Showing 10 results for Self-Care
Mahnoush Reisi, Firoozeh Mostafavi, Homamodin Javadzade, Behzad Mahaki, Elahe Tavassoli, Gholamreza Sharifirad,
Volume 14, Issue 3 (3-2015)
Abstract
Background: Diabetes is a chronic disease that can cause severe complications such as cardiovascular disease, blindness and kidney failure. Given the importance of self-care in diabetic patients, and considering that inadequate health literacy is a serious barrier for the management of diabetes that can affect patients' participation in self-care, Therefore this study aimed to assess the status of health literacy in patients with type 2 diabetes in three domains of functional, communicative and critical and Determine the factors associated with self-care behaviors in these patients. Methods: A cross-sectional study on 187 diabetic patients referred to Hazrat Ali diabetes clinic in Isfahan. The samples were selected by randomly Convenience sampling method. The level of health literacy and Status of self-care behaviors in patients was assessed by a standardized questionnaire (FCCHL) and (DMSES) respectively. Collected data were analyzed Using the ANOVA, t-independent, Pearson correlation coefficient at SPSS v.21 statistical software. Results: The mean age of the study population was 57.40 ± 11.07. Average health literacy score and self-care behaviors of the participants were 2.28± 0.57 and 3.84 ± 1.56 respectively. There was significant relationship between total health literacy, communicational and critical health literacy with self-care behaviors. There was no significant relationship between functional health literacy and self-care behaviors. Communicational health literacy was associated with diet, physical activity, blood glucose monitoring and foot care. Critical health literacy was associated with physical activity, blood glucose monitoring, foot care, and taking medication. There was no significant relationship between Communicational health literacy and taking medication and also between critical health literacy and diet. Conclusion: Considering that communication and critical health literacy was associated with the self-care of patients with diabetes so Emphasis and consideration should primarily be given on skills related to these domains of health literacy. Since that Patients’ functional HL capabilities that was associated with basic skills in reading and writing was not related to self-care, therefore assessment of education levels alone in the clinical setting is not recommended.
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.
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.
Sakineh Gerayllo , Mohammad Ali Morovati Sharif Abad, Abdorahman Charkazi, Zohreh Karimian Kakolaki, Ensieh Sharifi,
Volume 16, Issue 5 (10-2017)
Abstract
Background: Osteoarthritis (OA) is the most common joint disorder and the most prevalent cause of joint pain across the spectrum of middle age to elderly. The purpose of this study was to determine the role of subjective norms and perceived behavioral control on self-care among elderly patients with osteoarthritis who are suffering from OA in Yazd city, Iran.
Methods: A cross-sectional study was conducted and 87 elderly who attained to health centers subjects through simple sampling methods. The data collection instrument was a questionnaire designed for the study which the first includes demographic variables, of subjective norms and perceived behavioral control Part II, and self-care behaviors categories of items Part III. The questionnaires completed by interview and data were analyzed by SPSS18 software using T-Test, ANOVA, correlation coefficient tests.
Results: The mean score of the subjective norms, perceived behavioral control and self-care were 81.85±11.40 (The top 110 scores), 90.19±6.19 (The top 120 scores) and 44.93±5.84 (The top 60 scores), respectively. The results showed that between subjective norms and perceived behavioral control and self-care with demographic variables except education and perceived behavioral control (P =0.001), the history of disease of self-care (P =0.001) and perceived behavioral control and economic status (P =0.002) were not a significant relationship, Also The results Pearson’s correlation test revealed that there was a significant correlation between self-care behaviors and perceived behavioral control (P =0.008, r=0.297).
Conclusion: As for strong association between behavioral control and self-care that we found in our study and high influence and extension of mass media, it recommends to emphasis on using these methods as educational assistance devices in interventional programs in these medias.
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.
Sima Zahedi, Ali Darvishpoor Kakhaki, Meimanat Hosseini, Zahra Razzaghi,
Volume 17, Issue 4 (5-2018)
Abstract
Background: Hemodialysis is the most common treatment in patients with end stage of renal disease (ESRD). Patients undergoing hemodialysis due to multiple drug treatments, special food programs and being able to cope with their illness need to self-care activities. Due to lack of information about the role of health literacy in effectiveness of self-care in these patients, this research aimed to determine the correlation between self-care and health literacy in patients undergoing hemodialysis in Valiasr Hospital of Arak in 2015.
Methods: In this descriptive correlational study, 93 undergoing hemodialysis patients selected by objective sampling method. Data collecting instruments were "demographic questionnaire", "self-care questionnaire " and "Health Literacy for Iranian Adults questionnaire". The content and face validity of questionnaires was assessed. Reliability assessed through internal consistency (Cronbach's alpha) and Intra- Class Correlation Coefficient. Data were analyzed by SPSS, version 21, using, Kolmogorov–Smirnov test, Descriptive Statistics and Kolmogorov–Smirnov test.
Results: The results showed that 79/6% of patients were male and 20/4% were female with an average age of 54/18 ± 13/9 year. The mean score of self-care and health literacy were 146/90± 45/46, 88/14± 36/42 and were at a moderate level. The lowest score of self-care and health education related to the field of fluid intake and decision-making and behavior. There was a significant positive correlation between self-care and health literacy (p<0/0001, r= 0/6).
Conclusion: The existence of a significant positive correlation between self-care and health literacy showed that the hospital managers and the nurses must pay more attention to what patients undergoing hemodialysis need. Considering the importance of health literacy in the care of patients undergoing hemodialysis, it seems necessary to nursing administrators and Politicians use educational programs tailored to the patient's health literacy level in order to promote their health and quality of life.
Mahnaz Aliakbari Dehkordi, Fatemeh Eisazadeh, Alireza Monzavi Chaleshtari,
Volume 21, Issue 2 (7-2021)
Abstract
Background: Coronary heart disease is a viral infection that has become a pandemic disease. Given the comprehensive impact that this disease has on the lifestyle of individuals, the economic situation of the country, imported drugs; the present study aims to investigate the self-care status of patients with type 2 diabetes during the Covid epidemic.
Methods: The study population in the present study was people with diabetes in Bushehr. The sampling method in the present study was purposeful and available sampling and the sample size was 13 people (7 men and 6 women). The research information was collected through a semi-structured interview for 40 to 60 minutes using open-ended questions. After the interview process, the answers were interpreted and coded using the content analysis method.
Results: According to the results of the present study, in general, patients with type 2 diabetes during the period of Covid-19 epidemic did not have a favorable self-care status and many problems in the field of self-care behavior (medication, nutrition and exercise and mobility) and in other Fields have experienced.
Conclusion: Diabetics have experienced many problems during the Quaid 19 epidemic, which further reduces their quality of life; therefore, the government, the media, the patient's family, the patient himself, doctors, psychologists and counselors can be used to reduce these problems.
Marzieh Zamani, Vahid Rahmanian, Azam Namdar, Ameneh Marzban,
Volume 21, Issue 5 (1-2022)
Abstract
Background: Searching for health information and gaining knowledge plays an important role in the management of chronic diseases such as diabetes. The aim of this study was to investigate the role of information resources in self-management of diabetes in diabetic patients referred to health centers in Jahrom.
Methods: This study is a descriptive-analytical study that was performed on 393 patients with diabetes in Jahrom city and covered villages in 2018. Data collection tools included a form of personal information, a questionnaire based on the role of information sources in improving the disease of patients with diabetes, and information was collected through it and the results were statistically analyzed by spss24 software.
Results: The highest age range of the participants in this study was 45 to 60 years old (40.7%) and 67.9% of the patient population were women. 68.1% of patients with diabetes had information about their disease after infection. Most of their sources of information included physicians, family and friends, and other patients and the mass media, respectively. The most important reasons for not obtaining information in 31.9% of other patients were difficulty and lack of access to information resources.
Conclusion: The overall result of this study indicated the relatively high and good health literacy of the subjects. Also, the population who did not have knowledge about their disease were very eager to learn that this problem can be solved as much as possible by properly distributing and presenting educational resources and equalizing educational opportunities and equalization in affluent and deprived areas. The results of this research as well as its overall result can be used to improve the health and education system of the country and help improve and enhance the distribution of educational resources through proper training of health personnel and more cooperation of relevant organizations.
Akram Soleimaninia, Ahmad Mansouri, Zahra Bagherzadeh Golmakani, Ahmad Zendehdel,
Volume 22, Issue 4 (11-2022)
Abstract
Background: Type 2 diabetes is a chronic and debilitating disease that affects the life expectancy and self-care behaviors of women with this disease. Therefore, the present study aimed to investigate the effectiveness of existential therapy on life expectancy and self-care behaviors of women with type 2 diabetes.
Methods: The research method was applied and quasi-experimental with pre-test and post-test design with control group. The population included all women with type 2 diabetes in Neyshabur, Iran. Among them, 40 people were selected by available sampling method and randomly assigned to experimental and control groups. Participants completed the Hope Scale (HS), and The Summary of Diabetes Self-Care Activities (SDSCA). Multivariate analysis of covariance was used to analyze the data.
Results: The results of analysis of covariance showed that there was a difference between women in the existential therapy group and the control group in life expectancy (F= 10.11, P= 0.0001) and self-care behaviors (F= 176.5, P= 0.003). Existential therapy has increased the mean score of the participants of the experimental group in the variables of life expectancy and self-care behaviors.
Conclusion: The existential therapy can increase life expectancy and self-care behaviors of women with type 2 diabetes by emphasizing freedom, responsibility, meaning and purpose in life, death and relationship with other. Therefore, existential therapy can be used in along with medical treatments.
Shahnaz Mohammadi, Azadeh Nazari, Mahnaz Mohammadi,
Volume 23, Issue 1 (5-2023)
Abstract
Background: Type 2 diabetes is the most common metabolic disease, a chronic and progressive disorder that causes permanent complications and increased cardiovascular, cerebrovascular, peripheral vascular disease, nephropathy, retinopathy, neuropathy, diabetic foot, amputation and death in patients.The aim of the present study was to examine the predictor role of negative repeating thoughts, emotion regulation strategies and self-care in remedial acceptance and adherence of patients with type 2 diabetes.
Methods: The method of the present study was descriptive, correlation type, and the population was from all the patients with type 2 diabetes who were members of Diabetes Association in Chahar-Mahal-o Bakhtiyari. Among this group, using the convenience sampling method, and on the basis of Morganʼs table, 300 patients with type 2 diabetes were recruitment. Using MackEuy and othersʼ negative repeating thoughts questionnaire (2014), Mans & Malouf emotion regulation strategies questionnaire (2009), Toobert & Glasgow self-care questionnaire (2000) & Modanloo acceptance and treatment follow-up questionnaire (2014), the experiment group was investigated. The data were analyzed by SPSS software.
Results: Our findings have shown that negative repeating thoughts, emotion regulation strategies and self-care predict the remedial acceptance and adherence of patients with type 2 diabetes significantly.
Conclusion: With pay attention to identify of the predictor role of negative repeating thoughts, emotion regulation strategies and self-care in remedial acceptance and adherence of patients with type 2 diabetes, and high prevalence of this disease too, it seems that psychological intermediations, with pay attention to role of mentioned variables to decrease of psychological problems and increase of adherence in them, pay attention to role of negative repeating thoughts too, compatible and incompatible strategies of emotion regulation and adhere to self-care could be taken as prevention of deterioration type 2 diabetes and better controlling.
