Showing 13 results for Diabetes
R Ghanei Gheshlagh , A Ebadi , A K Veisi Raygani , K Nourozi Tabrizi , A Dalvandi , H Mahmoodi ,
Volume 1, Issue 3 (5-2015)
Abstract
Introduction: poor adherence to medication regimen in diabetic patients leads to poor control of blood glucose levels, high risk for diabetes complications, hospitalizations and increased mortality rates. An appropriate level of glycosylated hemoglobin is considered a good diabetic management in these patients. The aim of this study was to investigate the concurrent validity of Morisky Medication Adherence Scale with glycosylated hemoglobin in patients with type 2 diabetes. Methods: In this methodologic descriptive correlational study, 204 patients referred to Kermanshah diabetes center were recruited through convenience sampling method since June to July 2014. Data were collected using socio-demographic form, Morisky Medication adherence scale (MMAS-8) and HbA1c test as gold standard. Data were analyzed with descriptive statistics, independent T-test, Pearson's Correlation, Fisher’s exact test, and Chi-Square using PASW (Predictive Analytics Software). Results: 33.4% of the participants were male and the rest were female. The mean age of participants was 57.1±9.6 years. 52% were illiterate. 129 patients (63.2%) had glycosylated hemoglobin's equal or less than 7% which is considered good diabetes management whereas based on Morisky medication adherence scale scores only 15 patients (7.4%) had a good medication regimen adherence. There was a significant relationship between adherence and gender. And more importantly and unexpectedly, there was no significant negative correlation between adherence scores with glycosylated hemoglobin levels (r=+0/37, p>0/05). Conclusion: Unexpectedly there is no statistically or clinically significant relationship between Morisky Medication Adherence Scale with glycosylated hemoglobin levels.
Ar Ghardashi Afousi , A Gaeini , B Gholami Borujeni ,
Volume 2, Issue 3 (6-2016)
Abstract
Introduction: Diabetes is a metabolic disease that its prevalence is increasing day by day. Diabetes patients are encounter with endothelial dysfunction. The purpose of this study was to investigate the effects of aerobic interval training on flow- mediated dilation endothelial brachial, nitrite/ nitrate (NOx) and secondary outcome in type 2 diabetes patients.
Method: In this quasi-experimental study, thirty diabetic patients referred to diabetes and metabolic centers of Tehran recruited in the summer of 1393.All the subjects had type 2 diabetes and well controlled hypertension . They divided into two equal intervention and control groups . Training program underwent 3 session in week for 3 month. The biochemical parameter of glucose, total cholesterol, triglyceride and HDL, HbA1c, insulin and NOx was measured. The effect of training intervention was analyzed with two way- ANOVA by SPSS 18 version.
Results: Exercise training caused a significant increase in VO2 peak (P< 0.005), NOx (P< 0.004), while significantly reduced glucose level (P< 0.023). However, ten weeks of interval training had not any significant effects on Flow Mediated Dilation (P< 0.189).
Conclusion: Arobic interval training is an appropriate intervention for development of physical fitness factors in type 2 diabetes patients. However, this exercise training can’t improve FMD index. It seemed that duration of exercise training was more than the initial adjustment phase is functional, and which entry to structural adaptation.
Hojatollah Mahdi , Seyyed Mohmmad Bagher Maddah , Farahnaz Mahammadi ,
Volume 2, Issue 4 (8-2016)
Abstract
Introduction: Diabetes is a debilitating and common disease in elderlies, the prevalence of which is rapidly increasing; it becomes more severe with aging. Self-care training is the key to controlling diabetes. The aim of this study was performing self-care training program and evaluating its impact on the quality of life in elderlies with diabetes.
Methods: The sampling technique was used to study 60 participants in two groups, who were randomly selected by drawing samples. Data collection tools included health status and quality of life in elderlies’ questionnaire, as well as blood glycosylated hemoglobin tests before and after the intervention. The training program was designed in six sessions. In this study, methods and statistical indicators such as frequency, Mann-Whitney, chi-squared, t-test and paired t-test, and analysis of covariance were used, and analysis was performed by version 19 of the SPSS software.
Results: The results showed that the quality of life in the intervention group compared with the control group significantly increased (P < 0.001). The quality of life in the experimental group after the intervention than before the intervention significantly increased (P < 0.001), but in the control group there was no significant difference between the two assessments (P = 0.33).
Conclusions: These studies showed that self-care training program improved and enhanced the quality of life in the elderlies with diabetes, and if these trainings are based on knowledge and use the teaching methods appropriate for elderlies with diabetes, they could pave the way for active aging.
Hajar Azizi , Ebrahim Banitalebi , Seyed Ehsan Amirhosseini ,
Volume 3, Issue 2 (2-2017)
Abstract
Introduction: The beneficial effect of exercise on glucose control in type 2 diabetes is associated with several risk factors for cardiovascular disease. The purpose of this study was to study the effect of two exercise therapy methods on cardiometabolic health of overweight middle-aged females with diabetes mellitus.
Methods: Overall, 52 overweight female type 2 diabetic patients (age; 45-60 years old and fasting blood glucose ≥ 126 mg/dL (7.0 mmol/L)) were assessed for eligibility. Participants were assigned to sprint interval training group (n = 17), concurrent resistance-endurance training group (n = 17) and control group (n = 18). The combined strength-endurance group did 12 weeks, three sessions per week of endurance training at 60% of maximal heart rate and two sessions resistance training at 70% 1-RM. Intense interval training group did three sessions/week of four to ten repetitions during 30 seconds. Wingate on ergometer included 10 weeks of concurrent resistance-endurance training and intense interval training. Fasting glucose, insulin, insulin resistance, high sensitivity-C-Reactive protein (hs-CRP), interleukin-6 (IL-6), systolic blood pressure, diastolic blood pressure, body fat, waist circumference (WC), waist to hip ratio (WHR) and body mass index (BMI) were measured before and after 12 weeks of intensive training and combined resistance-endurance training.
Results: The results showed that following sprint interval training, there were significant changes in hs-CRP (P < 0.001), yet this wasn’t significant following concurrent training (P = 0.062). The results showed that following combined training and sprint interval training, there were no significant changes in body mass index and fat percentage (P > 0.05). In addition, it was shown that following combined training there were significant differences in body mass (P = 0.032) and waist circumference in the combined training (P = 0.000); sprint interval training (P = 0.001) and resting heart rate in the intense training group (P = 0.01); systolic blood pressure in the combined training (P = 0.005); sprint interval training (P = 0.009) and diastole pressure in combined (P = 0.001) and sprint interval training (P = 0.001). Differences were not significant for fasting blood glucose in the sprint interval training groups (P = 0.000). Serum insulin levels showed significant increases in the SIT (P = 0.000) and Com (P = 0.000), significantly. The data showed significant differences in insulin resistance index (HOMA-IR) in sprint interval training group (P = 0.000) and concurrent resistance-endurance training (P = 0.008). The data showed no significant difference in fasting blood glucose concentrations (P = 0.171).
Conclusions: Sprint interval training has more effect than combined resistance- endurance training for improving cardiometabolic health and insulin resistance of overweight middle-aged females with diabetes mellitus.
Mr Ali Rafiei, Dr Akbar Azamian Jazi, Dr Ebrahim Banitalebi,
Volume 5, Issue 1 (12-2018)
Abstract
Introduction: Chemerin plays an important role in the glucose metabolism and inflammation. It was shown that circulatory levels of chemerin increased in patients with type 2 diabetes. Aquatic exercise has an effect on adipose tissue metabolism, and may modulate the chemerin levels as an adipokine. The purpose of this study was investigate the effect of 12-Weeks aquatic exercise on serum levels of chemerin in men with type 2 diabetes.
Methods: In this quasi-experimental study, 28 men with type 2 diabetes ( age50.54 ± 6.19 years old, BMI 27.22±1.93 kg/m2) were selected based on our inclusion criteria and randomly divided into experimental (n=14) and control (n=13) groups. The experimental group participated in 12-weeks of aquatic exercise (three session per week). Serum levels of chemerin, body fat percent, waist to hip ratio (WHR), body mass index (BMI) and fasting blood sugar (FBS) were measured before and after the 12-weeks aquatic exercise. Data were analyzed using SPSS and ANCOVA was using evaluate the differences between groups.
Results: Serum levels of chemerin (P=0.044), body fat percent (P=0.001), WHR (P=0.011) and BMI (P=0.001) significantly decreased, but FBS has not significant changes (P=0.137) in the experimental group compared to the control group.
Conclusion: It seems that aquatic exercise can play an effective role in the improvement of type 2 diabetes by reducing the chemerin levels and improving the body composition.
Miss Roja Bigdeli, Miss Fateme Dehghan,
Volume 5, Issue 4 (5-2019)
Abstract
Introduction: Psychological well-being and life satisfaction in patients with chronic illnesses, including diabetes, which are often overlooked, clarify the need for more attention to appropriate treatment. The present study aims to assess the efficacy of admission and mental health treatments Cognitive and life satisfaction in patients with type 2 diabetes.
Methods: The present study was a semi-experimental design with pretest-posttest design with control group. The statistical population included all patients with type 2 diabetes among patients referred to Taleghani Hospital in Kermanshah in year 1395 (N = 483). Based on the criteria for entering the research and diagnostic criteria DSM_IV_TR and the checklist for symptoms of mental disorders, satisfaction with Life, those who had the highest scores in the scale of mental disorders, and the lowest scores in life satisfaction scale, were selected by purposeful sampling method, 30 were selected and in 15 experimental and 15 control groups, 15 subjects were selected. The experimental group received 8 sessions of 120-minute intervention in two sessions per week. Data were analyzed using SPSS software version 20 and descriptive statistics and covariance analysis.
Results: The results showed that the difference between the mean scores of mental health indicators in both experimental and control groups in post-test and follow-up was significant (P<0.05). Also, the difference between average life satisfaction scores in post-test and follow-up test and control groups was significant (P<0.05).
Conclusions: The results indicated that the efficacy of this approach is emerging cognitive-behavioral therapy that it seems that due to the combination of eastern techniques is suitable for Iranian patients.
Mrs Bahareh Mirahmadi, Mr Reza Ariavand, Mr Sayed Ali Kazemi Rezaei,
Volume 6, Issue 2 (12-2019)
Abstract
Abstract
Introduction: Diabetes is one of the major health issues. This disease is one of the most chronic diseases and threatening the community. The aim of this study was to compare the strategies of cognitive emotion regulation, behavioral brain systems and quality of life in people with diabetes.
Methods: The present study was a post-event (comparative study). the statistical population consisted of two groups of diabetic patients referring to a specialized clinic in Tehran and normal people in 1397. The sample of patients (40 diabetes patients) were matched with 40 normal subjects on gender, education, and marital status using the placement method. The research instruments included cognitive emotion regulation, quality of life and inhibition / behavioral activation systems. Data were analyzed by multivariate analysis of variance analysis.
Results: The results showed that between two groups in adaptive emotional cognitive (P <0.001), maladaptive cognitive-emotional regulation strategies (P <0.001), quality of life (P <0.001), and Brain-behavioral systems (P <0.001) difference is significant.
Conclusions: Using some of the negative and improper strategies of emotional cognitive regulation, such as rumination and catastrophic thinking, as well as the large activity of the inhibition system that triggers emotional state of anxiety and experiences of negative emotions and low quality of life It can reduce the psychological health of people with diabetes. So, to improve the psychological well-being of diabetic patients, you can use excitement training, awareness of behavioral brain behavior and quality of life.
Mr Amirpasha Kazemi, Dr Hasan Ahadi, Dr Hamid Nejat,
Volume 6, Issue 3 (3-2020)
Abstract
Introduction: Type II diabetes is one of the most common chronic diseases that disrupt the regular flow of life, and it has many physical and mental consequences. Compassion focused therapy is one of the effective treatments for improving physical and psychological characteristics. This research aimed to determine the effectiveness of compassion focused therapy on loneliness, self-care behaviors, and blood sugar in diabetes patients.
Methods: The present study was a semi-experimental with a pre-test, post-test, and follow-up design with the control group. The research population was type II diabetes patients referred to as the central clinic of Ajudaniye of Tehran city in the 2018 year. Totally 30 people were selected by the available sampling method and randomly replaced in two equal groups. The experimental group trained eight sessions of 90-minute with the purpose of compassion focused therapy, and the control group was placed on the waiting list for training. The research tools were the questionnaires of loneliness and self-care behaviors and blood sugar tests. Data were analyzed using SPSS-19 software and by repeated measures method.
Results: The results showed that in the pre-test stage there was no significant difference between the experimental and control groups in terms of loneliness, self-care behaviors and blood sugar (P > 0.05), but in the post-test stage there was a significant difference in terms of three variables (P < 0.001). In other words, the compassion focused therapy method in the post-test led to decrease loneliness and blood sugar and increase self-care behaviors in type II diabetes patients, and treatment results were maintained in the follow-up (P < 0.001).
Conclusions: According to the results, it is recommended that used from compassion focused therapy along with other therapeutic methods for health-related intervention, mainly to decrease loneliness and blood sugar and increase self-care behaviors.
Maedeh Sadeghigolafshanl, Nahid Rejeh, Majideh Heravi-Karimooi3, Seyed Davood Tadrisi,
Volume 7, Issue 2 (1-2021)
Abstract
Introduction: Diabetes is one of the most common health problems in healthy people. One of the essential care strategies based on 5A self-management is to increase the potential of chronic patients. Therefore, this study was conducted in 2019s to impact the program's self-management based on the 5A on empowering salamanders with diabetes in the Clinic of Razi Hospital in Qaemshahr city.
Methods: This semi-experimental experimental study was performed on 90 older adults with diabetes by simple random sampling in two test and control groups. In the test group, 12 sessions of 30-40 minutes of training were performed based on the 5A self-management. The instrument of this study is the Patient Empowerment Questionnaire.
Results: The independent t-test did not show a significant difference between the two groups of test and control before the intervention (P < 0.93), but after the intervention, it showed a significant difference (P < 0.03). The ANOVA test showed a significant difference after eliminating the pre-test effect (P < 0.032 and Eta = 0.01) so that 10% of the post-test changes are due to the self-management.
Conclusions: According to the results of this study, it can be said that the implementation of the 5A self-management model is one of the most important appropriate approaches to reduce the costs of treatment and care for the elderly with diabetes and improve their empowerment.
Fariba Lotfi, Asghar Nakhostin Goldoost, Tavakol Mousazadeh, Reza Kazemi,
Volume 8, Issue 1 (12-2021)
Abstract
Introduction and Aim: Promoting self-management behaviors and controlling cognitive factors such as cognitive fusion in patients with diabetes is one of the most important goals of psychotherapy interventions and programs in these patients. The aim of this study was to determine the effectiveness of acceptance and commitment group therapy based on cognitive fusion and self-care behaviors in patients with type 2 diabetes.
Methods: This was a quasi-experimental study with pre-test-post-test design and a control group with a follow-up period. The statistical population included all patients with type 2 diabetes referred to the diabetes clinic of Dey Hospital in Tehran, Iran in 2021. Forty eligible individuals were selected by available sampling method and randomly assigned into two groups (20 experimental and 20 controls). The experimental group participated in 8 sessions of acceptance and commitment therapy developed by Hayes et al. (2011), but the control group was on the waiting list. Data collection tools were cognitive fusion questionnaire (CFQ; Gillanders et al., 2014) and Diabetes Self-Care Activities Questionnaire (Toobert & Glasgow, 1994).
Results: The acceptance and commitment therapy was effective in reducing cognitive fusion (p<0.01) and increasing self-care behaviors (p<0.01) in patients with type 2 diabetes and these results continued in the follow-up period (p<0.01).
Conclusion: The current findings showed that the use of acceptance and commitment group therapy is associated with reduced cognitive fusion and improved self-care behaviors of patients with type 2 diabetes. Therefore, it can be used as a complementary therapy to improve the psychological status of these patients.
Ms Leila Soleimanian, Dr Fatemeh Mohammedi Shirmahaleh, Dr Javid Peymani, Dr Marzieh Gholami Tooranposhti, Dr Nahid Havasi Soomar,
Volume 10, Issue 2 (2-2024)
Abstract
Introduction: Diabetes is one of the chronic medical problems with a very rapid spread in the world. his disease is related to the increase in blood sugar in people. to control the blood sugar of patients, it is necessary to encourage them to self-care. This study aimed to compare the effectiveness of cognitive behavioral therapy and compassion-based therapy on self-care and glycosylated hemoglobin in diabetic patients.
This research was a semi-experimental study with a pre-test - post-test plan with a control group. Methods: The statistical population consisted of diabetic patients who were members of the Hamedan Diabetes Association in 1400. 48 of these patients were selected by purposive sampling method and were divided into three groups by simple random method. The cognitive-behavioral therapy program and the compassion-based therapy program were implemented for 8 sessions (twice a week for 90 minutes) and the control group did not receive any intervention. Data collection tools included blood tests and self-care questionnaires. Data were analyzed using Spss-25 statistical software and multivariate covariance analysis method.
Results:The results of this research showed that the compassion-based therapy compared to the Kuntzel treatment reduced glycosylated hemoglobin (P < 0.05) and increased self-care behaviors (P < 0.05). Also, there was a significant difference between the cognitive behavioral therapy and the control group. In the case of glycosylated hemoglobin and self-care behaviors, there was no difference in the post-test phase compared to the pre-test phase. The results of the Bonferroni test showed that the effect of compassion-based therapy on glycosylated hemoglobin and self-care behaviors is greater than that of cognitive-behavioral therapy (P < 0.01).
Conclussion: The results of this research showed that compassion-based therapy was more effective than cognitive behavioral therapy in increasing self-care behaviors and improving glycosylated hemoglobin. According to the results of this research, therapists and health professionals can use compassion-based therapy to increase the physical and psychological recovery of diabetic patients. especially blood sugar control and increasing self-care behaviors.
Mrs Yeganeh Kermani, Dr Minoo Miri,
Volume 10, Issue 3 (4-2024)
Abstract
Introduction: Diabetes is one of the chronic diseases that cause physical and mental problems and reduce self-care behaviors. The present study was conducted to investigate the effectiveness of therapy based on quality of life on self-care behaviors in patients with diabetes type II.
Methods: The research method was quasi-experimental with a pre-test-post-test design with a control group, and the research population included all type 2 diabetic patients in Birjand city in 2021, of which 30 people were selected by purposive sampling and were randomly selected into two experimental (15 people) and control (15 people) groups. The questionnaire on Tobert's self-care behaviors of diabetic patients was used to collect data. The method of implementing the intervention was in the form of quality of life-based treatment training during 8 sessions for the experimental group and the control group remained on the training waiting list. Data analysis was done using univariate and multivariate covariance analysis.
Results: The results indicated that before the intervention, there was no statistically significant difference between the average self-care score of the two groups, but after the intervention, there was a significant difference between the average self-care score in the control and experimental groups (P<0.05).
Conclusion: Health professionals can use quality-of-life treatment to enhance self-care behaviors in individuals with type 2 diabetes, in conjunction with drug treatments.
Mr. Milad Alipour Sari Nasirloo, Dr. Aydin Valizadeh Orang, Dr. Amirali Jafarnezhadgero, Dr. Marefat Siahkouhian, Ms Maryam Alsadt Emami,
Volume 10, Issue 3 (4-2024)
Abstract
Introduction: The prevalence of diabetes is increasing worldwide. This disease affects body mechanics during walking. The purpose of this study was to investigate the effect of 8 weeks of walking exercises on the frequency spectrum of ground reaction forces during walking in diabetic patients without neuropathy.
Methods: This study was semi-experimental. The sample included 24 diabetic individuals (mean diabetic age: 3.1±0.9 years, mean glucose level: 151.4±10.4 mg/dL) who were selected through convenience sampling. The subjects were randomly divided into two experimental groups (12 individuals) and a control group (12 individuals). Before and after the 8-week walking training protocol, the subjects walked at a desired speed on the force plate. The ground reaction force data in three directions (vertical, posterior-anterior, and internal-external) were converted from time function to frequency function using Fourier transform (harmonic analysis) and MATLAB software version 2016.
Results: Within the group, the results showed a significant increase in the frequency with a power of 99.5% in the vertical component (P=0.016), internal-external component (P=0.002), and anterior-posterior component (P=0.026) of the ground reaction forces. The post-test values of the ground reaction force were significantly reduced compared to the pre-test values. The number of necessary harmonics in the internal-external component of the ground reaction force in the post-test significantly increased compared to the pre-test (P=0.017). Additionally, the number of essential harmonics (P=0.039) and the median frequency (P=0.026) in the anterior-posterior component of the ground reaction force had a significant decrease in the post-test compared to the pre-test.
Conclusions: The results of this study demonstrated that walking exercises have a positive effect on the frequency content of the ground reaction force in diabetic patients without neuropathy and improves the frequency with a power of 99.5% and the number of essential harmonics in different components. It can have beneficial effects on reducing the forces on the lower limbs during walking.
