جستجوی مقالات مرتبط با کلیدواژه « self care-education » در نشریات گروه « پزشکی »

 Considering the high prevalence of diabetes mellitus and its effect on the quality of life (QoL) of patients which can lead to low self-care and increased risk of disease complications, this study aims to assess the effect of a self-care training program based on temperament modification on the QoL of patients with type 2 diabetes (T2D).

In this quasi-experimental study, 110 patients with T2D were selected by a convenience sampling method and were randomly divided into two groups of intervention and control using the random number table. After obtaining informed consent from them, they completed a demographic from and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire, and their temperament was diagnosed by a doctor expert in Iranian traditional medicine. The intervention group received four sessions of self-care training based on temperament modification each for 45 minutes. The control group received routine treatment without any intervention. Then, they completed the WHOQOL-BREF questionnaire again three months after the intervention. Data were analyzed in SPSS software, version 22 using chi-square test, paired t-test, and independent t-test. The significant level was set at 0.05.

Before the intervention, there was no significant difference in the quality of life score between the intervention (83.2±11.9) and control (85±9.4) groups (P= 0.194). After the intervention, the difference was significant between the intervention (87.7±11.3) and control (85.1±9.5) groups (P=0.044). There was no significant difference in the quality of life score in control group before and after the intervention (P=0.244).

The self-care program training based on temperament modification can improve the quality of life of patients with T2D.

The study aimed to compare the effectiveness of empowerment program for nurses and health care providers on glycosylated hemoglobin in middle-aged people with type 2 diabetes.

A double-blind randomized controlled trial was performed on 480 patients covered by health centers in Isfahan during an action research using nested evaluation design in 2018. Patients were divided into 4 equal groups of 120 cases in 4 groups of intervention and control in two divided groups of nurses and health-care providers. Intervention groups of nurses and health care provider participated in 7 sessions of empowerment workshop, then they thought their patients in 4 sessions about self-care issues based on their needs assessment. Patients' data and glycosylated hemoglobin (HbA1c)at first and 3 months after intervention were collected by accurate and reliable methods. Data were analyzed in SPSS software version 20 with Kolmogorov-Smirnov, ANOVA, chi-square, independent t-test and paired t-test at a significant level of 0.05.

Four groups of patients in the intervention and control subgroups of nurses and health care providers did not differ significantly in demographic variables and before the intervention(p=0.409). Three months after the intervention, mean difference of  the patients'  HbA1c level between the two groups of empowerment (nurses and health care providers) were significant (p=0.003) compared with their control groups. Best effectiveness was seen in the nurses' intervention group (p=0.003).

The effectiveness of the empowerment program on patients' glycemic control was confirmed in both groups with higher effect of nurses' education for A1c control in diabetic patients. Therefore, the implementation of this empowerment programs for health personnel and the use of trained nursing staff is recommended due to their important role in health system mission to improve diabetic control.

Rheumatoid arthritis is a chronic, inflammatory, and progressive autoimmune disease with variable clinical symptoms, which could also be the main cause of disability, short life, and even death. Pain is the most common symptom of rheumatoid arthritis, which plays a key role in the pattern of sleep and rest, and approximately 80% of patients with rheumatoid arthritis complain of sleep disorders. Among the other influential factors in the sleep pattern are inactivity and medication use. Sleep disturbance could increase pain, fatigue with depression, inflammation, and even disease and symptom deterioration. The patients mostly refer on an outpatient basis and receive routine training. However, the management of chronic diseases requires the empowerment of the patients in terms of disease management, care, and participation in the treatment. Therefore, these patients must receive comprehensive education about the disease, symptoms, and complications (especially the correct methods of self-care) in order to achieve the desired outcomes. Self-care education is an important task of nurses, which promotes healthy behavior. As a result, adult patients learn and take actions to maintain their survival, quality of life, and wellbeing. The feedback-based method is a client-oriented educational approach, which is often preferred over other educational methods. Assessing the proper understanding of the individuals toward the training materials provides feedback to ensure that they have received the training information accurately and completely, which has a significant impact on the quality of self-care and patient satisfaction with the treatment and care. The main complaints of patients with rheumatoid arthritis are pain and sleep disorders, along with daily symptoms, fatigue, drowsiness, depression, mood and cognitive disorders, decreased concentration, and anxiety. Therefore, it is paramount to evaluate the impact of self-care education on the pain management and sleep disorders of these patients. The present study aimed to investigate the effects of feedback-oriented self-care training on the pain intensity and sleep quality of patients with rheumatoid arthritis. We also compared sleep quality and pain intensity before and after the intervention with the assumption that sleep quality would improve and pain intensity would decrease after the intervention.

This study was conducted based on the one-group evaluation of effect with a pretest-posttest design, in which we evaluated the effects of self-care training by the feedback method on the pain intensity and sleep quality of the patients with rheumatoid arthritis referring to the rheumatology clinic of Imam Reza (AS) Hospital in Amol city, Iran. The study was performed during one year (August 2019-July 2020), and 60 patients were selected via continuous sampling within six months (October 2019-April 2020) considering attrition. Four patients were also excluded. The inclusion criteria were rheumatoid arthritis diagnosed by a physician, age of 18-60 years, at least one year of disease history, complaints of pain and poor sleep quality (scores >5), basic literacy, awareness of time and location, ability to understand the Persian language, and no psychological disorders based on medical records. The exclusion criteria were employment in the health system, other chronic diseases (e.g., cardiovascular diseases, asthma, cancer, and mental illnesses), using psychotropic drugs, absence in one training session, and unwillingness or the impossibility of continuing participation. The training was implemented in three sessions using the feedback method. At the pre-training stage and one month post-training, data were collected using the Pittsburgh visual pain scale and sleep quality index, which were completed and compared. Data of 56 patients were analyzed in SPSS version 16 using descriptive statistics, paired t-test, and Wilcoxon test at the significance level of P<0.001.

The mean age of the subjects was 45.04 ± 8.83 years. The majority of the patients (89.3%) were female, married (87.5%), had an undergraduate degree (71.5%), and poor economic status (71.4%). In addition, 32.1% were unemployed, 55.3% were housewives, 58.9% had no history of other diseases, and 64.3% had a history of surgery. Also, 64.3% of the patients had a family history of rheumatoid arthritis, and 35.7% the duration of the disease to be 6-10 years. The highest involvement was with the joints of the upper torso (55.4%), while 76.8% of the patients did not use sleeping pills, 92.9% did not smoke, and 96.4% did not consume alcohol. Before the intervention, the sleep quality of the majority of the patients (96.4%) was poor. After the intervention, the sleep quality of the majority (92.9%) was observed to be favorable, and the sleep quality scores in all the domains were significantly lower after the intervention compared to before the intervention (P<0.001). According to Table 4, pain intensity was high in 58.9% of the subjects before the intervention, and none of the patients had low pain intensity. After the intervention, the majority (67.9%) experienced moderate pain intensity, and high pain intensity was observed in none of the subjects. Furthermore, the mean pain intensity score was significantly lower after the intervention compared to before the intervention (P<0.001).

According to the results, feedback-based training could reduce pain intensity and improve sleep quality in the patients with rheumatoid arthritis. Considering the key role of education in the empowerment of patients with chronic diseases, it is suggested that feedback-based educational approaches be used along with other training methods in order to decrease pain intensity, improve sleep quality, and increase the satisfaction of rheumatoid arthritis patients.

Diabetes is a chronic, metabolic, and progressive disease that can lead to physiological and psychological disorders, such as increased blood glucose and emotional behavioral disorders, and results in poor quality of life. Therefore, the present study aimed to determine the effect of self-care education on blood glucose, diabetic quality of life, and emotional/behavioral disorders in adolescents with diabetes.

This was a semi-experimental study with a pretest, posttest, and follow-up design and experimental and control groups. The study population consisted of an adolescent diabetic member of the Tehran Diabetes Association in 2019. In total, 30 diabetic adolescents were selected using a simple random sampling method from among members of the Tehran Diabetes Association and were randomly divided into experimental (n=15) and control (n=15) groups. The experimental group received self-care education for 10 sessions of 45 minutes (two sessions per week) and the control group did not receive any education. Data were collected through blood glucose test, diabetes quality-of-life questionnaire, and emotional behavioral disorders scale and analyzed using repeated measures and Bonferroni post-hoc test in SPSS software (version 21).

Based on the obtained results, a significant difference was observed between the experimental and control groups in terms of blood glucose, diabetic quality of life, and externalizing disorders (P<0.001). However, no significant difference was observed in terms of internalizing disorders (P>0.05). In the other words, self-care education led to a decrease in blood glucose and externalizing disorders and increased quality of diabetic life in adolescents with diabetes. The results remained consistent in the follow-up stage (P<0.001).

The results revealed the effect of self-care education on improving blood glucose, diabetic quality of life, and externalizing disorders in adolescents with diabetes. The results remained consistent in the follow-up phase. Therefore, health professionals can use self-care education to improve health-related problems, especially decreased blood glucose, externalizing disorders, and diabetic quality of life.

Although hip joint replacement is one of the most successful orthopedic surgeries and is referred to as the operation of the century, the rehabilitation period after this surgery is usually lengthy and can affect the physical and mental health of the patients. This study aimed to evaluate the effectiveness of self-care training using the educational booklet on the physical and mental health of the patients undergoing hip joint replacement surgery.

In this randomized controlled clinical trial, 60 patients were selected using convenience sampling method from those who had referred to two selected hospitals of Iran University of Medical Sciences during 2016 and were divided into experimental (n=30) and control (n=30) groups. Data were collected using demographic characteristics form and SF-36 Quality of Life Questionnaire. At the beginning of the study, the demographic characteristics forms were completed by the study participants. Afterward, the patients in the experimental group were given self-care training using an educational booklet. The training was completed in 5 sessions, and each session lasted 30-45 minutes. The SF-36 Quality of Life Questionnaire was completed by the participants on the day of discharge and eight weeks later when they visited the clinic again. Data were analyzed using SPSS software (version 20) through descriptive statistics (i.e. frequency, frequency percentage, and mean±SD) and inferential statistics (i.e. Chi-square, Wilcoxon, and Mann-Whitney tests).

In general, a significant increase was observed in the mean scores of physical and mental health in both groups two months after the discharge, compared to those obtained at the time of discharge (P<0.05). However, the extent of differences in scores was different in the two groups. The changes in the physical and mental health scores during the discharge and two months later in the experimental group were estimated at 17.33±9.78 and 27.69±12.47, respectively. However, the changes in the physical and mental health scores during the discharge and two months later in the control group were obtained at 5.29±9.45 and 5.49±14.72. Comparison of mean scores of changes in both groups revealed that there was a significant increase in the mean scores of physical and mental health in the experimental group, compared to the controls (P<0.001).

Based on the results, the adoption of self-care training using the educational booklet promoted the physical and mental health of the patients who had undergone hip joint replacement surgery. Therefore, it is suggested that this training method should be used more frequently in the educational programs of patients who undergo hip replacement surgery. Moreover, future researches should examine the effectiveness of novel educational methods, such as education using social networks

Given the increasing research, the purpose of this study was to explain the effectiveness of this training and its effective factors.

The present study is a mixed and explanatory project. In the first step to obtain the effectiveness of self-care education through quantitative meta-analysis and secondly to examine its effective factors the qualitative method of the case study was used. Statistical population of the first stage includes all relevant internal research and secondly, it included all cardiologists in Isfahan province. The data gathering tool is firstly a researcher-made checklist and for the second stage, the semi-structured interview method was used. To analyze the first stage data Comprehensive statistical meta-analysis software CMA Version II and for the second step, coding methods were used.

The results showed that self-care education interventions were highly effective in cardiac patients(ES=1.616, P<0.05) In other words, the average effectiveness of self-care education in (experimental groups) 94% were more effective than control groups. On the other hand, the results of the second stage showed Factors affecting effectiveness include seven factors: education, personal control, physical activity, nutrition, emotion control, optimism, and continuous follow-up.

Heart disease self-care based on the above mentioned factors, as the most effective factor in controlling and improving heart disease this will lead to a longer life expectancy and a better quality of life for patients with heart disease.

Pregnancy is a very important and critical stage in women's lives. The support and support of women in this era will greatly help them to cope with the tensions of this period. This study was conducted to compare the effectiveness of self-care education with two methods of return education and group discussion focused on lifestyle of pregnant women.

This research was conducted in 2018 in Gonabad city, in which 90 pregnant women were selected and randomly divided into two groups of intervention and one control group. The training program was designed in accordance with the Teach-Back procedure and a focused group discussion for each intervention group. The data gathering tool was a demographic questionnaire, and a Walker-enhancing lifestyle questionnaire, and self-care checklist that were completed in three groups before and one month after intervention. The training program was conducted for intervention groups and the control group did not receive any training. Evaluation of the effects of the training program was conducted one month after the training. The results were analyzed by SPSS software. and P value less than 0.05 was considered significant.

The results of this study showed, In all dimensions of lifestyle, the stress management in both groups after intervention significantly increased. there was a significant difference between the three groups in the lifestyle between the three groups of interventional intervention, The central focus was on the return method.

two methods have been effective in maintaining the level of  lifestyle of pregnant women, but the method of focused group discussion has a greater effect In promoting lifestyle, she had a return on education

Asthma is one of the most common chronic respiratory diseases and one of the major problems in health systems in many societies around the world including Iran. Self-care is one of the most important factors in raising the awareness and attitude of individuals. The purpose of this study was to investigate the effect of self-care education on knowledge and attitude of patients with asthma.

In this quasi-experimental study, 104 patients with asthma were selected by available sampling method and randomly divided into two groups (n=52) and control (n=52). Both groups filled the questionnaire of awareness and attitude before the intervention. The self-care group was trained in four sessions of 60 minutes. The questionnaire was filled again this time by both groups, 8 weeks after the intervention.  and the data was analyzed using SPSS 16, descriptive statistics, independent t-test and paired t-test at 95% confidence interval.

The results showed that there was no significant difference between the mean and standard deviation of knowledge and attitude scores before and after self-care education (P> 0.05). There was a statistically significant difference between the mean and standard deviation of the knowledge and attitude of the experimental and control groups after the training (P<0.05). The results showed that the knowledge and attitude of the experimental group significantly improved after the intervention. 

The results of this study showed that self-care education is effective on knowledge and attitude in asthmatic patients. Therefore, considering the high prevalence of this disease and its economic and social burden, self-care education is recommended to improve the knowledge and attitude of asthmatic patients.

The results of studies have shown that inadequate awareness and self-care of patients with chronic renal failure, leads to an incorrect illness perception in these patients. Considering the importance of this issue, this study aimed to investigate the effect of self-care education in patients undergoing hemodialysis.

This was a simple randomized clinical trial. The statistical society of the study consisted of 120 patients undergoing hemodialysis in dialysis department of Bu-Ali Sinai Hospital in Qazvin from December 2016 to February 2017. The samples were assigned randomly to two groups of control (routine care) and intervention (illness perception intervention). Both groups completed the demographic information questionnaire, illness perception questionnaire before the intervention. The intervention group received self-care education based on illness perception in the patient’s bedside and before initiation of dialysis in 3 sessions of 30 minutes. A training booklet was also given at the second session of the patient’s delivery, which was provided by the researcher and under the supervision of the professors. Four weeks later, the questionnaire of illness perception was completed by both groups. Data were analyzed using descriptive and analytic statistical tools in SPSS 20. The results of this study showed that there was not a significant difference between the two groups in terms of demographic information, except for the duration of dialysis (P<0.014). The ANOVA test results showed a significant difference in terms of patient’s illness perception between the intervention and control group (F(1, 112)=13.88, P<0.001). Self-care educational intervention based on illness perception increased the perception of the disease in hemodialysis patients.

Patients under hemodialysis should be aware of their self- care needs. Self- care programs make it easy for patients to adapt to the chronic condition of nursing theory based on nursing theories. This study was performed to determine the effect of self- care education program on Reed self- trandence theory in undergoing hemodialysis patients. This study was a randomized controlled trial with two groups of intervention and control that was performed on 60 patients undergoing hemodialysis, a 122-bed center of hemodialysis in Imam Reza Hospital in Tabriz during 2016-2017. Sampling method was simple random sampling. Data collection tools were 3 demographic information questionnaires, educational needs assessment and self- trandence, which were completed before and two weeks after the intervention by both groups. The intervention group received 6 sessions of face to face training (30-25 minutes), once a week, individually with patient participation, based on Reed's self- trandence theory and educational needs and was presented at the last session of the booklet. For data analysis, descriptive and inferential statistics (independent t-test and paired t-test) were used and analyzed using SPSS software version 22. The mean of self- trandence scores after intervention in the group intervention was higher than that of the control group. There was a significant difference between the mean scores of self- trandence after intervention in both groups (P < 0.001). Self- care nursing care based on the theory of Reed self- trandence with low cost and without the need for advanced clinical services, increases the health of patients under hemodialysis

Hypertension is a major health problem due to complications and high mortality rate. It causes problems in the ability of patients for self-care and affect their quality of life. This study was aimed to assess the effect of self-care education on quality of life and health literacy in patients with essential hypertension.
Subjects & This quasi-experimental study was conducted using a pretest-posttest control group design. From patients with hypertension presenting to Mashhad Health Center, 90 patients were selected according to the eligibility criteria and were assigned randomly to two groups, the treatment group (45 patients) and the control group (45 patients). The research tool was quality of life questionnaires and test of functional health literacy in adults. The self-care education was conducted in 4 sessions. The obtained data were analyzed by means of analysis of covariance.
Regarding both the general mental and physical health, the quality of life had been divided in to before intervention psychologically 48/72 and physical health 51/47 which was increased to 71/97 psychologically, and 77/37 physically after the intervention. This difference was statistically significant in the mental aspect and physical health. Average health literacy in people before interference was 97/46 which increased to 130/31 after the intervention. This difference was statistically significant.
Self-care education can improve quality of life and health literacy among patients with hypertension. It is recommended that health care providers, implement these educational programs for improving the quality of life and health literacy of patients with essential hypertension.

Aim: This study was conducted to investigate the level of nurses’ knowledge, attitude and practice about self-care education in people with heart failure.
Background: Heart failure is one of the most common chronic diseases and the leading cause of death in the world and also, a major cause of hospital readmission, especiallyin elderly patients. Self-care education is an essential componentof care for people with heart failure. Nurses are the first providers ofself-careeducation for patients and must have a thorough knowledge, a positive attitude and skillfull practice in the field of self-care education. Method: In this descriptive-analytical study, 174 nurses with at least one year working experience in the CCU, post CCU and medical wards of ShahidRajaie Cardiovascular and Research Center, completed a four-part questionnaire including demographics information, and knowledge, attitude and practice about self-care education in people with heart failure. Data were analyzed using descriptive and inferential statistics in SPSS, version 22. Findings: The majority of nurses (70.1 percent) had an average knowledge score. The knowledge level of nurses were significantly related with level of education and working experience. Also, 67.8 percent of the participants had a good practice of self-care education about heart failure and their practice was significantly related with experiencing in-service education. More than 90 percent of nurses reported positive attitude towards self-care education about heart failure and their attitude was significantly related with level of education, in-service education and work schedule.
Conclusion. The knowledge of nurses was at average level. It is recommended to plan in-service education in order to promote nurses’ level of knowledge about self-care education about heart failure.

Among the chronic diseases as a public health problem، diabetes has a major importance as a silent disease. Since the quality of life is generally the primary goal of treatment، self care ing is required. This study was done to assess the effect of the educational program in promoting quality of life of diabetic patients

This pseudo research was done on 60 patients suffering from diabetes by easy sampling and random counting in two multitudes of case and control. A medias including standard questionnaires of measuring quality of life which were completed via face to face and The educational program based on patients educational needs was designed. The data was analyzed by using SPSS-17 and Paired t-test.

In both groups of case and control، among 60 patients which have been under study، 45 women were with average age of 50±3. 2: The average change of the quality of life was 65±5. 8 in case group and 41±3. 5 in control group that showed a statistical meaningful difference (p=0. 001).

according to the results this study showed that the educational program was effective in improving quality of life of patients with regard to physical health and self-assessment of their health status.

One of the most widespread cardiovascular disorders is Heart failure and is expressed as a chronic, progressive and disabling disorder. Many research have shown that quality of life in heart failure patients is low. one of the promoting ways of quality of life is self care education. The purpose of this study is to evaluate the effect of self care education on quality of life among heart failure patients. This study is a quasi-experimental research which is done on 126 heart failure patients whom were selected from persons referring to Tehran Rajaei Heart Center and were assigned equivalently in intervention and control group by the way of randomly permuted blocks. Data collection was tooled by demographic specification form, questionnaire of quality of life of heart failure patients and “European heart Failure Self-Care Behaviour Scale”. Intervention group patients lied in 6 groups, each group contents of 10 persons for education and participants were educated in 4-6 sessions. The educational package was given to these patients, finally. Time for each session was 30-45 minutes. For data analyzing, Paired T-test and Independent T-test, Chi-square, Kolmogorov-Smirnov test, Levens test and analyze of covariance were used. There was no significant difference between two groups in total quality of life (P=0.214) and self care (P=0.795) before intervention, but after intervention these differences were significant (P<0.001). Also, there were significant differences between two groups after intervention in average of physical-activity, socio-economical, mental and general health dimensions of quality of life (P<0.001). Quality of life and self care of intervention group were more significantly than before intervention (P<0.001), but there was no significant difference between before and after score of quality of life (P=0.154) and self care (P=0.431) in control group. Results of study show that the education of self care was effective on quality of life among heart failure patients and researchers recommend this intervention as a one of the suitable and benefit styles for promoting the quality of life in these patients.