Background: The current situation of health promotion (HP) services in hospitals of Iran is unclear. The aim of this study was to assess the status of HP in hospitals in Isfahan, Iran. Methods: This study is a cross-sectional survey in which 9 educational hospitals selected through census sampling. HP self-assessment was used for the data collection. The assessment teams formed, and evidence examined in line with the tools. Results: The results identified five categories of HP activities in the hospitals consisted: patients,staff, environmental, community, and organizational. The mean of total score of HP was 48.8(9.8). In terms of the HP standards scores, 5 hospitals (55.5%) were at the intermediate level;3 hospitals (33.3%) were at the weak level, and 1 hospital (11.1%) was at the good level.About the standards, the highest score was "information and patient interventions" standard 79.8 (13.5), and the lowest was "continuity and cooperation" standard 36.2 (10.8). Conclusion: It seems that some of the health promoting hospitals (HPS) duties carried out by hospitals. So, to improve the quality of health services, it seems useful to encourage policymakers and health service managers to create coherent policies and guidelines in HPS.

Background:The purpose of this study was to assess self-care practices and their relative components among type 2 diabetic patients. We hypothesized that some sociodemographic and health-related factors, high diabetes distress, and low self-efficacy would be associated with poorer self-care practices.Materials and Methods:A cross-sectional study was conducted for a period of 6 months in 2011. Study population was type 2 diabetic patients referring to Omolbanin center, an outpatient diabetic center in Isfahan. One hundred forty diabetic patients met the inclusion criteria and were all included in the study. Patients’ self-care practices were measured by Summary of Diabetes Self-care Activities (SDSCA) self-report scale that includes items on the following aspects of the diabetes regimen: General diet, specific diet, exercise, blood glucose testing, foot care, medications, and smoking. Diabetes distress measured by Diabetes Distress Scale (DDS) scale and Stanford diabetes self-efficacy scale was used for scoring this issue. Collected data were analyzed by using SPSS software version 11.5.Results:Participants were between the ages of 37 and 75 years, with a mean of 53.23 years (SD=7.82). Fifty-four percent (n=76) were females; 97.1% were married (n=136), and 53.6% had education lower than diploma (n=75). Mean of duration of diabetes was 7.1 (SD=5.63) years. “Medications” subscale was considered as the most important one in measuring diabetes self-care practices (5.24 ± 2.38 days/week). Study findings revealed that general diet had significant relation with comorbidity, type of treatment, body mass index (BMI), fasting blood sugar (FBS), (Blood Sugar) (BS), waist circumference, diabetes distress, and self-efficacy. Specific diet had significant relation with comorbidity, education, triglyceride (TG), diastolic blood pressure (DBP), and low density lipoprotein (LDL). Exercise showed significant relation with history of diabetes, education, type of treatment, disease duration, TG, BMI, and BS. Also, blood glucose testing showed significant relation with disease duration, self-efficacy, TG, DBP, BS, LDL, and high density lipoprotein (HDL). On the other hand, foot care was related to age, diabetes distress, TG, BMI, HDL, and diabetes complications. Medications subscale as the most important subscale of self-care practices was relevant with age, disease duration, diabetes complications, type of treatment, FBS, HDL, and self-efficacy. The last subscale, smoking, had significant relation with sex, diabetes complications, diabetes distress, self-efficacy, TG, total cholesterol, BS, and HDL.Conclusion:This information should be used in clinical practice when targeting and designing educational and care plan for patients with type 2 diabetes.

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Background & Objective:Osteoporosis is the most common metabolic bone disease. The present study was conducted with the aim of determining the effect of education through the Telegram network on increasing the self-efficacy of women in preventing osteoporosis. Materials & Methods:The present study is a semi-experimental research with pre-test post-test with randomized control group design, which was conducted in 2017 among 60 women referring to the health centers of Yazd surrounding. The subjects were selected by random cluster sampling and assigned to intervention and control groups. The research instrument was a two-part questionnaire, including demographic information and selfefficacy questions. After completing the questionnaires, a package of educational messages was sent to the intervention group via the Telegram channel, but the control group did not receive any education. A month later, the questionnaires were completed again and the data were analyzed by SPSS18 software, using paired and independent t-test as well as Chisquare test. Results: After intervention, the mean score of self-efficacy increased in intervention group compared to control group (p<0.001). Also, the mean of self-efficacy score increased after intervention in the intervention group and decreased in the control group (p<0.001). In the intervention group, the mean score of self-efficacy questions regarding the ability to use calcium and vitamin D supplements (p=0.032), exposure to sunlight for 15 minutes (p=0.005), and avoiding carbonated beverages (p=0.001) was significantly higher after intervention than before. Conclusion: Education through the Telegram on osteoporosis can be effective in promoting the self-efficacy of women in preventing osteoporosis.