ABSTRACT
Background: Research shows that people with diabetes duration less sleep than normal amounts of sleep in healthy people, which may lead to reduced quality of life. Due to the chronic nature of the disease, the need for appropriate follow-up of these patients is necessary. Hence, the present study aimed to investigate the effect of applying continuous care model on quality of sleep in people with diabetes as well.
Method: In this study, 80 diabetic patients who are candidates for sampling the diabetes clinic covered Sabzevar selected randomly in two groups of test and control. Data were collected using questionnaires, personal information, and Pittsburgh Sleep Quality Scale before and after the intervention. Educational intervention, applying continuous care model in the test group was 12 weeks. Data analysis using descriptive and inferential statistics [chi-square test, t-test, regression and analysis of covariance] was performed by using SPSS version 18.
Results: The results showed that the two groups before the intervention in terms of demographic variables and mean scores of sleep quality, sleep quality scores were similar between the two groups was not statistically significant, However, after intervention by independent t-test, significant differences between the mean scores of sleep quality were [P = 0.001]. Between sleep quality scores in the experimental group before and after the intervention, there was a statistically significant difference, but the difference was not significant in the control group.
Conclusions: The implementation of the continuous care model is effective in increasing the quality of sleep. It is suggested by the model to test for diabetes care in other clinics.
ABSTRACT
Background and purpose: Diabetes is a common disease in Iran and around the world which is associated with veriety of costly complications Depression is one of the most important problems diabetics deals with. Nurses can have a significant role in stress management training in order to improve the life quality of these patients. This study was aimed at evaluating the effectiveness of training patients with Type II diabetes in stress management, on depression.
Materials and Methods: In this Clinical trial research 96 patients with type II diabetes were selected from patients who had refered to the Diabetes Center of Kerman in 2013, and were asked to complete the DASS21 questionnaires, considering common consent. Patients, who had depression, were randomly divided into two groups: experimental and control groups and stress management training was done. Data were collected using questionnaires [Beck = DASS], respectively. Test data covariance, repeated measures ANOVA and SPSS software version 18 were used for analysis at Significant level of p< 0.05.
Results: Mean and standard deviation of depression before intervention in control group and test group, were respectively33.37 +/- [13.94] and 32.77 +/- [13.58], and after the intervention, obtained magnitudes for mentioned parameters were respectively 31.34 +/- [13.91] and 20.77 +/- [10.42]. Comparing to pre-intervention period, standard deviation of depression has decreased and 51.2% of the experimental group's patients were found less depressed after being trained with the stress management tour. significant different between severity of depression before and after implementation of stress management training were resulted.[p-value= 0/0001].
Conclusions: Stress management training has played an effective role in reducing depression.
ABSTRACT
Background: because of long communication between nurses and patients, nurses have the great opportunity to decrease anxiety level in patients and educate them. The purpose of this study was to evaluate performance of patient's education in nurses and patients' view.
Methods and Materials: This descriptive study was conducted on 110 nurses and 110 hospitalized patients who were being discharged in the summer of 2013 in the three educational hospitals in Sabzevar. Data were collected through a questionnaire for nurses and patients and analyzed using spss software, version of 15, and descriptive tests.
Results: Nurses' performance results showed that patients illustrated the highest level of training in time of admission was the way of using needed equipment [15%], during the hospitalization was time of drug usage [41%] and in discharge time was follow-up and the next visit the doctor. [30%].Also, Nurses mentioned the further level of education in admission, during hospitalization and discharge time were how to use of the equipment [38%], different methods of pain relief [66%], subsequent follow-up and going to the doctor [41%].
Conclusion: This study indicated that level of patients education has not been efficient in all of three times in nurses and patients point of view. Therefore, health care managers should take some measure to enhance nurses' awareness about the importance of patient education.
ABSTRACT
Many organisms produce lactic acid by fermentation, but most industrially important strains are from the genus Lactobacillus and Rhizopus oryzae. L[+]-Lactic acid is the only optical isomer for use in pharmaceutical and food industries because human body is only adapted to assimilate this form. In this research, six strains of Lactobacillus and four strains of R. oryzae [known as high producer] were examined for optical isomers of lactic acid. The production of lactic acid was improved and lactic acid produced in submerged media on rotary shaker incubator. The optical isomers of lactic acid were examined by L[+] and D[-] lactate dehydrogenase kit. All the R. oryzae strains tested produced only L[+] isomer of lactic acid. The highest fungal and bacterial producer strains were R. oryzae PTCC 5263, Lactobacillus plantarum PTCC 1058, L. Bulgaricus PTCC 1332 and L. delbruekii subsp delbruekii PTCC 1333. Lactobacilli strains produced combination of both optical isomers of lactic acid. Among them, L. casei subsp. Casei produced the low amount of D[-]-lactic acid [2%]. The optimum concentration of glucose for lactic acid production by R. oryzae and Lactobacillus strains were 180 g/l and 80-120 g/l, respectively