Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
The Effect of Acupressure on Anxiety and Quality of Life in Patients with Type II Diabetes
263
272
FA
Hosein
Shahdadi
Zabol University of Medical Sciences
Naser
Shirani
Zabol University of Medical Sciences
Ali
Mansouri
Zabol University of Medical Sciences
Introduction: Diabetes is the most common metabolic disorder and is considered as a risk factor of cardiovascular diseases, nephropathy, hypertension, eye complications, and psychological disorders such as anxiety. Anxiety can negatively affect the patients’ quality of life. One of the non-pharmaceutical methods of relieving the anxiety is using acupressure, which helps to relieve anxiety and its subsequent physiological signs. This study aimed to determine the effect of acupressure on anxiety and quality of life in diabetic patients.
Materials and Method: This quasi-experimental study was conducted on 40 patients referred to diabetes clinic in Zabol, Sistan and Baluchestan, Iran, using single subject and pre-test-post-test designs. The Spielberger (SF-36) questionnaires of anxiety and quality of life were filled out by the participants and the intervention was done for four weeks. The questionnaires were re-completed after the intervention period. Data analysis performed using SPSS version 22.
Results: The mean scores of anxiety before and after the intervention were reported 111/21±17/72 and 78/91±9/13, respectively. Therefore, significant differences were observed before and after intervention in all aspects (P<0/05). The results indicated the scores of quality of life before and after the intervention about 54/26±12/91 and 69/75±14/72, respectively. Thus, there were significant disparities in patients' quality of life before and after the intervention in all aspects (P<0/05).
Conclusion: The results of this study confirmed that acupressure had a positive effect on relieving anxiety and improving the quality of diabetic patients’ life. Therefore, it is recommended to train the healthcare workers such as nurses about the impacts and ways of administrating this procedure.
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Comparison of Platelet Rich Plasma and Normal Saline Dressing Effectiveness in the Improvement of Diabetic Foot Ulcers
273
282
FA
Mohammad
Afshar
Kashan University of Medical Sciences
Rohangiz
Karimi
Kashan University of Medical Sciences
Morteza
Salimian
Kashan University of Medical Sciences
Alireza
Sharif
Kashan University of Medical Sciences
Abolfazl
Afshar
Farhangian University of Qom
Introduction: Diabetes is a chronic disease that is accompanied by some complications, such as diabetic foot ulcers, which account for 50,000-60,000 amputations annually. The non-treatment of the complications caused by these ulcers would result in significant costs. Regarding this, the present study aimed to compare the effectiveness of platelet rich plasma (PRP) dressing with that of normal saline dressing in the improvement of diabetic wounds
Materials and Methodgy: This clinical trial was conducted on 60 diabetic patients with grades 1 and 2 diabetic foot ulcers based on Wagner classification, who referred to Shahid Beheshti Hospital in Kashan, Iran. After the collection of the demographic data, the patients were visited by an infectious disease specialist and entered in the study in case of meeting the inclusion criteria. Subsequently, the participants were randomly assigned into two groups of PRP and normal saline dressing. The two groups were examined in terms of the depth and area of the wound at the beginning and end of the first, second, and third weeks of the intervention. The data were analyzed using Fisher’s exact test, Chi-square test, and t-test.
Results: Out of the 60 patients referring to Shahid Beheshti Hospital, 10 patients were excluded from the study. Therefore, the study was continued with 50 patients divided equally into two groups. According to the results, 45 males had type 2 diabetes mellitus, and the rest suffered from type 1 diabetes. The mean disease duration was 12.78±6.76 years. Furthermore, 41 and 9 patients received insulin injections and oral medications, respectively. The mean glycosylated hemoglobin and fasting blood glucose were 12.28±0.98 and 232.66 mmol/L, respectively, which were not statistically different between the two groups at the beginning of the study. However, there was a significant difference between the study groups at the end of the first, second, and third weeks in terms of the area and depth of wound. .
Conclusion: As the findings indicated, PRP dressing was more effective in improving the diabetic foot ulcer as compared to the normal saline dressing As the findings indicated, PRP dressing was more effective in improving the diabetic foot ulcer as compared to the normal saline dressing
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Relationship Between Gestational Diabetes Mellitus and Postpartum Depression
283
294
FA
Sanaz
Nehbandani
Zabol University of Medical Sciences
Fatemeh
Nahidi
Shahid Beheshti University of Medical Sciences
Nourossadat
Kariman
Shahid Beheshti University of Medical Sciences
Maliheh
Nasiri
Shahid Beheshti University of Medical Sciences
Introduction: Postpartum depression is the most common postpartum mood disorder. Medical complications during pregnancy may predispose the person to postpartum depression. Determining the risk factors for postpartum depression can help identify high-risk women. Thus, we aimed to determine the relationship between gestational diabetes mellitus and postpartum depression in women visiting health care centers in Zabol, Iran, during 2015.
Materials and Methods: This prospective study was conducted among 105 pregnant women with definitive diagnosis of gestational diabetes and 157 healthy pregnant women selected using the multistage cluster sampling method. Data were collected by using a demographic characteristics form, Beck Depression Inventory, Vinfild and Tighmen’s social support scale, ENRICH marital satisfaction scale, and Edinburgh Postnatal Depression Scale. To analyze the data, t-test, Chi-squared test, Mann-Whitney U test, and relative-risk test were run in SPSS, version 21. P-value less than 0.05 was considered statistically significant.
Results: Chi-squared test reflected a significant relationship between gestational diabetes mellitus and postpartum depression (P=0.001). The results of this study signified that women with gestational diabetes were 1.88 times more likely to suffer from postpartum depression than non-diabetic women were (CI=1.53-2.22).
Conclusion: Gestational diabetes can be a potential risk factor for postpartum depression, therefore, taking preventive measures and timely treatment of the disease are recommended to reduce the level of postpartum depression.
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Use of PRECEDE Model for Self-care Educational Need Assessment Among Diabetic Patients
295
306
FA
Mahnaz
Solhi
Iran University of Medical Sciences
Sadegh
Hazrati
Ardabil University of Medical Sciences
Masoud
Shabani
Ardabil University of Medical Sciences
Nazila
Nejaddadgar
Ardabil University of Medical Sciences
Introduction: Diabetes is one of the most common non-communicable diseases with significant complications throughout the world. One of the strategies for controlling the complications of diabetes is to improve the patient's self-care and involvement in the treatment process. Regarding this, the present study aimed to determine the educational need assessment for the prioritization of the interventions targeted toward the improvement of patients' involvement and self-care using the PRECEDE Model in Ardabil, Iran, in 2016.
Materials and Methods: This cross-sectional study was conducted on 129 patients with type II diabetes mellitus referring to the Ardabil Diabetes Clinic. The study population was selected using simple random sampling technique. Data collection tools included the demographic form, the Summary of Diabetes Self-Care Activities (SDSCA), and a researcher-made checklist based on the PRECEDE model components. The data were analyzed in SPSS, version 16.
Results: According to the results, the patients had an undesirable level of awareness regarding the disease side-effects, symptoms, adherence to diet, and physical activity. The patients' demands included the increased access to educational classes, sports venues, and free nutrition consultant. Furthermore, there was a significant relationship between the self-care behaviors and education level. Self-efficacy was identified to be the most important predictor of self-car behavior.
Conclusion: As the findings indicated, the implementation of need assessment before the execution of any self-care educational interventions could help the planners to identify the effective priorities in the process of designing and administering the educational interventions and act purposefully in this regard.
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Survey of Life Style Status in Type II Diabetic Patients in Zabol, 2016
307
319
FA
Fahimeh
Khoushabi
Zabol University of Medical Sciences
Rahil
Latif
Zabol University of Medical Sciences
Mohammad Reza
Shadan
Zahedan University of Medical Sciences
Somayeh
Bagheri
Zabol University of Medical Sciences
Introduction: Type II diabetes is a serious disease and a major health concern. This type of diabetes and its complications pose a considerable burden not only on patients and their families, but also on health care systems. Type II diabetes is the leading cause of premature death. If improperly managed, it can lead to a number of health problems, including cardiovascular diseases, cerebrovascular accident, renal disease, blindness, nerve damage, leg or foot amputation, and death. Behavioral change and adoption of a healthy lifestyle can help prevent or hinder the complications of type II diabetes. Since the knowledge and practice of healthy lifestyle are inadequate in most diabetic patients, we sought to design a study to determine the lifestyle status of type II diabetic patients in Zabol, Iran.
Materials and Methods: This cross-sectional study was conducted among 320 type 2 diabetic patients who were selected using the simple random sampling method. The required information was gathered by using a questionnaire consisting of two parts. To analyze the data, independent t-test, One-way ANOVA, and Tukey’s post hoc were run in SPSS.
Results: Of the 320 participants, 28.1% were males and 71.9% were females. The mean age and body mass index (BMI) of the subjects were respectively 53.87±10.19 years and 26.61±4.49 kg/m2. The associations of gender and disease history with life style were not significant (P>0.05). However, the relationships of age group, occupation, BMI, educational level, and income status with lifestyle were significant (P<0.05). Classification of the participants based on their lifestyle was as follow: poor (29.4%), moderate (68.1%), and good (2.5%).
Conclusion: Lifestyle intervention is a simple and cost-effective approach for the prevention of type 2 diabetes and hindering its progression in pre-diabetes patients. Thus, physical activity and exercise, along with change in dietary habits should be integrated into diabetes treatment and prevention plans.
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Investigation of Life Style and Quality of Life in Predicting Depression in Type II Diabetic Patients
320
331
FA
Akram
Dehghani
Islamic Azad University Najafabad
Introduction: In the 21st century, industrialization, globalization, increased life expectancy, and lifestyle changes are evident all over the world. One of the outcomes of these changes is alteration in disease pattern and enhanced prevalence of chronic diseases such as diabetes. Lifestyle and quality of life have a significant impact on exacerbation of diabetes symptoms, which in turn, will undermine the patient's psychological condition. We sought to predict depression based on lifestyle and quality of life in patients with type 2 diabetes.
Materials and Methods: The target population in this correlational study was all the type 2 diabetic patients visiting the Endocrinology and Metabolism Research Institute of Isfahan, Iran, during 2016. One hundred subjects were selected by using the purposive sampling method. All the participants completed a set of questionnaires including Health-Promoting Lifestyle Profile (Walker et al., 1987), Quality of Life (36-item short-form version; Ware and Sherbourne, 1992), and Beck Depression Inventory. To analyze the data, multivariate regression was performed in SPSS, version 20.
Results: The relationship of lifestyle with quality of life and depression was significant among the type 2 diabetic patients (P<0.001). Lifestyle and quality of life variables could predict depression in these patients
Conclusion: Psychological issues and quality of life of patients visiting healthcare centers should be considered to prevent aggravation of their symptoms.
Zabol University of Medical Sciences and Health Services
Journal of Diabetes Nursing
2345-5020
5
4
2017
12
1
Effect of Continuous Care Model on Self-care Behaviors in Patients with Diabetes
332
340
FA
Jasem
Allahyari
Zabol University of Medical Sciences
Nasser
Shirani
Zabol University of Medical Sciences
Ali
Mansouri
Zabol University of Medical Sciences
Mohammad SadeghSadegh
Sargolzaei
Zabol University of Medical Sciences
Introduction: The incidence of diabetes as one of the leading causes of morbidity and mortality is on a growing trend. The key to diabetes treatment is to train self-care behaviors. We aimed to determine the effect of the continuous care model on self-care behaviors of diabetic patients.
Materials and Method: This clinical trial was performed on 80 patients with diabetes who were selected through purposive sampling and randomly assigned to intervention and control groups. A demographic form and the self-care behaviors questionnaire for diabetic patients were used to collect the data. The intervention group was followed up based on the continuous care model from the beginning of July to the end of August. During this time, the control group only received the routine care. After completing the intervention, the questionnaires were completed again, and the obtained data were analyzed by Mann-Whitney and Wilcoxon statistical tests.
Results: Mean self-care scores of patients in the control and intervention groups were 36.42 and 39.32, respectively, which did not show any significant differences (P=0.28). After the intervention, the mean self-care scores of the control and intervention groups were 37.95 and 55.22, respectively, indicating significant intergroup differences (P=0.001).
Conclusion: The continuous care model can be used as an effective method to promote self-care behaviors in diabetic patients.