Background: Patients with type-2 diabetes have poor adherence to the therapeutic regime. It can result in various complications in body systems associated with undesirable metabolic control. Purpose: The present study aimed to explore the inhibitors of medication adherence in patients with type-2 diabetes. Patients and methods: This was a qualitative study using a conventional content analysis method. Participants were 12 patients with type-2 diabetes referred to the diabetes unit in Saghez, Kurdistan Province in 2015. The purposive sampling method was used with a maximum variation in sampling, and data collection was continued until data saturation was achieved. Semi-structured interviews were used for data collection. Interviews were recorded and immediately transcribed verbatim. Results: Data analysis led to the development of four main categories including disbelief in medical explanatory/prescriptive knowledge, lived experiences of the disease, challenges of everyday life, and interactive/economic challenges. The main inhibitors were the patient’s understanding of his/her own physical status and strategies used for maintaining the internal balance. Healthcare providers need to take patients’ perceptions into account when they are prescribing medicinal diets. Another inhibitor was the incidents of everyday life, including economic and social challenges, and interactions to receive education and skills for living with the disease. Conclusion: Beliefs of the medical team and patients should be brought closer to each other, and patients’ trust in the medical team should be increased. Nurses should consider the unique experience of every patient when giving healthcare recommendations, and try to limit the existing challenges as much as possible.

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Context: Considering the high prevalence of psychological distresses among patients with chronic physical diseases, the question is why do some of these patients not experience any disorders and cope better with their disease? Objectives: The current study aims at reviewing the researches on resilience in adult patients with chronic diseases.

Formal education in Iran, especially higher education, has been a means to smoothen the road to social mobility, provide good jobs, and boost people’s earnings. Now, being a university graduate and remaining unemployed is regarded as a challenge. In addition, governments consider this new unemployment a threat to their legitimacy. It seems that young unemployed graduates experience different problems in their social lives. This study aims to investigate the problems encountered by young unemployed graduates and to identify which aspects of situation provide a threatening condition for the society and government. This study has adopted a qualitative approach to answer these questions. It has been conducted in a Kurdish-Iranian context. The authors used a sample of 22 unemployed graduates and conducted semi-structured interviews with each of the sample members. The data gathered from the interviews were analyzed using the qualitative content analysis method. There emerged several themes that described the unemployed graduates’ lives. Findings show that the definition of job is gender based. Unemployment is interpreted as “illness,” “uselessness,” and “social injustice.” To cope with the unemployment issue, the unemployed graduates have to follow different strategies, including “seclusion,” “continuing education,” or “restarting education.” They experience in such a context different psychological, interactive, and behavioral challenges that sometimes make them adopt an anti-social position. The findings of this research contribute to a clearer understanding of the pathological aspects of unemployed graduates’ lives, which is considered a threat from their own viewpoints.

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