@article{ author = {Naderyanfar, Farhad and Shahrakimoghadam, Elham and Heidari, Mohammad Amin and Soleimani, Maryam}, title = {Evaluation of the Effect of Video-based Education on Self-care of Patients with Type II Diabetes}, abstract ={Introduction: Diabetes mellitus is a metabolic disease characterized by impairments in the metabolism of carbohydrates, lipids, and proteins. Type 2 diabetes is the most common form of diabetes mellitus . The patient’s self-care is regarded as the most important factor in metabolic control in diabetic patients. Therefore, the improvement of self-care behaviors is the first step to control type II diabetes. Accordingly, patient education on self-care behavior is necessary to improve the knowledge and skill of these population. Video-based learning is a method to improve self-care behaviors. As a result, the present study aimed to evaluate the effect of video-based learning on self-care behaviors in type II diabetic patients. It is hoped that the results will be used to control this disease. Materials and Methods: This semi-experimental study was conducted on 60 diabetic patients referring to the Diabetes Clinic in Zabol. Systematic probable sampling method was performed for sampling and two questionnaires were utilized for collecting demographic and self-control behaviors in diabetic patients. The intervention group received video-based instructions in four sessions while the control group only received routine cares without any instructions. The data were analyzed in SPSS software (Version 24) through paired and independent t-tests, Wilcoxon signed-rank test, and the Chi-square test. In addition, P-value less than 0.05 was considered statistically significant. Results: According to the results obtained from the independent t-test, there was no statistically significant difference between the intervention  and control groups the pretest scores. However, a significant difference was observed between the    in terms of the posttest scores after the intervention and video-based instructions (P<0.05). Conclusion: The results revealed that the implementation of video-based learning methods can have an effect on the improvement of self-care behaviors among patients. Therefore, the utilization of these methods by health care providers can be effective in the improvement of self-care behaviors among diabetic patients.  }, Keywords = {Diabetes, Self-care, Video-based learning}, volume = {7}, Number = {1}, pages = {672-682}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-343-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-343-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Pooladi, Shahnaz and Sadeghi, Soraya and Vahedprast, Hakimeh and Bagherzadeh, Razieh and Sharifi, Sharif}, title = {Effect of the Training Based on Islamic Lifestyle Model on Fasting Blood Glucose and Glycosylated Hemoglobin in People with Prediabetes}, abstract ={Introduction: Diabetes is a disease of high prevalence and imposes high costs on people. Therefore, it is important to study the non-invasive and effective therapeutic methods with low side effects in the prediabetes stage that could be accepted by the individuals. With this background in mind, the present study aimed to evaluate the impact of the training, which is based on the Islamic lifestyle model on fasting blood sugar (FBS) and glycosylated hemoglobin in people with prediabetes in Lamerd, Iran Materials and Methods: This randomized controlled clinical trial was performed on 76 subjects with prediabetes who had FBS of 100-125 mg/dL or glycosylated hemoglobin of 5.7-6.4%. The participants were selected through purposive sampling method from Lamerd, Iran and were randomly divided into two groups of 38. The intervention included four sessions of Islamic lifestyle training provided based on the Kaviani lifestyle model. The FBS and glycosylated hemoglobin levels were measured prior to and three months post-intervention in both groups. All the data were analyzed by Chi-square, independent t-test, paired t-test, and Mann-Whitney using the SPSS software version 19. Results: The mean age of the experiment and control groups was 52.89(12.98 )and 47.34(11.71 )years, respectively. There was no significant difference between the two groups in terms of age and gender (P>0.05). The difference between the mean FBS of pretest and post-test was statistically significant (P<0.001). Moreover, the glycosylated hemoglobin was significantly different between the test and control groups (P<0.001). Conclusion: According to the results of this study, the FBS and glycosylated hemoglobin reduced significantly after educating the Islamic lifestyle to the subjects with prediabetes. Consequently, in order to prevent diabetes, planning for health approaches aimed to define the culture- and religion-based lifestyle is recommended}, Keywords = {Fasting blood sugar, Glycosylated hemoglobin, Islamic lifestyle, Prediabetes}, volume = {7}, Number = {1}, pages = {683-693}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-352-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-352-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Jahantigh, Farnaz and Nikbakht, Reza and Robabi, Has}, title = {Screening Age Groups of 25-65 Years in Zahedan Regarding the Risk of Developing Type II Diabetes in 2016}, abstract ={Introduction: Nowadays, the most important causes of mortality and disability include four non-communicable diseases, such as cardiovascular disease, cancers, chronic respiratory diseases, and diabetes. Out of these diseases, diabetes is the greatest epidemic in human history and has affected the greatest numbers worldwide. Therefore, the present study was conducted to screen the population aged 25-65 years in Zahedan regarding the risk of developing type II diabetes in 2016. Materials and Methods: This cross-sectional descriptive-analytic study was performed on all 25- to 65-year-old Iranian population living in Zahedan. A total of 1000 samples who met the inclusion criteria were selected using multistage sampling and evaluated in this study. The data were collected through Finnish Type II Diabetes Risk Assessment Form which is a screening tool for the assessment of the risk of type II diabetes. Results: The mean age of the samples was 21.37(11.05)years. Out of all participants, 57.1% and 42.9% of the subjects were male and female, respectively. According to the results, there was a significant difference between males and females regarding the mean score of the risk of developing diabetes (P=0.001). Moreover, a significant difference was observed between males and females regarding the mean score of the risk of developing diabetes in different categories of body mass index (P=0.001). Conclusion: The results of screening 25-65 aged population living in Zahedan suggest that these individuals are not at a threatening condition in terms of diabetes risk factors. In fact, the mean score of this population regarding risk factors for type 2 diabetes is below 7, implying a very low probability to develop type II diabetes in this population.}, Keywords = {Type II diabetes, Demographic characteristics, Risk Factor}, volume = {7}, Number = {1}, pages = {694-703}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-344-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-344-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Abdollahi, Fariba and Biglar, Shahla and Shojaei, Fatemeh and Puryaghoob, Maryam}, title = {Assessment of Stigma and Self-esteem in Female Adults with Type I Diabetes in Tehran, Iran}, abstract ={Introduction: Diabetes stigma puts patients under the pressure and affects their lives. Considering the importance of stigma in the life and its effect on behavior and social interaction of patients with diabetes, the present study was conducted to determine the stigma in female adults with type I diabetes. Materials and Methods: This cross-sectional study was conducted on 110 adult girls with type 1 diabetes referred to the Iranian Diabetes Association. The participants were within the age range of 14-18 years, who were selected through convenience sampling technique. The data collection tools included the demographic information questionnaire, stigma perception questionnaire associated with type I diabetes, and Rosenberg’s Self-Esteem Scale. Data were analyzed by SPSS software (version 22) using one way-ANOVA, independed t-test,  and Pearson correlation. Results: The findings of the study showed that the mean score of stigma perception in the subjects was 92.41(41). The mean score of self-steems in the subjects was 22.98(7.9). There was a negative correlation between the stigma and self-esteem (P=0.012, r=-0.754). Conclusion: Based on the  obtained results of the current study and the effect of  diabetes mellitus type I on the lives of patients, health care providers should plan to reduce the stigma realted to the patients with diabetes mellitus.  }, Keywords = {Diabetes type I, Diabetes mellitus, Adolescence}, volume = {7}, Number = {1}, pages = {704-713}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-330-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-330-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Mahdilouy, Parisa and Ziaeirad, Marzieh}, title = {Self-care Status and Its Relationship with Demographic and Clinical Characteristics in Adolescents and Young People with Type I Diabetes}, abstract ={Background: Self-care is one of the most basic methods of diabetes treatment and care. The aim of this study was to determine self-care status and its relationship with the demographic and clinical characteristics of the patients with type I diabetes. Materials and Methods: This analytical descriptive study was carried out on 135 patients with type I diabetes in health centers of Tabriz in 2017. Sampling was performed using the convenience method and according to inclusion criteria. Data were collected by demographic characteristics questionnaire, as well as Toobert and Glasgow self-care questionnaire. The data were analyzed using SPSS (version 16) software and statistical tests, such as the independent t-test, one-way analysis of variance, and Pearson correlation coefficient. Results: Most of the study samples were female with the mean age of 26.02(7.27)years. Self-care status was moderate in 67.4% of the samples. There was no significant difference in the mean score of self-care among the study samples in terms of gender, marital status, age, educational level, occupational status, family history, other types of diseases, and different levels of body mass index. However, a significant relationship was observed between the mean score of self-care status with the place of residence, duration of diabetes, and different levels of glycosylated hemoglobin (P<0.05). Conclusion: According to the obtained results of this study, self-care status was moderate in the majority of the subjects with type 1 diabetes. Furthermore, there was a significant relationship between the mean score of self-care status with the place of residence, duration of diabetes, and different levels of glycosylated hemoglobin. Therefore, it is necessary to the develop diabetes centers in nonurban areas and engage efficient personnel and trained nurses in health care centers for the effective training of this group of patients in order to improve their knowledge and train them about diabetes and preventive methods. As a result, improvement in self-care status of patients can lead to controlled levels of glycosylated hemoglobin and result in the reduction of diabetes complications.}, Keywords = {Type I diabetes, Self-care, Young, Adolescent}, volume = {7}, Number = {1}, pages = {714-727}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-345-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-345-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Mohammadi, Mohammad and Shahrakyvahed, Aziz and Nikbakht, Reza and firouzkouhi, Ahmadreza and KhosraviBonjar, Ai}, title = {Relationship Between Optimism and the Meaning of Life Among the Diabetic Patients Referring to the Internal Department of Amiralmomenin Ali Hospital, Zabol, Iran in 2018}, abstract ={Introduction: Diabetes mellitus is the most common metabolic disease and the fourth leading cause of death in Western societies. Optimism improves the physical and mental function, reduces stress, as well as activating the immune system. In addition, the meaning of life leads to mental health, hope, and diminished mental disorders. Therefore, this study aimed to investigate the relationship between optimism and the meaning of life in diabetic patients. Materials and Methods: This descriptive-correlational study was performed on the study population consisting of the diabetic patients referring to the internal department of Amiralmomenin Ali hospital, Zabol, Iran. The participants were selected through purposive sampling method. Three questionnaires of the demographic characteristics, meaning of life, and life-affirmation were completed by the subjects. All the data were analyzed by descriptive statistics (mean, standard deviation, frequency, and percent) and analytical statistics (one way analysis of variance and Pearson correlation coefficient) utilizing the SPSS software version 22. Result: The mean of optimism and the meaning of life were obtained as 19.46 and 29.78, respectively. The latter finding indicates that optimism and the meaning of life were in the desired level among the studied diabetic patients. According to the results of Pearson correlation test, optimism and the meaning of life have a significant correlation in the diabetic patients (P=0.001). It was observed in the participants that the higher the degree of optimism, the greater the meaning of life. Furthermore, none of the demographic characteristics demonstrated relationship with optimism and the meaning of life. Conclusion: Considering the findings of this study, increased optimism seems to be effective in the meaning of life among the diabetic patients. On the other hand, the meaning of life plays role in adaptation to the disease and life problems through enhancing optimism. Consequently, it leads to change in the quality of and satisfaction with life among the individuals. It could be concluded that the health caregivers, nurses, and doctors should particularly take these issues into consideration.}, Keywords = {Diabetic patients, Meaning of life, Optimism}, volume = {7}, Number = {1}, pages = {728-736}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-334-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-334-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Abdollahimohammad, Abdolghani and Firouzkouhi, Mohammadrez}, title = {Sample size estimation in randomized clinical trials (RCTs)}, abstract ={}, Keywords = {}, volume = {7}, Number = {1}, pages = {737-739}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-353-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-353-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Naderyanfar, Farhad and Kadkhodaei, Fatemeh and Mansouri, Ali and RezaeiKeykhahi, Khadije and Nehbandani, Sanaz}, title = {Evaluation of Distance Education Using Educational Videos on the Sexual Function of Women with Diabetes Type II}, abstract ={Introduction: Diabetes mellitus is a chronic systemic disorder, in which the metabolisms of carbohydrates, proteins, and fats is impaired due to a complete or partial deficiency of insulin hormone. One of the main problems of diabetic patients is sexual dysfunction, which can be improved through effective training. One of the educational methods of distance learning is that it has a positive and significant impact on learners. Therefore, the present study aimed to investigate the effect of distance education on the sexual function of patients with type II diabetes. Materials and Methods: The present experimental study was conducted on the population of all diabetic patients referred to a diabetes clinic in Zabol, Iran. In this study, 60 diabetic patients were selected using simple random sampling method and randomly divided into intervention and control groups. The data gathering tool consisted of two parts, namely personal characteristics questionnaire and standard sex function questionnaire of Rosen women. First, the researcher gathered information from the samples through referring to the research environment and distributing the questionnaires. In the next step, a training package was given to each individual in the intervention group. Afterwards, they were given 4 weeks to practice what they had learned in the training sessions. The participants in the control group only received routine care. After a month, the sexual function questionnaire was completed again by the patients. Data analysis was performed using SPSS software (version 22). Results: The comparison of pre-test and post-test showed that in the intervention group, the mean of general sexual performance increased from 19.19 (21.3) to 92.20 (88.2), which was statistically significant (P=0.002). However, the means of overall sexual performance before and after the intervention were respectively 11.16 (72.2) and 34.18 (55.2) in the control group. Accordingly, there was no significant increase in the sexual functionality in the control group (P=0.26). Conclusion: Regarding the high prevalence of sexual dysfunction, distance education can be used as an effective method for improving the sexual function of women with type II diabetes.}, Keywords = {Distance education, Sexual function, Diabetes}, volume = {7}, Number = {2}, pages = {740-751}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-357-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-357-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Badpar, Sima and Bakhtiarpour, Saeed and Heidari, Alireza and Moradimanesh, Fardi}, title = {Causal Model of Self-care Based on Social Support and Health Literacy Through Self-efficacy in Managing Diabetes in Diabetic Patients}, abstract ={Introduction: Considering the importance and high prevalence of diabetes, it is necessary to consider the factors related to self-care in these patients in order to improve the health of the community. Regarding this, the present research was conducted to examine the causal model of self-care based on social support and health literacy through self-efficacy in the management of diabetes among diabetic patients. Materials and Methods: This study was conducted on 190 patients with diabetes mellitus referring to the endocrinologists in Tehran, Iran, in 2018. The study population was selected through convenience sampling method. The data were collected using the Social Support, Health Literacy, Self-Efficacy in Diabetes Management, and Diabetes Self-care Questionnaires. The data were analyzed using the structural equation modeling method. Results: The results showed significantly direct relationships between health literacy and self-care (β=0.18, P≤0.01), between social support and self-care (β=0.15, P≤0.05), between self-efficacy in the management of diabetes and self-care (β=0.39, P≤0.01) between health literacy and self-efficacy in managing diabetes (β=0.25, P≤0.01), and between social support and self-efficacy in diabetes management (β=0.25, P≤0.01). In addition, self-care showed indirect relationships with health literacy (0.09=β, P≤0.01) and social support (β=0.09, P≤0.01) through self-efficacy in the management of diabetes. Conclusion: As the findings indicated, health literacy and social support were effective not only in the management of diabetes through self-efficacy but also in self-care behaviors in diabetic patients.}, Keywords = {Self-care, Social support, Health literacy, Self-efficacy in the management of diabetes.}, volume = {7}, Number = {2}, pages = {752-763}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-349-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-349-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Tajari, Mahla and akhoundzadeh, Gulbahar and Hojjati, Hami}, title = {Educational Effect of Short Message Service and Telegram Reminders on Adherence to the Diet in Teenagers with Type I Diabetes in Gorgan 2018}, abstract ={Background: Patient education plays an important role in controlling diabetes. Training through texting and telegram is effective due to the elimination of time and place constraints. Moreover, an influential care relationship is established with the client. Therefore, the aim of this study was to determine the effect of educating by short message service (SMS) and telegram reminders on adherence to the diet in teenagers with type I diabetes. Materials and Methods: This interventional study was carried out on 68 children and teenagers aged 12-16 years with type 1 diabetes in Gorgan, Iran in 2018. Sampling was performed through simple random sampling followed by random assignment into three groups of SMS (23 people), telegram (22 people), and control (23 people). The SMS and telegram groups received a diet-based educational program for 12 weeks as three messages per week. Data collection was completed using a demographic questionnaire and a scale for the Mediterranean diet. All the data were analyzed by descriptive and inferential statistics using SPSS software version 21. Results: The mean dietary adherence in the telegram group (P=0.001) demonstrated a higher elevation post-intervention, compared to the SMS group (P=0.004). In addition, in the control group, no significant alteration  (P=0.08) was observed post-intervention, in comparison with pre-intervention. Conclusion: According to our findings, SMS and telegram services can be used as a new and effective method for the formation of nutritional behaviors. Therefore, the results of this study can be used to train diabetic patients in clinics and treatment centers.}, Keywords = {Adolescent, Education, Medical adherence, Nutritional diet, SMS reminder, Telegram reminder, Type I diabetes.}, volume = {7}, Number = {2}, pages = {764-774}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-361-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-361-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Azadi, Mohammad Mahdi and Manshaee, Golamreza and Golparvar, Mohse}, title = {Comparing the Effectiveness of Mobile Social Network-Based Mindfulness Interventions with Acceptance and Commitment Therapy (ACT) and Mindfulness Therapy on Depression, Anxiety, Stress among Patients with Type 2 Diabetes}, abstract ={Introduction: The present study aimed to compare the effectiveness of mobile social network-based mindfulness interventions, acceptance and commitment therapy, and mindfulness group therapy on depression, anxiety, and stress in patients with type II diabetes mellitus. Materials and Methods: This quasi-experimental study was conducted on 80 type II diabetic patients, referring to the diabetes treatment centers of Isfahan, Iran, in the spring of 2018, using a pretest-posttest control group design with a 3-month follow-up. The study population was selected using purposive sampling technique based on the inclusion criteria, and then randomly assigned into three experimental groups and one control group. The DASS-21 questionnaire was used to measure depression, anxiety, and stress. The mindfulness group interventions and acceptance and commitment group therapy were conducted in eight 120-minutes sessions. In addition, the mobile social network-based mindfulness interventions were performed in 45-minute sessions every night for 8 weeks, except for holidays. The data were analyzed using repeated measures ANOVA with Bonferroni post hoc test using SPSS software (version 23). Results: According to the results, all three types of treatments had a significant effect on the improvement of psychological symptoms in diabetic patients. There was a significant difference among the social networking mindfulness interventions, acceptance and commitment therapy (ACT) and mindfulness therapy in the reduction of depression (P=0.001), anxiety (P=0.001), and stress (P=0.001) among patients with type II diabetes mellitus. Conclusion: Based on the findings, the use of mobile social network-based mindfulness interventions for patients who cannot participate in psychological treatment group meetings can be used as an effective intervention for the treatment of psychological symptoms, depression, anxiety, and stress in diabetic patients.  }, Keywords = {Anxiety, Depression, Diabetes, Mindfulness, Stress}, volume = {7}, Number = {2}, pages = {775-792}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-354-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-354-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Assarzadegan, Mahsa and Raeisi, Zohreh}, title = {Effectiveness of Positive Psychology Training on Psychological Well-being and Its Dimensions Among Patients With Type II Diabetes}, abstract ={Introduction: Diabetes is one of the most common chronic diseases which also affects individuals' mental and psychological characteristics. The purpose of this study was to investigate the effectiveness of positive-psychology training on psychological well-being and its dimensions on patients with type II diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with a control group and follow-ups. The participants were selected through convenient sampling from patients with type II diabetes who referred to Hazrat-e-Ali Health center in Isfahan during 2017. Subsequently, the participants were randomly divided into two groups of 15 people. The experimental group received positive psychology training, whereas the control group did not receive any treatment. Both groups were evaluated before and after the intervention and in the follow-up stage through Reef's Psychological Well-Being Questionnaire (1980). The data were analyzed using repeated measure ANOVA. Results: The results showed that positive psychology training correlated significantly with psychological well-being, self-acceptance, positive relationships with others, having a purpose in life, and environmental domination in patients with type II diabetes. In addition, there was a significant difference between the experimental and control groups regarding the abovementioned variables. However, no significant difference was observed between the intervention and control groups regarding self-autonomy and personal growth (P<0.001).). Conclusion: Positive psychology training effectively improves the psychological well-being of patients with type II diabetes. Therefore, it is recommended that this treatment approach be used to help improve the psychological well-being of these patients.}, Keywords = {Positive psychology training, Psychological well-being, Type II diabetes}, volume = {7}, Number = {2}, pages = {793-808}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-351-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-351-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Karimi, Sima and Delavar, Ali and Ghaemi, Fatemeh and Dortaj, Fariborz}, title = {Effectiveness of Hope Therapy on Psychological Capital of Patients with Type II Diabetes Mellitus}, abstract ={Introduction: Hope has a significant role in coping with chronic diseases, such as diabetes mellitus. It seems that the improvement of psychological capital in patients with diabetes is one of the strategies for health promotion in these patients.The aim of this study was to determine the effectiveness of hope-based therapy in psychological capital among patients with type II diabetes mellitus. Materials and Methods: This semi-experimental research was carried out on 40 patients with diabetes referring to the healthcare centers affiliated to Sirjan University of Medical Sciences, Sirjan, Iran, and Health Services in 2018-2019, using a pretest-posttest design. The study population was selected through purposive sampling technique, and then randomly assigned to intervention and control groups. The intervention group received eight 90-minute sessions of hope therapy. The intervention was based on the theory of hope proposed by Senyder, Herth, and Ruston and a selection of Molana poems focusing on hope and positivism issues. The data were collected in three stages namely, before, immediately after, and 3 months after the intervention, using the psychological capital Questionnaire developed by Luthans et al. data analysis was performed in SPSS software (version 22) using repeated measures ANOVA at a significance level of 0.05. Result: The results showed significant differences between the two groups in terms of the psychological capital and its components (P>0.05). In addition, the effect of intervention was stable in the intervention group. Conclusion: Hope therapy led to the improvement of psychological capital and its components (i.e., hope, resilience, optimism, and self-efficacy). Therefore, it is essential to consider hope therapy interventions when planning for the improvement of psychological capital in patients with diabetes.}, Keywords = {Hope therapy, Psychological capital, Hope, Resiliency, Optimism, Self-Efficacy, Diabetes}, volume = {7}, Number = {2}, pages = {809-819}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-362-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-362-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Safari, Seyyed Sajjad and Rahnama, Mozhgan and AbdullahiMohammad, Abdolghani and Naderifar, Mahi}, title = {Impact of Individual Motivational Interview Based on Self-care on the Treatment Adherence of Type II Diabetic Patients}, abstract ={Introduction: Adherence of type II diabetic patients to treatment is very important in preventing the complications of this disease. Furthermore, a motivational interview is an intervention considered to change health behaviors. Therefore, the current study aimed to determine the impact of the motivational interview based on self-care on the treatment adherence of type II diabetic patients hospitalized in Nabi Akram hospital in Zahedan, Iran, in 2018. Materials and Methods: In this semi-experimental study, 40 diabetic patients were selected and randomly divided into intervention (n=20) and control (n=20) groups. Data collection tools for this study were demographic questionnaire and adherence questionnaire in patients with chronic diseases. The intervention group received four sessions of individual self-care motivational interview training. Moreover, the control group received similar training content during four sessions in the usual face-to-face manner without applying the principles of motivational interview. Adherence was measured in both groups 8 weeks after the termination of intervention. Then, the collected data were analyzed by the independent t-test and analysis of covariance using SPSS software (23). Results: After the intervention, the mean adherence score of diabetic patients in the intervention group (150/57) was significantly higher than the mean score of the control group (141/27) (P<.001). Conclusion: Motivational interview training based on self-care has positive impact on the adherence of type II diabetic patients to treatment. Therefore, the nurses are suggested to apply the principles of motivational interview while training these patients.}, Keywords = {Motivational Interview, Self-care, Adherence, Type II diabetes}, volume = {7}, Number = {3}, pages = {820-829}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-368-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-368-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Izadkhah, Fatemeh sadat and Ahmadi, Zohre and Parham, Mahmod and Garlipour, Zabihollah and Mohebi, Siamak}, title = {Assessment of Perceived Self-efficacy and Its Relation with Metabolic Control in Type II Diabetic Patients in Qom, Iran, in 2017}, abstract ={Introduction: Metabolic control is a collection of tests and studies related to diabetes performed on a daily basis for 2 to 3 months. Self-efficacy means the belief of an individual in him/herself to successfully perform a particular behavior and expect the associated results. The present study aimed to investigate the relationship between metabolic control and self-efficacy in diabetic patients in Qom, Iran. Materials and Methods: This cross-sectional study was conducted on a total 325 patients with type II diabetes who referred to Diabetic Community in Qom through simple random sampling. Demographic information and standard self-efficacy in diabetic management questionnaires were used in this study. Fasting blood sugar (FBS) and hemoglobin A1c (HbA1c) data sheet was used based on the last 3-month test results. Finally, the data were analyzed by SPSS software (version 20) using descriptive indices and analytical tests. Results: The obtained results of this study showed that there was a significant reverse correlation between the mean score of self-efficacy with the mean scores of FBS and HbA1c. There was also a significant difference in self-efficacy scores in terms of gender (P<0.05). According to the results, self-efficacy showed predictive power of FBS and HbA1C reported as 22% and 18%, respectively. Conclusion: The obtained results of this study showed that self-efficacy was at a moderate level among the patients. The levels of FBS and HbA1c did not indicate the optimal control of diabetes. It should be noted that there was a significant reverse correlation between self-efficacy with FBS and HbA1c, indicating that FBS and HbA1c levels decrease with the increase of self-efficacy score.}, Keywords = {Diabetes, Self-efficacy, Metabolic control.}, volume = {7}, Number = {3}, pages = {830-843}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-372-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-372-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Koshki, Fatemeh and HaroonRashidi, Homayoo}, title = {Effectiveness of Mindfulness-based Stress Reduction Training on the Quality of Sleep and Psychological Distress in Patients with Type II Diabetes}, abstract ={Introduction: Diabetes is one of the most prevalent and costly chronic diseases that imposes many limitations to the activities of the patient. Therefore, this study aimed to investigate the effectiveness of mindfulness-based stress reduction training on the quality of sleep and psychological distress in patients with type II diabetes Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with a control group. In total, 30 patients with type II diabetes were selected randomly using a convenience sampling method and assigned to experimental and control groups in Dezful, Iran. Both groups were evaluated at pretest using the Petersburg Quality of Life Scale (1989) and the psychological distress questionnaire (Leobond and Leobond, 1995). In addition, the experimental group participated in 8 sessions of mindfulness-based stress reduction training. Subsequently, both groups were evaluated at posttest. Analysis of covariance and multivariate analysis of covariance were utilized to compare the results at posttest. Results: The results showed a significant difference between the two groups regarding the mean scores of pretest and posttest (P<0.001). Conclusion: Mindfulness-based stress reduction training has positive effects on the quality of sleep, anxiety, depression, and stress in people with type II diabetes.}, Keywords = {Diabetes, Mindfulness, Psychological distress, Quality of Sleep}, volume = {7}, Number = {3}, pages = {844-856}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-363-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-363-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Zamani, Narges and RezaeeJamaloee, Hassan and BehboodiMoghadam, Zahra and Moshki, Mahdi and Peikari, Hamid Rez}, title = {On the Health Concerns of Women with Diabetes: Combined Study}, abstract ={Introduction: Nowadays, the high prevalence of diabetes among reproductive-aged women is one of the serious problems policymakers face. The current study was designed to explain the reproductive health concerns of women with type I diabetes and make effective interventions based on their reproductive health concerns. Materials and Methods: The present study was a multistage mixed methods study which was conducted in three stages. In the first stage, through a qualitative study, semi-structured in-depth interviews were conducted on 17 women with Type I diabetes and 4 husbands. The data gathered in this stage were analyzed by the content analysis approach using Graneheim and Lundman method.  Thereafter, in the second stage of the study, a meeting was held with six interested and experienced health professionals in various health care settings, Women’s concerns were prioritized in a nominal way according to the themes found in the qualitative part of the study. Thereafter, in relation to the proposed priority, an overview of the literature was made and an appropriate intervention was designed. In the third stage, a randomized clinical trial was conducted on 32 women with Type 1 diabetes (16 women in the intervention group and 16 in the control group) to determine the impact of couple counseling. Results: In the first stage, the content analysis of the qualitative data aiming at explaining the reproductive health concerns of women with Type I diabetes led to the formation of six main themes. They included physical, psychological, social, fertility, marital life and supportive and informational dimension. In the second stage, based on consensus, sexual concerns were identified as the most important concern for designing an intervention. By reviewing the related interventions and programs in Iran and other countries, a couples counseling intervention was proposed which was based on BETTER Model. It was designed in at least four sessions, including three stages of pre-test, post-test, and 2-month follow-up, to improve sexual function and satisfaction in women with diabetes. In the third stage, the results of a randomized clinical trial indicated a statistically significant difference between the intervention and control groups regarding the means of female sexual function index (P<0.001). However, no significant difference was observed between the mean of female sexual satisfaction scale among the women in the intervention group, as compared to the control group (P=0.09). Conclusion: As evidenced by the obtained results, the reproductive health concerns in women with Type 1 diabetes fall into five domains. In the sexual domain, couples counseling, which was based on BETTER model, significantly increased the sexual function of women with Type I diabetes.}, Keywords = {Health, Reproductive health, Diabetes, Type I Diabetes, Combined study}, volume = {7}, Number = {3}, pages = {857-876}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-376-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-376-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Mahzooni, Monireh and Mazaheri, Mehrdad and Nikoofar, Mortez}, title = {Application of Acceptance and Commitment Therapy for Emotional Control in Type II Diabetic patients}, abstract ={Introduction: Diabetes is known as a group of metabolic diseases characterized by high levels of glucose due to varying degrees of insulin resistance or insulin secretion. Type 2 diabetes is the most common type of diabetes, which accounts for 90% of the cases and the prevalence is increasing. Acceptance and commitment therapy (ACT) is among the novel and effective approaches for treating psychological disorders due to distinct diseases. Therefore, this study aimed to evaluate the influence of the fundamental concepts of ACT on the diabetic patients and reduction of the tensions posed on these people. Materials and Methods: This quasi-experimental pretest posttest study with control group was performed on the statistical sample including 24 women with type II diabetes mellitus in Khaf, Iran. The subjects were selected by convenience sampling method and were randomly assigned to the two groups of experiment (N=12) and control (N=12). Data collection was completed using emotion regulation questionnaire. The validity of the test was also confirmed. The training plan entailed ACT as eight 90-min sessions. Results: According to the findings of this study, training based on admission and commitment was influential in controlling emotions, namely aggression, depression, anxiety, and positive emotion in patients with type II diabetes (P < 0.001). Conclusion: Overall, the findings of the present study showed that emotional control training could pose effect through ACT for type 2 diabetic patients. Accordingly, it can be concluded that learning emotional control and management is important in augmenting self-awareness and healthy relationships. On the other hand, these trainings reduce negative emotions, such as aggression and depression, as well as the effect of these disorders on physical, psychological, and emotional health.}, Keywords = {Type II diabetes, Emotional control, Acceptance and commitment therapy, Aggression}, volume = {7}, Number = {3}, pages = {877-886}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-356-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-356-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Akbarizadeh, Majid Reza and Naderifar, Mahin and Goli, Hamideh}, title = {Complications Affecting Newborns of Diabetic Mothers}, abstract ={Introduction: Gestational diabetes is a common disease during pregnancy which has many effects on the health of the neonates.This study aimed to evaluate the complications affecting newborns of diabetic mothers. Materials and Methods: The present study is an integrated review of available evidence and information based on published articles available in domestic and foreign electronic journals, selected from databases, such as SID, MAGIRAN, IRANMEDEX, PUBMED, GOOGLE SCHOLAR, and CINHAL. The search was carried out using keywords, including "Gestational diabetes mellitus", "Complications", "Neonates", and similar words. In total, 274 articles were found, out of which 232 studies were excluded, and finally, 42 Persian and Latin articles were examined in this study. Results: The most significant complications affecting newborns of mothers with gestational diabetes include macrosomia, respiratory distress, congenital anomalies, and disorder in their Apgar scores. Conclusion: According to the results, it is recommended that all mothers with gestational diabetes be undergone periodic blood glucose monitoring and fetal examinations during pregnancy and be provided with special care at follow-ups and evaluation of the health of the child after birth.}, Keywords = {Gestational diabetes, Neonates}, volume = {7}, Number = {3}, pages = {887-899}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-369-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-369-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Khoushabi, Fahimeh and JalalianMoghadam, Fatemeh and Bagheri, somayeh}, title = {Determination of Dietary Patterns in Patients with Type II Diabetes and Its Relationship with Body Mass Index in Zabol}, abstract ={Introduction: Appropriate dietary pattern plays a leading role in the control and treatment of diabetes. The recent studies have linked specific foods, such as fruits and vegetables, and the quality of carbohydrate intakes, such as high fiber, low glycemic index, and whole-grain intake, to lower risk of type II diabetes. The current research aimed at determining the dietary patterns in patients with type II diabetes and its relationship with body mass index (BMI) in Zabol, Iran. Materials and Methods: This cross-sectional study was conducted on 384 patients with type II diabetes referred to Diabetes Clinique of Zabol. The participants were selected by simple random sampling and the data were collected using a questionnaire, including demographic and anthropometric information. Lipids profiles extracted from files of patients. A semi-quantitative FFQ questionnaire was used to collect the food items consumed by the participants. The data were analyzed in SPSS software (version 19). Results: As evidenced by the obtained results, three major dietary patterns, including healthy, traditional, and high-protein dietary patterns were identified in the present study. Healthy dietary pattern was associated with lower weight and BMI (P<0.05). Nonetheless, no association was observed between traditional and high-protein dietary patterns with anthropometric indices (P>0.05). Conclusion: The results of the present study indicated that dietary pattern is associated with the risk of increased weight and BMI. Moreover, the modification of dietary patterns and following a healthy dietary pattern can exert dramatic effects on anthropometric indices and can be used to control type II diabetes.}, Keywords = {Dietary patterns, Body Mass Index, Type II diabetes}, volume = {7}, Number = {4}, pages = {900-914}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-367-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-367-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Ghaedrahmati, Ayda and Jabalameli, Shei}, title = {Effect of Acceptance and Commitment Therapy on the Quality of Life and Physical Indices of Patients with Diabetes}, abstract ={Introduction: The incidence of diabetes disrupts the regular flow of life and affects the quality of life in different aspects. Therefore, this study aimed to determine the effect of acceptance and commitment therapy on the quality of life and physical indices of patients with diabetes.  Materials and Methods: This semi-experimental study was conducted based on a pre- and post-test design. The statistical population consisted of all patients with diabetes who referred to Alzahra Hospital and Kourosh Clinic in Isfahan during 2018. A targeted sampling method was used to perform the sampling. In total, 24 patients with diabetes were selected and assigned randomly into two groups of control and experimental. The experimental group was subjected to acceptance and commitment therapy during eight 90-min sessions. The data were collected before and after the intervention using a questionnaire, physical indices, and urine samples. Data analysis was performed in SPSS software (version 23) through  analysis of covariance, Wilcoxon signed-rank test, and Fisher's F-test. Results: The results showed that acceptance and commitment therapy had a significant effect on the quality of life, physical and mental health, and physical indices of patients (P<0.05). Conclusion: According to the results of this study, acceptance and commitment therapy can be used to improve the quality of life and physical indices among diabetic patients.}, Keywords = {Acceptance and Commitment Therapy, Quality of Life, Physical Indices, Diabetes.}, volume = {7}, Number = {4}, pages = {915-928}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-375-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-375-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Doosti_Irani, Mehri and Noorian, Kobra and Abdoli, Samereh and Parvizi, Soroor and SeyedFatemi, Naeemeh}, title = {Did we manage to do this effectively? Outcome of an action research to overcome diabetes-related stigma}, abstract ={Introduction: The current study aimed to answer the folloeing question: Did we manage to do this effectively? In so doing, it presented the threefold results of an action research: 1) how did this research affect participants? , 2) how did it affect the researcher? , and 3)  did the power allocation which is the prerequisite for a participatory research take place? Materials and Methods: This action research with Kemmis and McTaggart’s approach has started in Isfahan since 2011 and numerous people and organizations have gradually participated in its different stages. Results: The obtained data indicated the effectiveness of the program for the main participants (people with diabetes) and for attracting the participation of other groups which demonstrates the success of the program. The effects on the researcher and power distribution that must be taken into account in each action research have been also addressed. Conclusion: As evidenced by the results of the current study, with the available facilities and in the current conditions, the implementation of an appropriate approach could reduce stigma at a large scale.}, Keywords = {Type I diabetes, Stigma, Action research}, volume = {7}, Number = {4}, pages = {929-942}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-388-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-388-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Pajoheshgar, Mahnaz and Rajaei, Alireza and Khoienejad, Gholamreza and Bayazi, Mohammad Hossei}, title = {Effect of Well-being Therapy on Depression, Self-Management, and Blood Glucose Level in Females with Type II Diabetes}, abstract ={Introduction: Diabetes is one of the most common chronic diseases, which also affects individuals' mental and psychological characteristics. This study aimed to investigate the effect of well-being therapy on reducing depression, improving self-management, and controlling the blood glucose level in females with Type II diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with control and intervention groups. The participants were selected from females with type 2 diabetes referring to Parsian Diabetes Clinic in Mashhad, Iran, during 2018-19. Subsequently, the patients were randomly divided into intervention (n=26) and control (n=26) groups. The intervention group received eight 90-minute sessions of group therapy based on the Ryff’s Psychological Well-being Scale for three months. On the other hand, the control group received no therapeutic intervention. The data were collected before and after the intervention using Beck’s Depression Inventory, Thompson and Toobert’s Self-Management Inventory, and Hemoglobin A1c (HbA1c) test. Moreover, the data were analyzed in SPSS software (version 24). Results: The results revealed that well-being therapy had a significant effect on depression, self-management, and HbA1c in patients with type II diabetes. Moreover, there was a significant difference between the control and intervention groups (P<0.05) in this study.  Conclusion: According to the results, well-being therapy is effective in improving self-management, as well as reducing depression and HbA1c levels in patients with type II diabetes. Therefore, it is recommended that this treatment approach be used to help improve the psychological well-being of these patients}, Keywords = {Depression, Hemoglobin A1c, Self-management, Type II diabetes}, volume = {7}, Number = {4}, pages = {943-957}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-382-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-382-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Parsaee, Mina and Sahbaei, Faezeh and Hojjati, Hami}, title = {Effect of Extended Parallel Process Pattern on Diet Adherence in Type II Diabetic Patients}, abstract ={Introduction: Diabetes mellitus is one of the most common chronic diseases in the world, and one of its treatments is adherence to a diet. Numerous studies have shown that the most effective training programs are according to theory-based approaches. Extended parallel process paradigms are among health education models on the basis of fear, sensitivity, and self-efficacy of patients. Therefore, the present study aimed to investigate the effect of the extended parallel process model on diet adherence of type II diabetic patients. Materials and Methods: This experimental study was performed in two randomly divided intervention (n=30) and control (n=30) groups at Gonbad Kavous Diabetic Clinic in Golestan, Iran, in 2019. The control group received routine care education for diabetic patients, and the experimental group received six sessions of 45-60 min training with the extended parallel process model. The data collection tool was a 34-item diet adherence questionnaire. The data were analyzed by SPSS  software (version 21) using paired t-test, independent t-test, and analysis of covariance (ANCOVA). Results: The results of ANCOVA after the removal of the pretest showed a significant difference between the two groups in terms of dietary compliance (P<0.01; Eta=0.28). Accordingly, 28% of posttest changes could be due to the extended parallel pattern training. Conclusion: Extended parallel process pattern increases diet adherence in diabetic patients. Therefore, based on the results of this study and effectiveness of the extended parallel process model on diabetic adherence of diabetic patients, it can be concluded that self-efficacy as a predictor of diet adherence is predictive of disease control and complications.}, Keywords = {Extended Parallel Process Pattern, Diet Adherence, Diabetes}, volume = {7}, Number = {4}, pages = {958-967}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-385-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-385-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Sakinepoor, Aynollah and Naderi, Aynollah and Mazidi, Maryam and Hashemian, Amir Hossein and Mirzaei, Maryam and Letafatkar, Amir}, title = {Effect of Resistance and Aquatic Exercises on Balance in Diabetes Peripheral Neuropathy Patients: A Randomized Clinical Trial Study}, abstract ={Introduction: One of the most common complications of diabetes peripheral neuropathy (DPN) is the loss of balance, postural control disorder and falling down. Therefore, the purpose of the present study was to compare the effect of resistance and aquatic exercises on balance in DPN patients in 2019, in the Shahbazi pool, Kermanshah, Iran. Materials and Methods: This randomized clinical trial study was conducted on 30 women inflicted with DPN who referred to Diabetes Research Center in Kermanshah. The subjects were selected through convenience sampling method and were randomly divided into three groups, including aquatic exercises (n=10), resistance exercises (n=10), and control (n=10). Resistance and aquatic exercise groups had a training program of 8 weeks which included 40-minute sessions three times a week. The static and dynamic balance, simple reaction time, and choice reaction time of the subjects were evaluated before and after the exercises. Finally, ANCOVA and paired t-test were used for the data analysis. A p-value of less than 0.5 was considered statistically significant. Results: Both resistance and aquatic exercises resulted in improvement regarding simple reaction time, choice reaction time, and static and dynamic balance, compared to the control group (P<0.001). Aquatic exercise protocol resulted in significant improvement in static balance with the eyes closed (P<0.001) and choice reaction time (P=0.001), compared to the resistance and control groups. Conclusion: Based on the results, it seems that aquatic exercises are more effective regarding balance and simple and choice reaction time in comparison to resistance exercises, in DPN patients.  }, Keywords = {Balance, Choice reaction time, Diabetes peripheral neuropathy, Resistance exercises, Simple reaction time}, volume = {7}, Number = {4}, pages = {968-982}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-390-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-390-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} } @article{ author = {Kadkhodai, Fatemeh and Badakhsh, Mahin and Amirshahi, Mehrbanoo}, title = {The Effect Of Counseling on Health Promotion Behaviors in Diabetic Mothers; Zabol 2018}, abstract ={Introduction: Since lifestyle affects one’s health, health-promoting activities and a healthy lifestyle are major strategies to facilitate and preserve health. Nowadays, gestational diabetes is one of the most prevalent complications of pregnancy affecting maternal and fetal health.  The present study aimed to determine the impact of the consultation on the promotion of healthy lifestyles in women with gestational diabetes referring to educational-medical centers affiliated to Zabol University of Medical Sciences in 2018. Materials and Methods: This quasi-experimental study was performed on 70 mothers with gestational diabetes admitted to educational-medical centers affiliated to Zabol University of Medical Sciences. The study participants were selected based on convenience sampling and were randomly assigned into two groups of intervention and control. The intervention group received 7 counseling sessions.  Data collection tools included demographic form, and Health Promoting Lifestyle Profile II questionnaire. Results: Based on the obtained results, the intervention and control groups were homogeneous in terms of demographic characteristics and mean score of health promotion behaviors and did not differ significantly before the intervention (P>0.05). However, a significant increase was observed in the total score of health promoting behaviors in the intervention group 153.48(7.52), as compared to the control group 113.57(5.14); P <0.001). Conclusion: Midwives can improve the lifestyle of mothers with gestational diabetes and reduce the complications of gestational diabetes with proper care and health promotion lifestyle counseling in health centers}, Keywords = {Gestational Diabetes Mellitus, Health Promoting, Lifestyle, Pregnant Women, counseling}, volume = {7}, Number = {4}, pages = {983-991}, publisher = {Zabol University of Medical Sciences and Health Services}, url = {http://jdn.zbmu.ac.ir/article-1-371-en.html}, eprint = {http://jdn.zbmu.ac.ir/article-1-371-en.pdf}, journal = {Journal of Diabetes Nursing}, issn = {2345-5020}, eissn = {2423-5571}, year = {2019} }