[Effect of theory based education on blood sugar control in type-2 diabetic patients]

Introduction: This study aimed to determine the effectiveness of educational intervention based on a self-efficacy model and its effect on two constructs of self-efficacy and outcome expectations in order to promote self-care and glycemic control in patients with type II diabetes

Materials and Methods: This pretest-posttest with randomized control group study was conducted on 80 patients with type-2 diabetes. These patients were selected based on inclusion criteria and were randomly divided into the intervention and control groups [n=40 each]. The intervention group attended six sessions of group and face-to-face consultation sessions focused on self-efficacy and outcome expectation strategies. Data were collected through laboratory tests and questionnaires before and three and six months after the intervention. Data were analyzed using SPSS software version 21 and Independent T-test and ANOVA for repeated measures tests

Result: Three months after the intervention a significant increase occurred in intervention groups in self-efficacy, outcome expectations and self-care and these changes were statistically significant at 6 months after the intervention. Six months after the intervention a significant decrease in HbA1c was observed. After the intervention diet, physical activity and foot care improved significantly. No significant improvement occurred in self-monitoring of blood glucose and medication adherence

Conclusion: The results of this study suggest that educational interventions based on the self-efficacy model in six months is beneficial for diabetic patients. It seems that implementing these educational strategies can be effective for patients with diabetes and are recommended to be used in their education for metabolic control

survey physical activity status of employed women in Hamadan university of medical sciences: the relationship between the benefits, barriers, self-efficacy and stages of change

From the health perspective one of the most important problems in contemporary society is decreasing appropriate physical activity among individuals. Moderate physical activity reduces the risk of mortality and morbidity from heart disease and has a great impact on high blood pressure, diabetes ii, osteoporosis, colon cancer, and obesity. Physical activity can also have positive psychological effects, with lower levels of anxiety and depression thus enhancing self-confidence. In addition, epidemiological studies have shown that physically in active lifestyle increases mortality. Unfortunately, despite much physical and mental health benefits, many people do not exercise adequately. The purpose of this study is to determine the status of physical activity in employed women. This is a cross-sectional study conducted on 230 women employed at Hamedan University of Medical Sciences with stratified sampling among various departments of the university. The data collection tool used in this study was a standardized questionnaire. Finally, using SPSS software version 13 the data were analyzed with Spearman correlation test. The results showed that over 65% of the subjects did not have enough mobility; 25.7% of them had irregular exercise and only 8.7% did daily and regular exercise. Statistically a significant relationship was found between the benefits, barriers, self-efficacy and stages of change [p<0.05]. Due to a high prevalence of inactivity among women, educational classes for women seems to be necessary. Also adequate provision of sports facilities can promote physical activity in women

[Anxiety prevalence survey of 144 students from payam-e-nour boiene mieandasht university [Isfahan] and its relationship with irritable bowel syndrome in 2011]

Background: irritable bowel syndrome [IBS] is a disease or functional gastrointestinal disorder, which appears to be associated with mental disorders, including anxiety. IBS seems to be involved in the creation and prevalence of anxiety, which varies in different societies. The purpose of this study is to determine the prevalence of anxiety and its relationship with IBS among students of Payam-e-Nour Boiene Mieandasht University [Esfahan]

Materials and Methods: this study was a cross-sectional analysis study on 144 students that used a stratified random sampling method. We used the Cattell questionnaire, Rome III criteria and the collaboration of a general physician to measure anxiety

Results: there were 74 [51.4%] female patients. The mean age of all participants was 22.73+/-2.93 years. The prevalence of disease was 25%, and the prevalence of anxiety was 47.9%. Prevalence was higher in women than in men. Among anxiety disorders, marital and family history of anxiety in a statistically meaningful relationship was observed [p < 0.001]. We found a statistically meaningful relationship between a history of anxiety and IBS [p = 0.003]

Conclusion: anxiety seems to be involved in causing disease IBS. And disease prevalence was higher in these students than seen with other studies. We recommend better planning to prevent and promote improved mental health for students