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 Rajabi; saied Malihialzackerini; Javanshir Asadi; Mohammad Reza Mirzaei
Abstract
Objective: Diabetes is one of the most common chronic diseases of the present day that is associated with increased cholesterol levels and psychological distress such as depression. Therefore, considering the negative effects of high cholesterol levels and depression in the process of controlling and ...
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Objective: Diabetes is one of the most common chronic diseases of the present day that is associated with increased cholesterol levels and psychological distress such as depression. Therefore, considering the negative effects of high cholesterol levels and depression in the process of controlling and treating diabetes, interventions to modify cholesterol and improve depression in this group are felt. Therefore, the present study aimed to investigate the effectiveness of metacognitive training on cholesterol (LDL), cholesterol (HDL) and depression in patients with type 2 diabetes. Method: The research method was quasi-experimental with pre-test-post-test design. For the purpose of this study, 50 women with type 2 diabetes were selected at Shahid Shabani Diabetes Center in Isfahan and randomly assigned into two experimental (25) and control (25) groups. Beck Depression Inventory (BDI), and blood test for analysis cholesterol (LDL), cholesterol (HDL) was used for pre-test, post-test and two-month follow-up. After the pretest, the experimental group received metacognitive training sessions for 8 sessions of 90 minutes weekly and the control group was on the waiting list. Data were analyzed by repeated measures ANOVA and Bonferroni post hoc test. Findings: There was a significant difference between the experimental and control groups in cholesterol (LDL), cholesterol (HDL) and depression in the post-test (p < 0.001). Conclusion: Meta-cognitive training can be used to modify cholesterol (LDL) and cholesterol (HDL) and improve depression in patients with diabetes.
