ABSTRACT
Introduction: diabetes mellitus is the most common metabolic disorder. This study, conducted in Arak in 2014, aimed to determine the effects of education, based on a health belief model on the adherence to medication among patients with diabetes
Materials and Methods: for this research, a quasi-experimental study, with a before and after design was used for which 130 patients with diabetes of Arak were selected by sampling method and randomly assigned to two groups [65 cases and 65 controls]. The data collection tool used was a questionnaire, the validity and reliability of which had been confirmed. Before the training, the questionnaire was completed for both groups. The intervention group received 4 sessions for one month. Three months after the intervention, both case and control groups completed questionnaires and data were analyzed using the appropriate tests
Results: three months after the educational intervention, perceived susceptibility, perceived benefits, self-efficacy, internal and external guidelines and performance in the field of medication adherence were all significantly increased with pre-intervention [p<0.05] while the structures, perceived barriers and perceived severity, did not differ significantly to before intervention status [p>0.05]
Conclusion: teaching diabetic patients skills in the context of medication adherence can raise their compliance with medication beneficially affect their health
ABSTRACT
Introduction: Spiritual health is important aspect of human health that provides integrated relationship between internal strengths. Spirituality and personal beliefs help individuals against problems and make their life meaningful. This study evaluated the relationship between spiritual health and religious orientation with emotional adjustment of admitted adolescents in hospitals
Methods: This cross-sectional study was conducted on 260 adolescents in hospitals of Arak University of Medical Sciences. The samples were selected by cluster sampling method. Data collection tools included three questionnaires: 1- Religious Orientation Scale, 2-spiritual well-being scale and 3-emotional adjustment scale. Data analyzed using SPSS-20 and with Pearson correlation test, Independent T-test, ANOVA and Multiple linear regressions
Results: Result of this study showed that between religious orientation and emotional adjustment there was no significant relationship [P>0.05]. But a significant relationship [P<0.0001] was found between spiritual health and emotional adjustment indicating adolescents with higher spiritual health had better emotional adjustment. The mean scores of emotional adjustment in males were significantly higher than females [p<0.004]. Age, marital status, education, ethnicity and religious ceremony were not correlated with emotional adjustment. Results of Multiple linear regression showed the score of spiritual health and gender predict%17.1 of adolescent emotional adjustment
Conclusions: In hospitalized adolescents, higher spiritual health was positively associated with increased emotional adjustment. Awareness of spiritual needs and encouraging usage of spiritual intervention and support by physicians and nurses is necessary in order to conduct a holistic care during treatment
ABSTRACT
Introduction: Parents who have children with chronic disease are susceptible to anxiety and depression. Parental anxiety and depression is associated with decreased sense of responsibility toward care, education and nutrition for their children and also for their mental disorder effect on their children's mental and emotional health. The purpose of this study was to determine parent's anxiety and depression of children with chronic disease in Tehran Mofid pediatric Hospital
Method: The present study is cross-sectional study that was conducted in 2010. 440 parents of hospitalized children with chronic diseases were selected with simple random sampling. Study's tool was Hospital Anxiety and Depression Scale. Data were analyzed with descriptive statistics and Independent t-test and Pearson correlation tests
Results: The results showed that 49.1% of parents had moderate to severe and 24.5% had mild anxiety. Also 31.8% of samples were with moderate to severe depression and 27.3% with mild depression. Child gender, location, duration of hospitalization of children showed significant association with the level of anxiety and depression [p<0.05], as well as a significant relationship between parent's gender, history of anxiety and parent's age with depression levels was observed [p<0.05]
Conclusion: According to results of this study, it is recommended to screen depression in parents of children with chronic illnesses in hospitals and clinics