[ association of health literacy with self-efficacy and self-care, in type 2 diabetes patients]

Introduction: a low level of health literacy is common among patients with Type 2 diabetes, and may be a barrier to self-efficacy and self-care behaviors. The purpose of the current study was to examine the relationship between health literacy, and self-care and self-efficacy in Patients with Type 2 diabetes

Materials and Methods: a cross- sectional analytical study was conducted in 2017. Participants were type 2 diabetes patients from the rural health clinics in khorramshahr city, of which 121 were selected via random cluster sampling methods. Data collection tools were a health literacy scale [14-items], self-care scale [12 items] and self-efficacy scale [8 items]. Data were analyzed using the SPSS software version 22, and by Pearson's correlation, T-test, ANOVA, and Stepwise Regression analytical statistics

Results: the mean scores of health literacy, self-care and self-efficacy in patients were 2.90 +/- 0.53, 3.39 +/- 1.31 and 6.77 +/- 1.80, respectively. Pearson correlations indicated a positive relationship between health literacy, and both self-care and self-efficacy [P<0.0001 for both]

Conclusion: designing a curriculum for diabetes patients with low health literacy is required, and improving their information and health literacy, through a curriculum and regular training programs in health education centers is recommended

[Relationship of spirituality and quality of life in patients with type 2 diabetes]

Introduction: Diabetes and its complications have a significant impact on patients' quality of life and spirituality can help improve the quality of life in such patients. The purpose of this study was to determine the relationship of spirituality with quality of life in patients with Type 2 diabetes

Materials and Methods: This was a descriptive-correlation study. Participants were 145 individuals with type 2 diabetes, patients of rural health clinics and the Valiasr hospital in Khorramshahr city, selected via stratified random and sampling methods. Data collection tools were a version of 29- item of the spiritual questionnaire [Parsian and Dunning] and a version of 26-item of the Quality of Life Questionnaire [World Health Organization], both questionnaires with previously confirmed validity and reliability in numerous studies. Data were analyzed using SPSS version 16 software and Pearson's correlation, T-test, ANOVA, Post Hoc and Stepwise Regression analytical statistics

Results: There was a significant positive relationship between spirituality and quality of life [p<0.0001]. The results show a statistically significant relationship between spirituality and quality of life with both education and age

Conclusion: A strong correlation between spirituality and quality of life in patients with type II diabetes, demonstrates the roles and responsibilities of healthcare providers, including physicians, nurses and patients' families in meeting the varied spiritual and religious needs of patients along with their therapeutic management. Focusing on improving spiritual health is also important in education programs for these patients