The explanatory model of diabetes management might help health care providers to understand the circumstances that may influence patients' self-care behaviors. This acquaintance can lead to a better assessment and restored services in diabetes management. Background:Managing diabetes requires changes in the patients' life style and health habits which in turn need the comprehensive understanding of the disease and its impact. Objectives: To understand the explanatory model of diabetes in Iran, a qualitative study was performed using the grounded theory method. Patients and Methods: Thirty persons were interviewed: fifteen patients, eleven nurses, three physicians and one dietitian. The semi-structured interviews were transcribed and analyzed in three stages of open, axial and selective coding. Results: The findings showed that patients' personality can shape their self-care behavior; however, curing, caring and supporting systems are also necessary. The interactions between personality, curing, caring and supporting systems and society makes the outcome, which is the core variable in the designed explanatory model of diabetes. Conclusions: This paper reflects an explanatory model of diabetes management. Understanding the factors that affect self-management behavior is important for nurses as key providers in the health care system.Published by Kowsar Corp, 2012. cc 3.0.

‫ا‬ ‫ي‬ ‫ران‬ ‫ي‬ ‫ا‬ ‫فرهنگ‬ ‫چارچوب‬ ‫در‬ ‫ي‬ ‫ران‬ ‫ي‬ ‫اسالم‬ ‫ي‬ ‫که‬ ‫است‬ ‫م‬ ‫ي‬ ‫د‬ ‫تواند‬ ‫ي‬ ‫فرهنگ‬ ‫عادات‬ ‫گر‬ ‫ي‬ ‫پ‬ ‫ي‬ ‫رو‬ ‫ي‬ ‫رژ‬ ‫از‬ ‫ي‬ ‫م‬ ‫ها‬ ‫ي‬ ‫مراقبت‬ ‫ي‬ ‫درمان‬ ‫ي‬ ‫ت‬ ‫تحت‬ ‫را‬ ‫أ‬ ‫ث‬ ‫ي‬ ‫بنابرا‬ ‫دهد،‬ ‫قرار‬ ‫ر‬ ‫ي‬ ‫ن‬ ‫ماه‬ ‫ي‬ ‫ا‬ ‫ت‬ ‫ي‬ ‫چالش‬ ‫و‬ ‫موانع‬ ‫برا‬ ‫ي‬ ‫دست‬ ‫ي‬ ‫اب‬ ‫ي‬ ‫تب‬ ‫هدف‬ ‫به‬ ‫يي‬ ‫چالش‬ ‫ن‬ ‫ها‬ ‫ي‬ ‫ش‬ ‫درک‬ ‫ده‬ ‫پ‬ ‫عدم‬ ‫ي‬ ‫رو‬ ‫ي‬ ‫رژ‬ ‫از‬ ‫ي‬ ‫م‬ ‫ها‬ ‫ي‬ ‫درمان‬ ‫ي‬ ‫مراقبت‬ ‫ي‬ ‫ب‬ ‫در‬ ‫ي‬ ‫ماران‬ ‫تحل‬ ‫روش‬ ‫از‬ ‫مزمن‬ ‫ي‬ ‫محتوا‬ ‫ل‬ ‫ي‬ ‫ک‬ ‫ي‬ ‫ف‬ ‫ي‬ ‫استفاده‬ ‫شد‬ ‫ا‬ . ‫ي‬ ‫ن‬ ‫متدولوژ‬ ‫ي‬ ‫ب‬ ‫ه‬ ‫برا‬ ‫خصوص‬ ‫ي‬ ‫تجرب‬ ‫درک‬ ‫ي‬ ‫گروه‬ ‫ات‬ ‫ه‬ ‫و‬ ‫ا‬ ‫ا‬ ‫ضمن‬ ‫افراد،‬ ‫ي‬ ‫زم‬ ‫به‬ ‫نکه‬ ‫ي‬ ‫و‬ ‫اجتماع‬ ‫اقتصاد،‬ ‫نه،‬ ‫فاکتورها‬ ‫ي‬ ‫فرهنگ‬ ‫ي‬ ‫ت‬ ‫أ‬ ‫ث‬ ‫ي‬ ‫رفتارها‬ ‫بر‬ ‫رگذار‬ ‫ي‬ ‫س‬ ‫المت‬ ‫ي‬ ‫م‬ ‫است،‬ ‫مرتبط‬ ‫حساس‬ ‫ي‬ ‫شناسا‬ ‫موجب‬ ‫تواند‬ ‫يي‬ ‫و‬ ‫آگاه‬ ‫ي‬ ‫استراتژ‬ ‫از‬ ‫ي‬ ‫ها‬ ‫ي‬ ‫سبک‬ ‫بهبود‬ ‫زندگ‬ ‫ي‬ ‫ش‬ ‫سالم‬ ‫ده‬ ‫ب‬ ‫که‬ ‫ه‬ ‫پ‬ ‫طور‬ ‫ي‬ ‫سالمت‬ ‫توسعه‬ ‫جهت‬ ‫شرونده‬ ‫بر‬ ‫عموم‬ ‫ب‬ ‫شواهد‬ ‫اساس‬ ‫ه‬ ‫کار‬ ‫مي‬ AbstractBackground: Adherence from treatment-care regimens is very essential to achieve health promotion and improve quality of life as well as affordable healthcare. Nevertheless, broaden of chronic diseases is still growing in the world because of lack of adherence. Understanding the perceived challenges can facilitate planning to increase adherence. This study aimed to explain the perceived challenges in non-adherence from the prescribed regimen among patients with chronic diseases. Materials and methods:This qualitative study was done in 2015 by using the conventional content analysis approach. Thirty four participants with the most common chronic diseases were recruited purposively and they were entered in the study. Data was collected through semi-structured interviews and simultaneously with data collection; a comparative analysis was conducted by using the conventional qualitative content analysis method. Results: Four main themes extracted from the data included: flaw in the possibility of observing the recommended regimens retfa devotion for family; frustration in facing the conflict between work and recommended regimens; inability in self-adaption with the recommended regimens; broaden cost of prescribed regimens; and limiting and inductive enclosure of beliefs. These themes indicate the nature of challenges in personal, family, and social dimensions of patients with chronic diseases in terms of adherence with treatment regimen. Conclusion:The findings show that the perceived challenges has special complexity and diversity. Although they are sometimes internal and personal, some others are external and beyound the will and control of individuals. Therefore, it is necessary that health system policy-makers and planners intervene and plan according to the nature, diversity, and complexity of these perceived barriers in o...

Background: The purpose of this qualitative study is to explore Iranian women’s perceptions, behaviors, and beliefs related to breast cancer screening readiness, with a focus on the role of religion. Methods: Our sample consisted of 25 women, 35 to 65 years old, who resided in Tehran, Iran. It included 15 at-risk women (self-reported history of breast cancer before the age of 40 in their family) and 10 others with a history of breast cancer. All interviewees were Muslim who spoke Persian (Farsi). The women were chosen using purposive sampling. We used a qualitative content analysis design with a constant comparative analysis approach, which is appropriate for obtaining reliable and valid results from textual data. Results: The overarching theme apparent from transcript analysis was that of “Clergywoman Can Play a Role in Increasing Awareness”. Four categories, namely, (1) Lack of information regarding breast cancer screening, (2) Awareness can improve self-care, (3) Religious outlooks of participants can influence early detection behaviors, (4) Clergywoman can play a role in increasing awareness, were identified. However, we found that the majority of interviewees lacked information about breast cancer screening and prevention. This was often both the cause and the effect of fear and misunderstandings about the process. Furthermore, we found that religious authorities, particularly clergywomen, who speak from a religious perspective, could play a significant and effective role in convincing women to pursue prevention measures. Additionally, we found that many women emphasized that religious gatherings, or framing health messages in a religious narrative, could be a significant step forward in advocating early detection behaviors. Conclusion: Our study shows that religion is a motivating factor in breast cancer early detection behavior and offers new insight into women’s perceptions of self-care. It highlights a potentially significant role of clergywomen in encouraging women in Tehran, Iran to pursue breast cancer screening.