1 2345-5020 Zabol University of Medical Sciences and Health Services 343 Diabetic nursing care plane Evaluation of the Effect of Video-based Education on Self-care of Patients with Type II Diabetes Naderyanfar Farhad b Shahrakimoghadam Elham c Heidari Mohammad Amin d Soleimani Maryam e b Zabol University of medical sciences c Zabol University of medical sciences d Zabol University of medical sciences e Zabol University of medical sciences 1 3 2019 7 1 672 682 12 02 2019 20 04 2019 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.  
352 Special Effect of the Training Based on Islamic Lifestyle Model on Fasting Blood Glucose and Glycosylated Hemoglobin in People with Prediabetes Pooladi Shahnaz f Sadeghi Soraya g Vahedprast Hakimeh h Bagherzadeh Razieh i Sharifi Sharif j f Bushehr University of Medical Sciences g Bushehr University of Medical Sciences h Bushehr University of Medical Sciences i Bushehr University of Medical Sciences j Bushehr University of Medical Sciences 1 3 2019 7 1 683 693 13 04 2019 05 05 2019 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 344 Diabetic nursing in Work Screening Age Groups of 25-65 Years in Zahedan Regarding the Risk of Developing Type II Diabetes in 2016 Jahantigh Farnaz k Nikbakht Reza l Robabi Hasan m k Zahedan University of Medical Sciences l Zahedan University of Medical Sciences m Zahedan University of Medical Sciences 1 3 2019 7 1 694 703 16 02 2019 22 04 2019 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. 330 Nursing diagnosis related to diabetes Assessment of Stigma and Self-esteem in Female Adults with Type I Diabetes in Tehran, Iran Abdollahi Fariba n Biglar Shahla o Shojaei Fatemeh p Puryaghoob Maryam n Qazvin University of Medical Sciences o Zanjan University of Medical Sciences p Zanjan University of Medical Sciences Zanjan University of Medical Sciences 1 3 2019 7 1 704 713 19 11 2018 10 02 2019 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.   345 Diabetic nursing in Home Self-care Status and Its Relationship with Demographic and Clinical Characteristics in Adolescents and Young People with Type I Diabetes Mahdilouy Parisa Ziaeirad Marzieh Islamic Azad University, Isfahan (Khurasgan) Branch Islamic Azad University Isfahan (Khurasgan) Branch, University BLvd, Arghavanieh, Jey Street, Isfahan, Iran 1 3 2019 7 1 714 727 24 02 2019 28 04 2019 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. 334 Special 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 Mohammadi Mohammad Shahraky vahed Aziz Nikbakht Reza firouzkouhi Ahmadreza Khosravi Bonjar Ai Zabol University of Medical Sciences, Zabol, Iran Zabol University of Medical Sciences, Zabol, Iran Zahedan University of Medical Sciences, Zahedan, Iran zabol university of medical sciences,zabol,iran. Zabol University of Medical Sciences, Zabol, Iran 1 3 2019 7 1 728 736 22 01 2019 05 05 2019 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. 353 Diabetic nursing in Home Sample size estimation in randomized clinical trials (RCTs) Abdollahimohammad Abdolghani Firouzkouhi Mohammadreza Zabol University of medical sciences Zabol University of medical sciences 1 3 2019 7 1 737 739 30 04 2019 30 04 2019