فهرست مطالب محمدصادق عابد زاده زواره

To determine the effectiveness of theory-based education on self-care behaviors among the elderly in Ilam, Iran.

The study was conducted in two descriptive and semi-experimental phases among elderly. The samples were selected randomly. In the descriptive phase, 200 and in the semi-experimental phase, 140 eldrly participated in the study The educational intervention was conducted virtually during a month. The intervention data was collected in two stages using valid and reliable questionnaire and telephone interview method and analyzed using SPSS version 25 software.

The results of the descriptive stage showed that perceived benefits and self-efficacy are the strongest predictors of self-care behavior among the elderly. The results of the experimental stage showed that before the intervention, there was no significant difference between the test and control groups in the constructs of the health belief model and behavior. After the educational intervention, there was a significant difference in all variables in the test group compared to the control group and compared to before the intervention.

It seems that the health belief model can predict self-care behavior among elderly. Therefore, it is recommended to design educational interventions using the health belief model to promote self-care of the elderly.

Anger is one of the excitements of human, which, if left out of a balanced level and transformed into aggressive behavior, has many negative effects on all aspects of the health of individuals. Awareness of anger status in adolescent students and its effective factors can be the first step in planning and implementing psychological interventions to control and management of students’ anger. The aim of the present study was to determine the status of anger in high school girl students in Ilam.

This cross-sectional descriptive study was conducted on 313 high school girl students in Ilam in 2017 who were selected by multi stage random sampling method. Data were collected using Spielberger's Anger Scale (STAXI-2) in the form of self-reported, and were analyzed by SPSS 19 software using Pearson correlation and Kendall correlation tests, independent t-test and one-way ANOVA.

The mean scores of anger state and anger trait in first-grade students was significantly lower than the other two grades (p=0.001). Also, the general anger expression in students with laborer or unemployed parents was significantly higher than other students (p=0.032). There was a positive significant correlation between general anger expression index with anger state and anger trait indexes (p<0.01).

The general anger expression and anger trait in the studied students is moderate and their grade of students’ education and their parents' occupation are effective factors on the anger of these students.

Introduction and aim: Healthy and unhealthy behaviors of the ppeople that affects on their health condition. The aim of this study was survey of the relationship between physical activity, stress management and interpersonal relationship with hypertension in people referred to health centers of Ilam.
This study was a case-control study. The data were collected by standard d questionnaire (hplp2) and by directly questioning from referred people to the health services center of Ilam city. After collecting and sorting questionnaires, the data were entered in to SPSS software and analyzed by using descriptive statistics and chi-square test, t-test, and logistic regression.
Results of the analysis showed that the mean scores of the two groups in physical activity and stress management are significantly different (pDiscussion and The results of our study showed that the mean scores in the control group on physical activity and stress management dimensions is significantly higher than the control group. So it seems having educational intervention about physical activity and stress management at risk people can affect in control of hypertension disease.

Children are the most vulnerable individuals in society and oral disease is one of the most common human diseases, especially among this group. The role of oral health behavior is very important in the prevention of diseases; it is, therefore, a top priority for the Ministry of Health and World Health Organization. This study aimed to predict the factors affecting oral health status based on Health Belief Model.
This cross-sectional study included 100 children of 3-6 years age from urban health centers. The data were collected by a researcher made HBM questionnaire. Some of oral health behaviors were surveyed through interviews with mothers and then children's oral examinations were carried out. Data were analyzed using SPSS 16 software at the significant level of 0.05.
Findings: Most of children's mothers participating in the study (96 %) were housewives. Almost half of fathers (48 %) had high school educations. Self-efficacy, cues to action, perceived threat and perceived benefits were significant predictors for oral health behaviors and totally accounted for 33 % of the variance in behavior. In terms of importance in the regression model, self-efficacy was the strongest variable and perceived benefits were the weakest one.
Discussion & The findings showed that self-efficacy is the most important variable to strengthening oral health so; it is suggested to promote self-efficacy for promoting oral health status.

Successful control of diabetes is mainly dependent on patients’ self-care behaviors. This study aimed to investigate the self-care behaviors in type 2 diabetic patients in the city of Ilam.
In this crosssectional study in 2014¡ 70 patients with type 2 diabetes were selected randomly by stage sampling. The instruments used in this study included a demographic questionnaire and a summary of diabetes self-care activities checklist. Data were analyzed using the SPSS-20software. To assess the correlation between the independent variables and the self-care status¡ one-way ANOVA and independent t-test were used.
Findings: The samples of this study were respectively at moderate (74.3%) and poor (21.4%) levels of self-care. The total mean score of the self-care was 31.44 with a standard deviation of 8.89.The percentage score of self-care was 44.9% which represents self-care behaviors lower than the moderate level. The highest amount of self-care was done by the samples in terms of smoking (97.1%) and regular oral medication use and insulin (77.9%)¡ and the lowest level of self-care was performed in the dimension of blood glucose selfmonitoring at home (18.3%). In this study¡ there was a significant difference between education and self-care scores; so that with increased education¡ self-care scores increased¡ but there was no significant difference between gender¡ marital status¡ occupation as well as the type of treatment and the self-care scores.
Discussion & Considering that most diabetic patients in this study are at moderate and poor levels in terms of selfcare behaviors¡ there is a need to develop and support programs with educational contents and to do regular self-care followups among diabetic patients.