RESUMO
Background: Diabetes Education by Peer Coaching is a strategy which helps the patients with diabetes in the field of behavioral and emotional problems. However, the results of studies in this field in other countries could not be generalized in our context. So, the current study aimed to examine the effectiveness of Diabetes Education by Peer Coaching on Diabetes Management
Methods: Outcome variables for patients and peer coaches are measured at baseline and in3,6 and 12 months. The primary outcome consisted of Fasting Blood Sugar [FBS] and HbA1c. Secondary outcomes included Blood Pressure [BP], Body Mass Index [BMI,] Waist-Hip Ratio [WHR], Lipid Profile, diabetes self-care activities, diabetes-related quality of life, depression, and Social Capital levels. Initial analyses compared the frequency of baseline levels of outcome and other variables using a simple Chi-square test, t-test and the Mann-Whitney- U test. Sequential measurements in each group were evaluated by two-way analysis of variance. If significant differences in baseline characteristics were found, analyses were repeated adjusting for these differences using ANOVA and logistic regression for multivariate analyses. Additional analyses were conducted to look for the evidence of effect modification by prespecified subgroups.
Conclusion: The fact is that self-control and self-efficacy in diabetes management and treatment of diabetes could be important components. It seems that this research in this special setting with cultural differences would provide more evidence about peer-coaching model. It seems that if the peer-coaching model improves learning situations between patients with diabetes by offering one-on-one Diabetes Self Management Education, it could be an interactive approach to diabetic education
RESUMO
The rising rate of doing behavioral violence to people working in health-care centers is a major problem for nurse's population. This study was run with the aim of ascertaining how much nurses working in hospitals all over the country [Iran] are under verbal violence and finding out its relation with some individual and environmental factors. This study is a descriptive cross-sectional one which was run with 1317 nurses as the participants in hospitals all over the country of Iran during 2007. Data collection was done through self-report questionnaire. 87.4% of nurses experienced verbal violence at least once in their working surroundings during the last six months. Most of the verbal violence [64.4%] was done by patients' relatives, [44.2%] between 7:30 am to 14:30 pm in the patient's room [48.3%]. Results show that only 35.9% of verbal violence was reported by nurses. Investigating the frequency of verbal violence, the results of correlation analysis [x[2]] showed that there is a significant relationship between verbal violence and variables such as age [P=0.009], sex [P=0.001], job experience [P=0.007], work hours [P=0.001] and job rank [P=0.048]. Since lots of violence happens and the risk factors were investigated, more attention must be paid to this issue and the necessary steps must be taken in this regard. The findings of this study can be helpful to reduce, prevent and control the violence to nurses