[Self-care programs in diabetic patients: quality of methodological report in randomized controlled trials published in Iranian journals between 2010-2016]

Introduction: Considering the high prevalence of diabetes is world wides, self-care programs in diabetic patients are important. There are many studies about self-care programs and assess the outcome of these programs. But the quality of methodology and reporting of these investigations in Iran for use in evidence-based practice has not been extensively studied. This study aimed to determine the quality of the methodological reports of randomized controlled trials on self-care programs in diabetic patients, published in Iranian journals

Materials and Methods: In this Secondary study randomized controlled trial articles in Persian and English-language related to diabetes and self-care education, published at local journals magazines in Magiran, SID, Iranmedex, Irandoc databases and Google Scholar and Scopus from 2010 up to June 2016 were searched and assessed using the Jadad scale

Results: Results showed 29 articles based on Jadad 5 and 13 points had average scores of 2 +/- 0.92 and 8.65 +/- 1.11 respectively. Randomized allocation in 89.65 % of the studies was noted. Only 3 cases [6.89 %] of the studies were blinded and 13 studies [44.82 %] were reported withdrawal and its causes

Conclusion: Results of this study showed poor quality of methodological reporting, i.e. [average score below 9]. Weaknesses observed in the reporting of trials, required more accurate guidelines and clinical trial assessment tools for authors and scientific journals reviewers

[Survey of comparing discharge time nursing education with the education standards of diabetes type 2 patients in hospitals affiliated in Yazd University of medical sciences in 2015]

Introduction: Diabetes is the most common metabolic disorder in Iran. Due to the nature of the disease, the patient's cooperation in self care is very important. One of the most effective and affordable ways to empower patients is education, which, to be beneficial, must be provided in accordance with related standards. The current study was conducted to investigate accordance of time of discharge diabetic patients with the standards of education for diabetics Type 2 in hospitals, affiliated in Yazd University of Medical Sciences

Materials and Methods: At discharge, data on patient education provided by nurses to 385 diabetic patients, was documented using the "nursing diabetic patient education-discharge time check list" and were analyzed using descriptive statistics and SPSS 20

Results: Conformity rate of discharge nursing education in patients with Diabetes Type 2 with standards was 14.5%, which indicated a low quality of education. Conformity rate in the dimensions of "insulin therapy" was 34.7%, in "foot care education" was 6.75%, in "diet programs" was 1.8%, in "physical activity" was 0.1%, in "prevention of infection" was 1.8%, and in "oral antihyperglycaemics drugs" was 13.3%

Conclusion: Based on the poor compliance with the standards of education for diabetics Type 2 patients, application of nursing clinical guidelines during discharge for type 2 diabetic patients and clinical supervision by nursing managers for optimizing quality of care is recommended

[Frequency of gestational diabetes and its related factors in pregnant women in prenatal clinics of educational hospitals, in Tehran [Oct 2000-March 2002]]

Gestational diabetes mellitus [GDM] is a metabolic disorder of carbohydrates which is first diagnosed during pregnancy. It could remain undetected without screening tests therefore, lead to severe effects on both mother and fetus. The aim of this study was to estimate the frequncy of GDM and some of its related factors in pregnant women who referred to the obstetrical clinics of educational Hospitals in Tehran from October 2000 to March 2002. In this cross- sectional study [during 18 months from Oct 2000 to March 2002] 2221 pregnant women were evaluated regarding medical history, risk factors for GDM, and physical examination. Fasting blood sugar [FBS] oral glucose challenge test [OGCT] and taking 50gr glucose were performed. The cut off point of screening tests was 130mg/dl glucose. All cases with positive screening tests underwent for three hours, OGTT with 100gr glucose. The frequency of GDM in our study was 4.8% [CI 95%, 3.9-5.7%] according to the Carpenter Coustan criteria. The mean age of GDM group [27.44 +/- 5.85 years] was significantly higher than non GDM group [25.95 +/- 5.5 years]. The mass index [BMI] were significantly higher in the GDM group, compared to the non GDM group [p<0.05]. The three risk factors of age >/= 25 years [p<0.01], history of familial diabetes [X[2]=27.125] and BMI >/= 27Kg/m[2] were correlated with GDM [p<0.05]. According to the results of this study, it seems that the frequency of GDM is relatively high and screening of all pregnant women for GDM, regardless of the risk factors for GDM or clinical manifestations of diabetes, is necessary