[Evaluation of the effects of education based on health belief model on medication adherence in diabetic patients]

Introduction: diabetes mellitus is the most common metabolic disorder. This study, conducted in Arak in 2014, aimed to determine the effects of education, based on a health belief model on the adherence to medication among patients with diabetes

Materials and Methods: for this research, a quasi-experimental study, with a before and after design was used for which 130 patients with diabetes of Arak were selected by sampling method and randomly assigned to two groups [65 cases and 65 controls]. The data collection tool used was a questionnaire, the validity and reliability of which had been confirmed. Before the training, the questionnaire was completed for both groups. The intervention group received 4 sessions for one month. Three months after the intervention, both case and control groups completed questionnaires and data were analyzed using the appropriate tests

Results: three months after the educational intervention, perceived susceptibility, perceived benefits, self-efficacy, internal and external guidelines and performance in the field of medication adherence were all significantly increased with pre-intervention [p<0.05] while the structures, perceived barriers and perceived severity, did not differ significantly to before intervention status [p>0.05]

Conclusion: teaching diabetic patients skills in the context of medication adherence can raise their compliance with medication beneficially affect their health

Cognitive factors related to childbirth and their effect on women's delivery preference: a comparison between a private and public hospital in Tehran

This cross-sectional study compared cognitive-related variables for caesarean delivery in a private and public hospital in Tehran and assessed their association with maternal preference for delivery mode. A sample of 300 pregnant women in their final trimester of uncomplicated pregnancy was recruited from 1 private and 1 public hospital. They completed the Fear of Pain, Childbirth Attitude and the Pain Catastrophizing Scale questionnaires, and their sociodemographic data and delivery preference were recorded. Maternal preference for caesarean delivery was significantly higher in women in the private hospital, and they were significantly more likely to fear pain and childbirth than those in the public hospital; however, both were equally likely to catastrophize in painful situations. Women's preference for caesarean delivery in both hospitals was significantly associated with all the cognitive factors. Other factors are likely to contribute to the difference in caesarean delivery in the private and public hospital

effect of childbirth preparation classes on childbirth fear and normal delivery among primiparous women

There has been an increase in the number of women willing to have a caesarean birth because of their fear of childbirth. It seems the childbirth preparation educational class is a good way to remove or alleviate fears associated with pregnancy and childbirth.This research designed to identify the effect of childbirth preparation classes on childbirth fear on the primiparous women. The present study is a clinical trial which was carried out in 2007 at Milad Hospital, with 100 nulliparous pregnant women. Childbirth fear was measured by childbirth attitudes questionnaire. Normal pregnant women in the second trimester with childbirth fear score was 28 or more were randomly selected and dirided into experimental and control group with 50 subject in each qroup. The experimental group attended nine childbirth preparation class sessions and control group received routine antennal care. The mean scored fear of childbirth in case and control group were 39.35 +/- 6.96 and 40.71 +/- 6.23 respectively. There was not significant difference between two groups. After the sessions, comparing childbirth fear score between two groups in third trimester showed the mean score of childbirth fear among experimental group was lower than control group [29.82 +/- 7.18 compare to 38.03 +/- 9.27], and the differences statistically was significant [p < 0.001]. Mode of delivery was significantly different between the two groups. Primiparous women attended childbirth preparation classes acquired lower score of childbirth fear in compare to women received routine prenatal care. The results of this research showed relaxation training decreased childbirth fear and increased normal vaginal delivery