@article{ author = {Firouzkouhi, Mohammadreza and Abdollahimohammad, Abdolghani and Raiesifar, Afsaneh and Balouchi, Abbas and Firouzkouhi, Ahmadrez}, title = {Experiences of Type II Diabetes Patients: A Systematic Review of the Qualitative Studies}, abstract ={Introduction: Diabetes is the ultimate cause of blindness, renal failure, and lower limb amputation and is almost the cause of more than half of non-traumatic amputations. As a chronic progressive disease, the patient faces physical, social, and psychological challenges that increase the risk of mental health problems and reduce the quality of life. Therefore, we sought to qualitatively synthesize the experiences of type II diabetic patients in Iran. Materials and Methods: This is a systematic review and a synthesis of qualitative evidence based on Joanna Briggs methodology. The primary key words were investigated in the relevant national and international databases including google Scholar, PubMed, Wiley, Elsevier, SID, and Magiran to obtain the articles published up to 2017. Two authors separately investigated the articles for inclusion criteria, data extraction, and quality assessment. The meta-aggregative method was used for the synthesis of the findings. Results: Overall, 15 articles were eligible to be included in the study. Finally, three themes were synthesized, including “individual limitations regarding diabetes”, “positive viewpoints toward disease”, and “future concerns”. Conclusion: The experiences of Iranian diabetic patients showed that they need special considerations to overcome their limitations and concerns.}, Keywords = {Diabetes type II, Qualitative research, Systematic review, Meta-synthesis}, volume = {6}, Number = {2}, pages = {420-438}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-322-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-322-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Mansoorian, Mohamad Reza and KHosrovan, SHahla and Sajjadi, Mosa and Soltani, Mansoor and KHazaei, Akram}, title = {Effect of Team Member Teaching Design on Knowledge of Health Personnel about Diabetes}, abstract ={Introduction: Health science education can be effective and of high quality in case it is delivered as up-to-date and appropriate training methods. Applying the novel and efficient teaching methods for the health personnel will improve their training and executional role. With this background in mind, this study aimed to determine the educational efficacy of Team Member Teaching Design (TMTD), as a teaching model, on the knowledge of health personnel about diabetes. Materials and Methods: This quasi-experimental study involving the two groups of test and control was performed on the health personnel of health houses in Birjand, South Khorasan, Iran. The 24 participants were selected using simple random sampling method. The experiment group received trainings regarding diabetes care based on the TMTD model and the individuals in control group were trained through the routine method of the health institute. The data collection tools included two researcher-made questionnaires for gathering the demographic data, as well as evaluating the knowledge of diabetes used for pre-test, post-test, and knowledge assessment. Items concerning diabetes prevention and care were developed according to the booklet of “National Program for Diabetes Control and Care”. All the obtained data were analyzed using SPSS version 20 by parametric tests of independent t-test, paired t-test, and repeated measures analysis of variance. For all the tests, P < 0.05 was considered as significant. Results: The findings of this study indicated that there was no significant difference between the two groups of control and intervention regarding the mean scores of (P=0.668). On the other hand, the mean scores of diabetes knowledge in the two groups of intervention (20.90±0.831) and control (15.66±2.42) were significantly different (P<0.001). Therefore, a significant improvement was observed in the mean scores of diabetes knowledge in health personnel participating in the test group. Conclusion: According to the results of present study, the TMTD model might be more efficient in enhancing the knowledge of health workers about diabetes, compared to the routine training method. Furthermore, the learners that received this training model could remember the contents better than the individuals of the control group.}, Keywords = {Diabetes, Health personnel, Knowledge, Quasi-experimental study, Team member teaching design, Training efficacy}, volume = {6}, Number = {2}, pages = {439-451}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-300-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-300-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Mastaelizadeh, Hadis and Sheikhi, Hamid Reza and Sheikhi, Ali Rez}, title = {Effect of a Nursing Intervention Based on "Roy’s Adaptation Model" on Adaptation Dimensions in Patients with Type II Diabetes Mellitus}, abstract ={Introduction: Diabetes is the most common chronic disease in Iran and countries across the world. The most important causes of mortality and complications in this disease are impaired compliance and reduced quality of life resulting in the unfulfillment of the associated needsRoy’s adaptation model can help improve the level of compliance, thereby facilitating a better control of the disease and enhancement of the quality of life. Regarding this, the aim of the present study was to investigate the effect of nursing intervention based on "Roy’s adaptation model" on adaptation dimensions in diabetic patients. Materials and Methods: This quasi-experimental study was conducted on 48 diabetic patients referring to the Diabetes Clinic of Zabol, Iran, in 2016. The subjects were randomly assigned into two groups of intervention (n=23) and control (n=25). The intervention group was subjected to an educational-supportive intervention based on the "Roy’s adaptation model" for 10 weeks. Four weeks after the end of the intervention, the two groups were compared with each other. The data were collected by means of a demographic information form, review and knowledge form of Roy, and questionnaire of adaptation strategies. Data analysis was performed in SPSS software using the descriptive statistics, independent and paired sample t-tests, as well as Chi-square test. P-value less than 0.05 was considered statistically significant. Results: According to the results, there was no significant difference between the intervention and control groups in terms of non-adaptive behaviors, namely self-perception, self-efficacy, independence, and dependence. However, after the intervention, the intervention groups showed a significant decrease in the aforementioned non-adaptive behaviors, compared to the control group (P<0.05). Conclusion: Roy’s adaptation model as an effective intervention can be helpful in the improvement of adaptation, health status, and quality of life in patients with type II diabetes mellitus.}, Keywords = {Roy’s adaptation model, Self-perception, Self-efficacy, Independence and dependence, type II diabetes, Semi-experimental}, volume = {6}, Number = {2}, pages = {452-462}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-323-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-323-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Veisi, Fariba and Mohammadi, Sayalan and Setorki, Mahbubeh and Hooshmandi, Zahr}, title = {Effect of Type II Diabetes on Serum Levels of Triiodothyronine (T3), thyroxine (T4), and Thyroid Stimulating Hormone (TSH) in Patients Referring to the Diabetes Center of Sanandaj, Iran}, abstract ={Introduction: Type II diabetes is associated with impaired function of various organs, including thyroid. The present study aimed to investigate the serum levels of triiodothyronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH) in type II diabetes patients who referred to Diabetes Center of Sanandaj, Iran. In addition, the results were compared with non-diabetic healthy subjects. Materials and Methods: This descriptive-analytic study was performed on 100 patients with type 2 diabetes who referred to the Diabetes Center of Tohid Hospital in Sanandaj and 100 healthy individuals. All the participants were selected through convenience sampling. The demographic data of the study subjects were collected using a questionnaire and blood samples were taken to determine the serum levels of T3, T4, and TSH. All the obtained data were analyzed by SPSS version 19.. Results: The findings of this study demonstrated that the prevalence of abnormal TSH, T4, and T3 hormones levels was 26, 18, and 15% in patients with type 2 diabetes, respectively. On the other hand the mentioned prevalence for TSH, T4, and T3 hormones was 4, 4, and 3% in the healthy subjects. The mean TSH levels in patients with type 2 diabetes mellitus (5.67±4.33 mIU/L) was significantly higher than that of controls (2.79±1.68 mIU/L) (P<0.001). Furthermore, the mean concentrations of T4 and T3 were significantly lower in subjects with type 2 diabetes mellitus with the means of 7.18±2.18 and 1.17±0.42 mIU/L, compared to the healthy individuals with the means of 7.97±1.67 and 1.3±0.33 mIU/L, respectively Conclusion: According to the results of current study, the prevalence of thyroid dysfunction was significantly higher in type 2 diabetic patients, in comparison with the healthy participants. Considering the high prevalence of thyroid dysfunction in type 2 diabetic patients and the effect of thyroid function on sugar and lipid metabolism, it is recommended to evaluate thyroid function in diabetic patients.}, Keywords = {Thyroid stimulating hormone (TSH), Thyroxine (T4), Triiodothyronine (T3), Type II diabetes}, volume = {6}, Number = {2}, pages = {463-471}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-286-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-286-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Namdari, Ali Reza and Ghazavi, Zahra and Sabohi, Fakhri and Salehidoost, Rezv}, title = {An Evaluation on the Impacts of Pender Model-based Educational Programs on the Psychological Well-being of Patients with Type II Diabetes Mellitus}, abstract ={Introduction: Diabetes mellitus is one of the most expensive chronic illnesses for both patients and governments, which faces the patients with a lot of problems.  The chronic nature of diabetes affects the patient's physical, psychological, personal, and interpersonal performance, as well as psychological well-being. As a result, this disease is regarded as a stressor for the patients. There are different managerial theories to improve the health status of diabetic patients, one of which is Pender model. Regarding this, the present study was performed to determine the impacts of an educational program based on Pender model on the psychological well-being of type II diabetic patients. Materials and Methods: This clinical trial was conducted on 72 patients with type II diabetes mellitus referring to Hazrat Sedighe Tahere Diabetes Center. The study population was selected through simple random sampling method, and then assigned into two groups of control (n=36) and intervention (n=36). The Reef psychological well-being scale was filled out by both groups under the researcher’s supervision. The data were analyzed by independent t-test, Q-square, Man Whitney U test, and ANOVA in SPSS software (version 18). Results: According to the results, the control group showed no significant difference in the psychological well-being mean score before, immediately after, and one month after the intervention (P>0.05). However, this difference was statistically significant in the intervention group (P<0.05). There was a significant difference between the intervention and control groups in terms of psychological well-being mean score at the three stages of the intervention (P<0.05). The results of the LSD test revealed that the intervention group had a significantly higher psychological well-being mean score before the intervention, compared to immediately after (P=0.004) and one month after the intervention (P=0.007). Conclusion: Given the effect of Pender model-based educational program on the psychological well-being of the type II diabetic patients, it is recommended to apply this method as an effective, useful, and cost-efficient approach.}, Keywords = {Pender model-based educational programs, Pender model, Psychological well-being, Diabetes type II, Clinical trial}, volume = {6}, Number = {2}, pages = {472-482}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-289-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-289-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Shahraki, zahra and NakhaeeMoghadam, Maryam}, title = {Relationship Between Hemoglobin Level in The First Trimester of Pregnancy and Gestational Diabetes Mellitus}, abstract ={Introduction: Gestational diabetes occurs in more than 8% of all pregnancies and is associated with an increase in the number of adverse pregnancy outcomes, such as macrosomia, dystocia, cesarean delivery, and maternal mortality. Regarding this, the present study was conducted to investigate the relationship between hemoglobin levels in the first trimester of pregnancy and the incidence of gestational diabetes mellitus in patients referring to healthcare centers in Zabol, Iran, in 2017. Materials and Method: This case-control study was conducted on pregnant women referring to the healthcare centers of Zabol. The participants were selected through convenience consecutive sampling technique. The study population corresponded to a group of females aged 18-40 years with a singleton pregnancy and the gestational age of less than 12 weeks based on the first day of the last regular menstruation. The subjects did not have hypertension, cardiac and renal disorders, diabetes, and hereditary hemoglobinopathy (e.g., thalassemia and sickle cells anemia). The data were analyzed in SPSS (version 22) using Chi-Square and t-test. Results: The mean age and mean body mass index the participants were 29.28±10.8 years and 59.44±34.7 kg/m2, respectively. Out of 80 samples, 40 cases were diagnosed with gestational diabetes, and the others 40 were healthy. The diabetic group had a higher hemoglobin level (13.42±1.4) as compared to that of the non-diabetic patients (12.1±0.68), which was significantly different between the two groups (P<0.001). Conclusion: The elevation of iron level can increase insulin production and secretion. Moreover, it can enhance the lipid oxidation, thereby reducing glucose consumption in the muscles and increasing glucose production in the liver. This mechanism makes the person susceptible to gestational diabetes by inducing insulin resistance. According to this study, high maternal hemoglobin can be considered as an independent risk factor for diabetes.}, Keywords = {Gestational diabetes, Hemoglobin, Diabetes}, volume = {6}, Number = {2}, pages = {483-489}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-313-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-313-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {Yahyaei, Behrooz and Nouri, Mahnaz and Ramezani, Nasri}, title = {Study of Histopathological Changes in the Liver of the Rats Infants Delivered From the Mothers Suffering From Metabolic Syndrome and Diabetes Mellitus}, abstract ={Introduction: Diabetes mellitus is associated with biochemical, physiological, and pathological changes. The purpose of this study was to investigate the histological changes in the liver of the newborn rats born to mothers with metabolic syndrome and diabetes mellitus before and after pregnancy. Materials and Methods: This study was conducted on 32 rats (i.e., 2 males and 30 females). The rats were assigned into seven groups, including controls (n=2), diabetic group without exercise and metformin (n=5), diabetic group with exercise and without metformin (n=5), diabetic group with exercise and metformin (n=5), metabolic syndrome group without exercise and metformin (n=5), metabolic syndrome group with exercise and without metformin (n=5), and metabolic syndrome group with metformin and without exercise (n=5). After the addition of salt and fat to the diet of the rats with metabolic syndrome and induction of diabetes by streptozotocin in rats, they were sent for sampling. To this end, the rats were placed in a desiccator containing a cotton soaked with chloroform (Merck of Germany). After anesthesia, the rats were transferred and fixed to an appropriate board for sampling. The tissue was then isolated and placed in 10% formaldehyde solution that was replaced after 24 h. At this stage, the samples were prepared for histopathological examination. Result: The diabetic groups showed tangible changes in the hepatocyte, central vein of the lobule, hepatic lobule, and sinusoidal space after the administration of metformin, compared to the control group. Furthermore, a reduction was observed in the hepatocyte and other factors. In the metabolic syndrome groups, changes in the central vein of the lobule, hepatocyte, sinusoidal space, and inflammation increased. These groups also showed a significant decrease in the changes of the sinusoidal space, hepatic lobule, and inflammation following the exercise therapy. Conclusion: As the findings of the present study indicated, metformin exerted a stronger effect on reducing the adverse effects of gestational diabetes in rats than sports exercises. However, these effects were greater in the metabolic syndrome group, compared to those in the diabetic groups}, Keywords = {Diabetes mellitus, Metabolic syndrome, Neonatal liver, Histopathology}, volume = {6}, Number = {2}, pages = {490-503}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-309-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-309-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} } @article{ author = {BehzadMehr, Raziyeh and BehzadMehr, Rezvaneh}, title = {}, abstract ={}, Keywords = {}, volume = {6}, Number = {2}, pages = {504-507}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-298-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-298-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2018} }