جستجوی مقالات مرتبط با کلیدواژه « diabetics » در نشریات گروه « پزشکی »

Fear of falling is considered an important factor in reducing the daily life activities of the elderly with diabetes. It seems that the fear of falling can play a decisive role in creating a sense of loneliness and social isolation in the elderly with diabetes by creating functional limitations and reducing the social activities of the elderly. Therefore, the direct relationship between fear of falling and social isolation and loneliness in diabetic elderly has not been investigated. The present study was conducted to determine the relationship between fear of falling social isolation and feelings of loneliness in elderly diabetics who were referred to health centers in Faridunknar City in 2023.

The current study was a descriptive-analytical study that was conducted cross-sectionally on elderly people with type 2 diabetes referring to health centers in Faridonkanar City in 2023. In this study, 398 elderly people with diabetes participated, who were selected by simple random method. The research tools included the demographic information form, the international fall efficiency scale in the elderly, the emotional and social loneliness scale of adults, and the social isolation questionnaire of the Yazdi school. Data analysis was done using descriptive statistics and analytical statistics such as one-way analysis of variance, independent t-test, Pearson's correlation coefficient, and multiple linear regression in SPSS21 software.

The mean age of the participants was 67.6±28.6 years, with more than half of them being female (66.8%). The mean scores and standard deviations of fear of falling, social isolation, and loneliness in the elderly were 51.53±11.60, 48.66±6.30, and 64.53±2.96, respectively. 94.7% of the elderly participants had severe concerns about falling. There was a significant positive relationship between the fear of falling and feelings of loneliness (r=0.389, P=0.001) and social isolation (r=0.156, P=0.002). The results of the multivariable model also showed that for each unit increase in fear of falling score, there was a 0.05 increase in social isolation score in elderly diabetic patients (P≥0.05).

The results of the present study showed that there is a significant relationship between the fear of falling and social isolation and loneliness. The more seniors are afraid of falling, the more they feel alone and socially isolated. Given that improving health in the elderly requires improving healthy lifestyles and controlling and managing psychological factors, including feelings of loneliness and social isolation. Knowing the factors related to them is considered one of the important pillars of interventions in target groups in the key concept of "healthy and successful aging ". Effective planning in this area requires full knowledge and awareness of the fear of falling in the elderly and eliminating the factors that can be related to it. For this reason, it is necessary to adopt appropriate intervention strategies to reduce the fear of falling and increase the sense of security in diabetic elderly to improve their participation and social presence.

Studies show that several factors affect the life expectancy of patients. Religious Coping is one of the factors that seems to be related to patients' life expectancy. Therefore, this study aimed to determine the relationship between Religious coping styles and life expectancy of diabetic patients referred to Mostafavian Clinic in Sari .

This descriptive and analytical study was performed with the participation of 130 diabetic patients referred to the Mostafavian Clinic in Sari in 2020. Data were collected using the Miller Life expectancy questionnaire and the Questionnaire of Religious Coping Strategies of Aflak Sear and Jay Coleman. Data were also analyzed by independent t-test, analysis of variance, independent t-test and regression tests using SPSS 24 ver software.

Mean age of patients in this study was 54.38±8.3 years. The mean scores of life expectancy and religious coping strategies in the participants in this study were 165.9 ± 11.7 and 69.5 ± 7.2, respectively. Based on the results of Pearson correlation coefficient, there was a direct and significant relationship between life expectancy and religious coping strategies in diabetic patients referred to Mostafavian Clinic in Sari And with the increase of religious strategies, life expectancy in patients increases (r = 0.297 and p = 0.001).

diabetic patients referred to Mostafavian Clinic in Sari have high religious strategies and life expectancy and the development of appropriate religious protocols to increase patients' life expectancy by health supply policymakers is essential.

Diabetes is one of the most common chronic diseases asssociated with psychological problems, especially anger. The aim of this study is to evaluate the effectiveness of anger management training on happiness, quality of life, and blood sugar in diabetic patients in Kermanshah.

The design of the present study is quasi-experimental and of the pretest-posttest type with a control group. The statistical population of the study involved all the diabetic patients in Kermanshah in 2019, among which 40 people were selected by Cluster sampling method and placed in two experimental and control groups, each involving 20 participants. The research instruments included Quality of Life Questionnaire (WHOQL-26), Oxford Happiness Questionnaire (1990), and fasting blood sugar test. Taking medications prescribed was not eliminated or reduced in patients at all. Anger management training was performed on the experimental group over 10 sessions. The control group did not receive any training, but the tests were performed as pre-test and post-test on both groups. The results were analyzed using SPSS software, and after confirming the normality of the data, the analysis of covariance (ANCOVA) test was used to check the mean difference between the groups.

The results showed that anger management training in diabetic patients can increase happiness and improve quality of life and also reduce and control the blood sugar levels, which was statistically meaningful between between pre-test and post-test in the experimental group.

Anger management trainings can increase happiness and quality of life and control blood sugar in diabetics. Therefore it is suggested that be used in diabetes treatment centers along with medication to enhance and ameliorate treatment outcomes.

According to the role of correct financial information in the decision-making of each system, it is important to design and employ a costing system that can recognize costs and correctly calculate the prime cost of services. Considering the necessity to clarify costs and income sources of different sections, the objective of the current study was to calculate the prime cost of the services to diabetic patients undergoing dialysis in Zabol, Iran, in 2015.

This applied study was carried out using a descriptive, cross-sectional, and retrospective design. The data were collected through designed forms, interview with the supervisors of sections, and direct observation of the dialysis section activities. Then, the prime cost was calculated by the Activity-Based Costing (ABC) method using Excel software (version 2013).

Based on the findings of the present study, the total costs included human force (63%), consumable medicinal instruments (20%), consumable non-medical materials and instruments (2.4%), nutrition (5%), civil costs (0.9%), costs of equipment depreciation (4.3%), and costs of building depreciation (4.4%). Accordingly, the highest and lowest costs were reported for human force and civil costs in the dialysis section, respectively.

All of the hospitals and medical centers in Iran will be able to calculate the true costs by means of the ABC method. The use of this technique helps prevent the disadvantages of wrong costing through achieving useless capacity, reducing costs, and increasing efficiency.

Diabetes and depression are among diseases highly associated with life style, urbanism, and industrialization. The concomitance of the two of them costs the patients many years of their lives. Many researchers have been done on the outbreak of depression among diabetics in Iran. The principal purpose of this study is to determine the outbreak of depression among diabetics using the Meta-analysis method.
This study is a systematic review. The prevalence rate of depression among diabetics estimation was determined using Meta-analysis method on the data extracted from English and Persian data bases. To analyze the information obtained, we used STATA 11.2 and the random effect model.
Among 32 eligible researches 7135 patients with type I and II diabetes were chosen for this study. Using Beck’s self-report scale 65% of the cases shown mild to severe symptoms of depression. 64% of the patients were female and the prevalence rate of depression was reported 71.3% in the female and 60.3% in the male cases.
The prevalence rate of depression among Iranian diabetics is higher in comparison with other countries. Considering the fact that the concomitance of the two of these diseases results in a raise in medical costs, it is recommended to the doctors to check for depression symptoms in diabetics and recommend health solutions to the patient and the one accompanying them.

Resiliency is an important concept in understanding adaptation process and learning coping strategies in diabetic patients. It is imperative to examine the resiliency trait at appropriate time while providing occupational therapy interventions for diabetics. Therefore, this study aimed to descriptively examine this trait and its role in adaptation process of diabetics.
This cross-sectional study was conducted on diabetic patients selected from those who had referred to Shiraz Diabetes Association in January 2014 using convenience sampling. The data were collected by Connor Davidson Resilience Scale. Then, Analysis of Variance (ANOVA) was used to compare three diabetic groups with low, moderate, and high resiliency traits regarding adaptive features, including achievement motivation, tenacity, self-confidence, and adaptability.
This study was performed on 70 qualified diabetic patients, including 24 males and 46 females, with the mean age of 51±10.7 years. The mean score of resiliency was 61.5±17.7 in the study population. The results showed a significant difference among the three study groups concerning achievement motivation (F=69.9, P>0.001), self-confidence (F=81.3, P>0.001), tenacity (F=46.9, P>0.001), and adaptability (F=75.6, P>0.001).
The results showed that the individuals with low, moderate, and high levels of resilience had different adaptive features. Thus, level of resiliency in diabetics could determine how they adapt themselves to consequences of diabetes.

Hibiscus Sabdariffa is widely cultivated in tropical areas and its red persistent calyx is the major component possessing a sour taste that is used in beverages and food colorants. As a traditional medicine, it is claimed to be effective against kidney stones and urinary bladder stones, and is also used for its antibacterial, antifungal, hypocholesterolemic, antispasmodic and antihypertensive actions. We conducted this study to evaluate the effects of sour tea on blood sugar, lipids and lipoproteins. This sequential double-blind randomized controlled clinical trial was conducted on 60 diabetic patients in the Yazd Diabetic Research Center. Patients were assigned randomly into two groups, the sour tea (ST) and the ordinary tea (OT) group. Sachets containing one spoonful of sour or ordinary tea were given to the patients, based on random numbers. They were instructed to consume one glass of boiled water, boiled for 20-30 min, 2 times daily between their meals in the morning and afternoon, for 30 days. Fasting blood samples were taken at the beginning and at the end of the study for measuring blood glucose, hemoglobin A1C, total cholesterol, HDL-C, LDL-C, triglycerides, Apo AI, Apo B100 and Lp(a). Data were analyzed using the SPSS statistical package. A total 60 patients were recruited, 53 of whom completed the study (27 in ST and 26 in OT). Except for Lp(a) and Apo AI, means of all lipids and lipoproteins at the beginning, were significantly decreased or increased (HDL-C) compared with the related means at of the end of the study in the sourtea (ST) group however, only the mean for HDL-C was significantly increased (approximately 16.7%) at the end of intervention in in the ordinary tea (OT) group. The mean for fasting blood glucose at the end of study did not differ significantly with the initial mean in both groups. In contrast, the mean of hemoglobin A1C was significantly decreased in the ST group. The results showed that sour tea has significant effects on blood lipid profiles in diabetic patients however, it did not have significant effects on blood glucose or hemoglobin A1C. Drinking sour tea can be recommended for diabetic patients.