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Background: Sexual activity and its satisfaction are the most fundamental dimension of human life and attention to this is an essential component of health care standards. There are several factors involved in the progression and development of female sexual disorders. Objectives: The present study was conducted to evaluate sexual satisfaction and some of its related factors in Ahvaz city. Methods: This is a descriptive-analytical and cross-sectional study. The sampling method was convenience sampling. It was carried out on 685 women referring to health centers in Ahvaz for other medical treatments. The data collection tool was a two-part questionnaire consisting of section A, containing personal details such as age, length of marriage, number of offspring, age of the youngest child, age of the spouse, and methods of contraception and section B, containing sexual satisfaction questionnaire. This scale for sexual satisfaction questionnaire was used to analyze the data between a score of 25 to 125. Results: The sexual satisfaction recorded by 40.9% of the women was high, in 48.2% moderate, in 10.5% low, and 0.4% reported sexual dissatisfaction. Education has significant and prominent effects on sexual satisfaction. Conclusions: According to the findings of the study, a relationship was shown between the demographic characteristics, the contraceptive methods, and sexual satisfaction. Therefore, the establishment of marital counseling classes in health centers seems necessary to enable women to improve sexual health issues and the use of group-or individual-treatment methods.

The impact of coronavirus disease (COVID-19) on quality of life in diabetic patientsABSTRACT Background. Diabetes is one of the most prevalent metabolic diseases and it includes disabling complications and chronic and invisible progression. On the one hand, this disease imposes high financial expenses on the patient and, on the other hand, reduces the quality of life. Presently, the COVID-19 epidemic has been an international concern, and evidence implies that people who have the underlying disease are at higher risk for the virus and will experience serious problems if they develop the disease. Methods. This research is a qualitative study with a kind of phenomenological investigation that has been conducted to investigate the patient's experiences and personal feelings with diabetes in terms of the effects of corona disease on their quality of life. In this study, the semi-structured interview method was utilized to collect information. The number of sample included 15 patients referred to health centers, and each interview was recorded with the patient's consent and was written on paper and analyzed. Results. The data of this study were classified into 6 main themes and 19 sub-themes after analysis. The main themes of the information obtained from this study included knowledge and awareness, psychologi-cal effects, entertainment, and recreational programs, patient's family, medical care, and communication with patients placing the greatest emphasis on medical care. Stress caused by corona disease and depression were the most important psychological effects expressed by diabetic patients. They also expressed some serious medical care problems, including the reduction of referrals to health centers for follow-up and care and the shortage of physicians and health personnel to provide services. Conclusion. This study suggests that diabetic patientsexperience many different problems due to corona disease. These problems influence the diabetic patients' quality of life, so we need to understand better and solve the diabetic patients' problems, make more effort, and perform more suitable planning to improve their health and quality of life. (Clin Diabetol 2021; 10

Context: The nature of the nursing profession is one of the effective factors in the marital satisfaction of nurses. Objectives: This study aimed to examine the level of marital satisfaction in nurse couples in comparison to those whose spouse is not a nurse and predict factors that determine their marital satisfaction. Methods: Following a cross-sectional design, a total of 252 nurses working in educational hospitals in western and northwestern cities of Iran were recruited for this study. Participants were selected using the convenience sampling method. Data were collected using a two-part questionnaire: (1) items related to socio-demographic characteristics; and (2) items related to ENRICH Marital Satisfaction (EMS) Scale. Data were analyzed using SPSS v 21.0. Results: The mean (SD) age of participants was 32.4 (6.39) years. Marital satisfaction was higher among employed nurse couples, those with rotating shifts, those with a lower number of night-work shifts per month, those with personal housing, and those whose spouse was a nurse. Also, a significant association was found between income level and marital satisfaction (P = 0.002, F = 6.67). Conclusions: According to the findings, nurse couples had higher marital satisfaction in comparison to those whose spouse was not a nurse. Nurses reported their marital satisfaction as moderate. Paying attention to the livelihood conditions of nurses, providing more flexibility, and giving nurses the right to choose to set a monthly work schedule can improve their marital satisfaction.

Background. Pre-diabetes is one of the most widespread epidemics in the world. Pre-diabetics are the most susceptible to diabetes. The prevalence of prediabetes status is higher than that of diabetes. Lifestyle modification at this stage may delay the onset of type 2 diabetes for ten years. The present study aims at determining the Dezful pre-diabetic women's experiences of diabetic preventive eating behaviors. Methods. The present study employed a directed qualitative content analysis (DQlCA) conducted in Dezful in 2020. The experiences of 41 pre-diabetic women aged 30-65 years and 9 health care providers (physicians, nutritionists, public health experts) were explained using the in-depth interviewing technique on the factors affecting diabetes preventive behaviors, including nutritional behaviors and physical activities, based on the constructions of the PEN-3 model. The participants were selected from Dezful health centers. Analysis of the qualitative data was done via a directed qualitative content analysis (DQlCA). Data validity was estimated by assessing acceptability, reliability, adaptability, and transferability. Results: the most appropriate and accessible way to promote diabetes prevention behaviors in pre-diabet-ics is to hold training classes with a health promotion approach implemented by health care providers. Conclusion. Pre-diabetic women have a variety of beliefs and habits influenced by awareness, food culture, and temporal and spatial constraints. By identifying the positive and negative beliefs affecting diet, researchers who want to promote the nutritional behavior of pre-diabetic women should correct and eliminate negative and inhibitory beliefs by targeting these beliefs, emphasizing positive and motivating beliefs. They also should use the mentioned points in their educational interventions. (Clin Diabetol 2021; 10