Zahra Neamatizade; Amin Rafiepoor; mehrdad sabet; Khadijeh Abolmaali Alhosseini
Abstract
Objective: Self-care is very important in controlling type 2 diabetes and the present study aimed to develop and validate a type 2 diabetes self-care questionnaire. Method: The present study was a series of consecutive exploratory experiments guided by the approach of testing and classification and was ...
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Objective: Self-care is very important in controlling type 2 diabetes and the present study aimed to develop and validate a type 2 diabetes self-care questionnaire. Method: The present study was a series of consecutive exploratory experiments guided by the approach of testing and classification and was conducted qualitatively and quantitatively in two stages. The statistical population in the first stage consisted of specialists, physicians and researchers in the field of type 2 diabetes in 2020-2021 that 10 persons were selected by purposive sampling. In the second stage, 432 patients with type 2 diabetes in Tehran in 2020-2021 were selected by available sampling method and considering criteria. In order to collect the information of the first stage, an in-depth and semi-structured interview and a researcher-made initial questionnaire were used. Findings: It showed that from the results of the interviews, 41 concepts were extracted by open coding in 4 main dimensions. Content validity ratio index and content validity index were calculated and 4 factors were identified in the exploratory factor analysis. Finally, this 34-item questionnaire explained 58.76% of the variance of type 2 diabetes self-care in patients aged 30 to 60 years: factors related to health literacy (39.64%), psychological factors (11.82%), physical factors (4.19%) And factors related to access to facilities (3.11%). Also, the first-order confirmatory factor analysis confirmed the above 4 factors and a total alpha of 0.95 was obtained. Conclusion: This questionnaire has good validity and reliability and its use is recommended for self-care monitoring of these patients and use in research.
Maryam Malekan; majid saffarinia; mehrdad sabet; Mastooreh Sedaghat
Abstract
Objective: Multiple Sclerosis (MS) as a chronic disease with sudden and unpredictable onset reduces the mental well-being in different emotional, psychological and social dimensions. The present study aims at investigating of diet on mental well-being by health hardiness mediation among women suffering ...
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Objective: Multiple Sclerosis (MS) as a chronic disease with sudden and unpredictable onset reduces the mental well-being in different emotional, psychological and social dimensions. The present study aims at investigating of diet on mental well-being by health hardiness mediation among women suffering from MS. Method: The present study used descriptive research method from correlation and Structural Equation Model (SE) type. The statistical population of the study are all women suffering from MS referred to Tehran specialized clinics in 2018. The number of 60 women selected through convenience sampling method. Concern Over Weight and Dieting Scale (COWD) by Kagan and Squires, Health Hardiness Inventory (HHI) by Gebhardt and colleagues and Subjective Well-being Scale (SWS) by Kiz and Magiarmo were data collecting instruments. The hypotheses of this study tested by means of Partial Least Squares-Structural Equation Modeling (PLS-SEM) method. Findings: Results out of investigating the direct effects of variables showed that there is a direct and significant relationship between diet and mental well-being, between mental well-being and health hardiness and between health hardiness and mental well-being (p<0/05). Considering indirect effect, there is a significant relationship between diet and mental well-being by health hardiness mediation to 0/25 (p<0/05). Conclusion: According to the results of the study, in order to increase the mental well-being of patients with multiple sclerosis, it is recommended to pay attention to the role of diet and psychological factors such as health hardiness mediation.
