RESUMO
Background: Although diabetes control and prevention program has been initiated in Tehran, Iran and five other large cities in the country since 2010, patients' satisfaction with the services provided by this program has not been evaluated yet. The aim of this study was to determine the patient satisfaction with this program in Tehran
Methods: This cross-sectional study, were conducted in 15 primary health care centers in Tehran, Iran in 2013. We enrolled 386 people aged older than 30 yr referred to primary health care centers. A questionnaire was used to evaluate the degree of patients' satisfaction with the services [the questionnaire included six domains: access to services, continuity of care, the humanness of staff, provision of health education materials, effectiveness of services, comprehensiveness of care]. The chi-square test, independent t test and one-way ANOVA were used for data analysis
Results: Overall, 239 patients [62%] were female. The mean age [SD] of the patients was 51 +/- 11 yr. Overall, 263 patients [68%] were highly satisfied with providing services. The highest levels of patients' satisfaction were in the domains of continuity of care, the humanness of staff, and effectiveness of services. The lowest level of satisfaction was in the domain of provision of health education materials
Conclusions: Diabetes control and prevention program seems to be a suitable program in health care centers in Tehran, however, it is necessary to make further plans to improve the level of training materials provided to patients and comprehensiveness of care
RESUMO
The main purpose of this study was to assess the effects of daily physical activity on exercise tolerance ability using the six minute walk test in healthy female students. The participants in this field study were 252 healthy girls, 9-12 years old, studying in an elementary school in Tehran from March to June 2011. A three months daily physical activity protocol, with 15 minutes exercise per day, was designed as a curricular-based exercise intervention program. The six minute walk test was used as a tool to measure exercise tolerance ability before and after the intervention. Paired t-test, ANOVA and correlation tests were used when appropriate. The participants, with mean age of 10.6 [SD = 1.1], formed different body mass index groups known as underweight, normal, at risk and overweight with 8.3, 60.7, 18.7, and 12.3% respectively. The mean of the distances moved along in a six minute walk test, before and after the intervention, increased from 833.4 meter to 923.3 meter, indicating 10% increase and the difference was found to be statistically significant [P<0.001]. However, analysis of mean differences of the walked distances, before and after the intervention, showed no statistically significant difference for the body mass index groups [P> 0.05]. A 15-minutes daily physical activity could enhance the exercise tolerance of school-age girls; the activity, as an easy and inexpensive form of intervention, is recommended to students