Background: Different studies have shown that health level, performance statutes and quality of life in chronic patients are less than the expected level especially in patients with diabetes. Objectives: The aim of this study was to investigate the effects of a self-care program with a multimedia software support on quality of life in patients with diabetes type II. Patients and Methods: This study was a randomized controlled clinical trial in which 60 patients who had been referred to the diabetes clinic of Arak city were randomly divided to experimental (n = 30) and control (n = 30) groups. Diabetes Quality of Life Brief Clinical Inventory was used for determining the quality of life. Data were collected before and two months after the intervention for both groups. An educational program with equal content was conducted for both the experimental group (self-care program with multimedia software support in two sessions) and control group (lecture and presentation with PowerPoint in one session). Data analysis was made by the SPSS 16 software. Results: There were no significant differences between the two groups in mean scores of quality of life before the intervention (P = 0.97) while after the intervention, the difference between the two groups was significant (P = 0.029). Applying the self-care program with software support improved quality of life of the experimental group after the intervention (P < 0.0001) while there was no significant difference in mean score of quality of life in the control group after eight weeks (P = 0.051). Conclusions: According to the results of this study, the examined method is a simple, cheap, effective and attractive intervention program for patients with diabetes.

Background:Infertility and errors in the process of its treatment have a negative impact on infertile couples. The present study was aimed to identify and assess the common errors in the reception process by applying the approach of “failure modes and effects analysis” (FMEA).Materials and Methods:In this descriptive cross-sectional study, the admission process of fertility and infertility center of Isfahan was selected for evaluation of its errors based on the team members’ decision. At first, the admission process was charted through observations and interviewing employees, holding multiple panels, and using FMEA worksheet, which has been used in many researches all over the world and also in Iran. Its validity was evaluated through content and face validity, and its reliability was evaluated through reviewing and confirmation of the obtained information by the FMEA team, and eventually possible errors, causes, and three indicators of severity of effect, probability of occurrence, and probability of detection were determined and corrective actions were proposed. Data analysis was determined by the number of risk priority (RPN) which is calculated by multiplying the severity of effect, probability of occurrence, and probability of detection.Results:Twenty-five errors with RPN ≥ 125 was detected through the admission process, in which six cases of error had high priority in terms of severity and occurrence probability and were identified as high-risk errors.Conclusions:The team-oriented method of FMEA could be useful for assessment of errors and also to reduce the occurrence probability of errors.

No abstract