Background and Purpose: Diabetes has adverse effects on the quality of life of patients. Roy's adaptation model could be used to enhance quality of life among diabetic patients. This study aimed to evaluate the effects of Roy's adaptation model in nursing practice on the quality of life in patients with type II diabetes.Methods: This quasi-experimental study was conducted on 60 diabetic patients randomly divided into two groups of experiment and control (N=30) at Hamadan Diabetes Research Center. Data were collected using Diabetes-Specific Quality of Life Scale (D-39) in five dimensions, which was completed before and after intervention in both groups. Educational care programs were executed based on Roy's adaptation model only for experimental subjects in five sessions during one month. Data analysis was performed using independent and paired t-test in SPSS. Results:At the beginning of the study, both groups were matched in terms of demographic characteristics and quality of life dimensions (P>0.05). Comparison of mean scores of quality of life areas between the two groups before and after intervention was indicative of a significant difference in the aspects of diabetes control, energy and mobility and social support (P<001). However, there was no significant difference in the dimensions of stress, anxiety and sexual activity (P>0.05). Conclusion:According to the results of this study, use of Roy's adaptation model has positive effects on some dimensions of quality of life in patients with type 2 diabetes; these domains were diabetes control, energy and mobility, and social support. However, further studies with longer durations are required as to investigate the efficacy of this model in the areas of anxiety and sexual activity.

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Introduction: Adherence of standards requires the continuous of education for nurses. Effective educational methods for increasing knowledge and enhancing skills is group discussion. The purpose is to determine the effect of education of medication by small groups discussion on nursing adherence in intensive care units of medication Standards. Methods: In this semi-experimental study the intensive care units of two hospitals that were randomly assigned as intervention and control groups 76 nurses were enrolled in the census. The medication standards checklist was designed in 25 sections and 53 questions. The researcher using the checklist, controlled each nurse's adherence of the medication standards in four steps before and after the education, subtle and direct observation. If adherence score 1 and in non adherence score zero was earned. The education of medication standards was conducted in the intervention group by group discussion method during two sessions of two-hours. Data analysis was performed using SPSS 16 and independent t-test and paired t-test. Results: There was no statistically significant difference between the two groups in term of the rate of adherence of nurses from the medication standards before intervention (P>0.05). After intervention, nurses' adherence significantly increased in the intervention group (87.9±2.5) compared to the control group (77.7±2.7) (P<0.001). Conclusion: Considering the positive effects of education using group discussion method on nursing adherence of medication standards and the importance of this issue regarding the care of patients, using this method for nurses' education is suggested.