Showing 11 results for Patient
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, Soudeh Ghafourifard, Farzaneh Zahedi,
Volume 4, Issue 0 (2-2005)
Abstract
Background: Medical students at all levels of experience, encounter learning opportunities in a wide variety of clinical settings. There are some ethical dilemmas a student may face and possibly carry the burden throughout his file. Most of formal medical ethics teaching focuses on dilemmas that students may face in their future practice, rather than the ethical problems they encounter as medical students. Several studies suggest that students’ clinical experiences constitute an informal or hidden ethics curriculum, which can undermine their developing professionalism. Methods: In this article, we discuss some ethical dilemmas of medical education and also some solutions for them.
Results & Conclusion: In order to promote a setting that is satisfying to the student, to the faculty, and most importantly, to the patients, we have proposed ethical notes for medical students about informed consent, protecting patient confidentiality and managing ethical concerns.
Maryam Peimani, Zahra Monjamed, Mansooreh Asgharpour,
Volume 5, Issue 4 (6-2006)
Abstract
Background: Neuropathy is one of the most common and dangerous complications of diabetes. Diabetic neuropathy account as the most common cause of mortality among patients. Many studies suggest that neuropathy have a negative effect on quality of life. Although there is limited evidences about relationship between diabetic neuropathy and quality of life in Iran, so this study was conducted to investigate this interaction among a group of patients.
Methods: As a descriptive-analytical study, 304 diabetic patients with neuropathy was selected via convenience sampling method. The data were collected through interview and physical examination. The tool of data collection was the information sheet of medical records and questionnaire that consisted of three parts, demographic and disease characteristics, list of neuropathic complications of diabetes and questions about dimensions of quality of life. The reliability evaluated via test-retest method and validity assessed via content validity method.
Results: the results revealed that tingling (96.1%) and pain (92.1%) in the case of sensory neuropathy were the most common complains. Sexual dysfunction (72.4%) and gastrointestinal problems (70.4%) account the most common symptoms in view of autonomic neuropathy. The results revealed that quality of life among all patients was fairly desirable and there was a significant relationship between neuropathy and quality of life (P<0.001).
Conclusion: According to the findings of this study, there is a significant relation between neuropathy and quality of life in diabetic patients. Our results suggest that nurses and educational supervisors should pay attention to promote different dimensions of quality of Life in diabetic patients with neuropathy.
Najmabadi Shahandokht , Marzieh Nojomi , Maziar Moradilakeh, Hassan Shojaie Baghini,
Volume 13, Issue 5 (7-2014)
Abstract
Background: The increasing prevalence of Diabetes mellitus as a chronic disease, and as a manageable disease with medical nutrition therapy, needs to consider and determine the self-care diet therapy The aims of this study to determine the prevalence of self-medication, self control in diet therapy and use of medicinal herbs, for diabetes control.
Methods: 502 Diabetic Patients were selected randomly in this descriptive, cross sectional study, from 4 diabetic clinics from urban Primary health care Center, and diabetic clinic in Endocrinology and Metabolism Research Institute. Data were collected via face to face structured interview of respondents by Dietitian experts, in the clinics using a developed and piloted questionnaire.
Results: 83.8% respondents were Type 2 Diabetics patients, 70.3% were controlled using oral medicines and diet therapy, and herbal medicine .The more common herbal medicine use for diabetes control were Cinnamomum zeylanicum(Cinnamon) 34.1%, Tigonella foenum graecum 13.7%, Allium sativum 28.6%, Anethum graveolens 28.8%, Zingiber officinal 17.8% .There was significant association between education level, age, and morbidly of other chronic diseases and self herb medication.
Conclusion: Use of nutritional herbs, effective in reduction blood sugar and lipids profile were most common self herbal medication in diabetic patients. Which are The prevalence of self-medication with carbohydrates limited diet and herbal medication, were the most diabetes control methods in the respondents patients in this survey.
Mohamad Saleh Mohamadabadi , Abdulaziz Aflakseir ,
Volume 17, Issue 3 (3-2018)
Abstract
Background: The aim of the present research is to predict the self-care behaviors based on emotional distress and physician – patient’s relationship in adolescents with diabetes.
Methods: The research design was correlation and the study population included all adolescents with diabetes at Shiraz city. For this purpose, 198 adolescent patients participated in the study through the convenience sampling method. Research instruments included the Questionnaire of Diabetes Self-management, Emotional Distress Questionnaire and finally Physician–Patient’s Relationship Questionnaire. To analyze the data, the simultaneous multiple regression methods were applied using SPPS (version 17).
Results: Regression analysis showed that emotional distress (β=-0.58, P<0.001) significantly (negative) predicted diabetes self-care behaviors. Also, among the components of emotional distress only barriers to treatment (β=-0.53, P<0.001) significantly (negative) predicted diabetes self-care behaviors. However, results showed that physician–patient’s relationship did not significantly predicted diabetes self-care behaviors.
Conclusion: According to the results, it can be argued that the emotional distress (especially barriers to treatment) variable, play an important role in addressing diabetes self-care behaviors in adolescents.
Roohangiz Alirezaei Shahraki, Ahmad Aliakbari Kamrani, Robab Sahaf, Yahola Abolfathi Momtaz, Narjes Khosravi Samani,
Volume 17, Issue 5 (7-2018)
Abstract
Background: Diabetes is a chronic disease that is increasing in the world that has a different outbreak in different societies. 90% to 95% of all types of diabetes include type 2 diabetes. This disease is spreading due to the Industrial life and urbanization .The Nationwide Program for Prevention and Control of Diabetes is already under way for controlling the disease and its side-effects. This study is intended to probe into the effects of the program in the country.
Methods: This study used a cross-sectional pre- and post-test design involving 100 elderly patients newly introduced to be suffering from diabetes who were selected by convenience sampling in Isfahan. The data collection methods were a questionnaire on demography and health, and another one on patients’ levels of fasting blood sugar (FBS) and hemoglobin glycosides (HbA1c(The data was gathered before and three months after the patients’ entrance into the program.
Results: The mean and standard deviation of the fasting blood sugar before the program were 172.73 and 71.68 and after the program 143.02 and 51.19, respectively (P<.001; t=5.30). And finally, glycated hemoglobin mean and standard deviation before the program were 8.24 and 1.9 and after the program 7.44 and 1.66, respectively (P<.001; t=4.79).
Conclusion: The results indicate the importance of the program for the prevention and control of the elderly patients’ diabetes by controlling their fasting blood sugar and glycated hemoglobin.It is recommended that this program be implemented in all health centers of the country.
Fatemeh Ghannadiasl,
Volume 17, Issue 5 (7-2018)
Abstract
Background: Food insecurity is associated with the poor glycemic control. Therefore, this study was amid to determine food insecurity among type 2 diabetic patients in Ardabil.
Methods: In this analytical cross-sectional study, 153 type 2 diabetic patients (98 females and 55 males) were recruited from the nutrition clinic in their first visit in 2016. After measurement of weight and height, the participants were completed 3-day food records (2 weekdays and 1 weekend day). The energy, macronutrients and micronutrients intakes were calculated using N4 food analysis software. Food insecurity was measured by comparisons between the nutrients intakes and recommended dietary allowances. One sample T-Test and Independent sample T-Test were used for comparison.
Results: The mean of age, disease duration and body mass index were 49.56± 7.36 years, 6.34± 5.46 years and 28.55 ± 4.25 kg/m2, respectively. Only one-fifth (19.6%) of participants fell within the normal weight range. The mean energy intake was 1922.20 ± 515.59 kcal/day. The carbohydrate, protein, and fat were contributed to 63.26%, 14.86% and 21.88% of the energy intake, respectively. The micronutrient intakes (calcium, magnesium, vitamins A, E, and C) were less than recommended dietary allowances.
Conclusion: Food insecurity, especially in calcium, magnesium, vitamins A, E, and C intakes was prevalence among type 2 diabetic patients. It is suggested that these patients should be educated based on their dietary requirements.
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.
Ata Pourabassi, Zahra Kheiry, Sarah Nouriyengejeh, Solmaz-Sadat Naghavi Alhosseini, Farnaz Banakar,
Volume 18, Issue 3 (3-2019)
Abstract
Background: The main problem of modern humans is non-communicable diseases such as diabetes, cardiovascular disease, etc. Diabetes has the highest prevalence. It imposes many costs on society and the patient. Diabetics have special needs for a better life; hence, the researcher's aim is to accomplish them by defining researches and technology missions. Our purpose was to understand the real needs of a diabetic patient. Previous studies were evaluated to find out which one was effective.
Methods: In this research, 120 diabetic children's parents were requested to write a letter entitled "Hi Inventor" and describe any efficient inventions, which could make life easier for their children. Besides, research papers and patents from Iran over the past ten years have been evaluated in terms of their compliance with patients' needs.
Results: Parent's statements gathered in the form of 12 real needs. The main concern was the invasive method of blood glucose testing and they were asking for innovative method to measure blood glucose with less pain. Among published articles by Iranian researchers over the past ten years, 3% of the articles were in some way related to the actual needs of patients with diabetes. A total of 1017 patents from Iran was looked for, there were 3 diabetes-related patents.
Discussion: To sufficiently support the conducting research and identifying research priorities in the country, it is necessary to consider a balanced ratio between fundamental and applied research so that the patients' community can benefit from the early results of research as well.
Reza Masoodi, Soleiman Kheiri, Fateme Ali Akbari, Ahmad Ali Eslami, Leili Rabiei,
Volume 19, Issue 6 (8-2020)
Abstract
Background: Assessing the health literacy of diabetic patients requires the availability of a tool specific to this group. The Diabetes Health Literacy Assessment Questionnaire (LAD) is one of the tools used to measure the health literacy of diabetic patients. The present study was conducted with the aim of translating and validating the Persian version of the LAD questionnaire.
Methods: The present study aimed to determine the validity and reliability of the Persian version of the Health Literacy Assessment Questionnaire for diabetic patients on 300 patients with diabetes in 1398, by sampling. Stages of study: First: Translation and preparation of the Persian version of the health literacy questionnaire in order to design and select items and their qualitative evaluation by the second group: Quantitative evaluation of narrative features using the opinions of the third group of experts: Formal narrative evaluation (comprehensibility) and The reliability of the questionnaire was assessed by a small group of the target population in a fourth experimental study: analysis of items, validity assessment and reliability of the final questionnaire.
Results: In the analysis of organizational structure items, the effects of roof and floor were not observed. The highest averages were for items 8 and 12 and the lowest averages were for items 6. According to the Skewness Index, no deviation was observed in the items. Based on the results, the instrument had acceptable internal stability. Detective factor analysis identified two factors for the Diabetes Health Literacy Questionnaire: one was individual understanding and the second was social support.
Conclusion: The results of exploratory factor analysis, Diabetes Health Literacy Questionnaire (LAD) have good validity and reliability and can be used to measure the health literacy of diabetic patients.
Batool Yamani Ardakani, Maliehe Mobarakian, Vali Bahrevar, Moradali Zareipour, Sadegh Kazemi, Mojtaba Fattahi Ardakani,
Volume 24, Issue 2 (6-2024)
Abstract
Background: Despite the increased use of complementary medicine by diabetic patients, there is no clear estimation of complementary and herbal medicine use by these patients in Iran. This study was conducted to investigate the uses of herbal medicine among patients with type II diabetes in Yazd, Iran, in 2022.
Methods: A cross-sectional study was carried out on 633 patients with type II diabetes referred to the Diabetes Research Center in Yazd City from June to September 2022. A questionnaire-based theory of planned behavior developed and validated by the researcher was used for data collection. In addition to demographics and disease-related information, the instrument included questions about using herbal medicine used. Descriptive statistics, Chi-square, Fisher's exact, and linear regression tests were used to analyze the data.
Results: The most common herb used was cinnamon (34.7%). The majority of patients used herbs daily (56.9%). Using herbal medicine was significantly associated with Attitude (r= 0.48, p< 0.001) Subjective norm (r= 0.39, p< 0.001), perceived behavior control (r= 0.38, p< 0.001) and intention (r= 0.4, p< 0.001). Constructs of the theory of planned behavior 73% predicted intention to use herbal medicine. Subjective norm structure had the highest predictive power of intention to consume herbal medicine (ß= 0.49, p< 0.001).
Conclusion: Subjective norm is the most predictor of intention to use Herbal medicines in patients with diabetes. Therefore, it is very important to pay attention to the beliefs, customs, and culture of the surrounding community in the correct self-management of disease control and the use of effective drug control.
