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: one of the main mission of the university is trainivy theprofessional manpower for the society. They must make efforts to reach this goal by identifying the problems, compiling and implementing plans and finally modifying them. Nursing and midwifery are applied professions dealing with human life and clinical education makes the core of these jobs. The present study is intended to investigate the problems of clinical education from the views of clinical instructors and ways of enhancing its quality
Methods and materials: this descriptive study involved senior students of nursing and midwifery [n=116] and instructors [n=13]
Data were collected by a questionnaire including three Sections: personal information, clinical problems and solutions.The data were analyzed in spss using descriptive statistics
Results: the sample comprised of 75 nursing students [64.7%] and the rest were students of midwifery. Also, 19.8% [n=23] were male and the rest female, with the mean age of 22.19 +/- 0.98. Instructors, mean age was 38.53 +/- 7.61, and 53.8% [n=7] were male.The most important causes of demotivation for instructors were fatigue due to high education load [36.2% students and 84.6% instructors]. The most important problems against teaching skills were facilities and circumstances, less or no cooperation by the staff, students overload in wards and the noneducational status of the hospitals
Conclusion: turning hospitals into educational, oriention of deputies of education and treatment in the university to provide facilies, reducing the number of students in rounds can be considered as solutions