[Effect of educational program based on PRECED model on quality of life in patients with typeII diabetes]

The Problems caused by diabetes have direct and indirect impacts on quality of life of diabetic patients. By increasing of these problems quality of life of patients will decrease. This study was done to assess the effect of the educational program based on PRECEED [predisposing reinforcing enabeling causes educational diagnosis evaluation] model in promoting quality of life of patients with typeII diabetes. This pre-and post-intervention quasi-experimental study was conducted on 78 patients with type 2 diabetes referred to diabetes clinic in Minoodasht located in Golestan province of Northern Iran. The educational program based on PRCEDE Model and patients educational needs was designed. The data were collected using two questionnaires. lifequality WHOQOL-BREF questionnaire and PRCEDE Model-based educational questionnaire. The subjects were followed for one month after intervention to identify the role of educational intervention on patients. The data was analyzed by using SPSS-16 and Paired t-test. After the intervention, the mean score of quality of life increased from 80.39 +/- 11.35 to 81.35 +/- 8.31. No significant difference was existed in the total score of quality of life after intervention but there were significant differences in the physical health [P<0.05], self-evaluation of quality of life of patients [P<0.01] and self-assessment of health of patients after educational intervention. This study showed that the educational program based on PRECEDE model was effective in improving quality of life of patients with regard to physical health and selfassessment of their health status

concept of palliative care practice among Iranian general practitioners

General Practitioners [GPs] have the main responsibility in medical and particularly palliative care provision in most of countries, though this is not the current case in Iran. Development of 'family physician' approach in rural and most of the urban areas in Iran, GPs will have the main role in care provision. There is no formal palliative care education during general medical training in the country so far. Regarding the increasing number of people in need of palliative care services, it is essential to assess GPs' knowledge about palliative care to develop special palliative care educational programmes. A cross-sectional questionnaire survey was conducted on general practitioners participated in a formal Continuous Medical Education programme, using three scales. 216 GPs returned the completed questionnaires. More than half scored their knowledge about palliative care as weak, which was significantly related to their previous experience in caring of a terminally ill patient [p=0.001]. Less than one third stated their good ability to either assess or manage pain in end of life. Major gender differences were seen in different subscales such as communication with patients and carers, patient management, palliative care knowledge and skills, and psychological stress. This study revealed a profound lack of knowledge and experience among Iranian general practitioners about palliative care which was mostly in more complicated areas rather than common symptoms relief