither performed nor recorded. Educational needs assessment was recorded in 5% of the files and educational planning was not recorded in nearly 100% of them. In more than a third of the files (36.5%), diet education was recorded once when the case was filed. In 3.4% of files, educational effectiveness evaluation was recorded and in three quarters of files (75.78%), continuous support for self-management was not recorded.
Conclusion: There is a significant gap between the status of education and support for diabetes self-management and the process and outcome standards of DSMES in the educational units covered by the provincial health and treatment department. This gap seriously and negatively affects the results of this approach.
