Assessing health-care needs of patients with diabetes in Iran's health-care system: A modified delphi method study

Background: Cultural and language differences are necessary factors for diabetes management and self-care education programs in patients suffering from diabetes. This study aims to investigate the effectiveness of culture-based self-care intervention on health literacy, quality of life, and glycemic parameters in patients with type 2 diabetes. Materials and Methods: This randomized clinical trial has been carried out in selected centers in Darreh Shahr, Iran; 80 participants were randomly assigned into intervention and control groups. The intervention group received an educational program for 6 sessions twice a week, but the control group only received routine services. Data were collected using health literacy and life quality scales for diabetic patients, which were completed by both groups before, immediately after, and 3 months after the intervention; hemoglobin A1C (HbA1c) was checked before and 3 months after the intervention. SPSS software was also analyzed data using χ 2 , Fisher’s exact, independent t , and repeated measures analysis of variance tests. Results: There were no significant differences between the 2 groups before the study ( p >0.05) goes forward. But, mean scores of health literacy ( F 2,40 = 5.61, p = 0.007), quality of life ( F 2 , 40 = 4.09, p = 0.01), and HbA1c levels ( t , 39 = 6. 91, p <0.001) have shown significant differences between the 2 groups immediately and 3 months after the intervention have been applied. Conclusions: Culturally appropriate intervention should be offered as a part of the nurse’ care program for diabetic to control HbA1c, and improve their life quality and health literacy.

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The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients with Type 2 Diabetes: A Controlled Randomized Clinical Trial

Amoozadeh

Parandeh

Khamseh

et al. 2023

Iranian Journal of Nursing and Midwifery Research

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Restrictors of the effectiveness of diabetes self-management education

Yazdani

Abazari

Haghani

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: A key step for improving the effectiveness of diabetes self-management education (DSME) is to identify its restrictors. OBJECTIVES: The aim of this study was to explore the restrictors of the effectiveness of DSME. METHODS: This descriptive qualitative study was conducted in March 2016–2017. Participants were 16 DSME providers (viz., physicians, nurses, nutritionists, and psychologists) and nine DSME receivers (viz., patients and their family members) – 25 in total. Semi-structured interviews were held for data collection. Interviews were transcribed word by word and analyzed through conventional content analysis approach proposed by Graneheim and Lundman. RESULTS: The restrictors of the effectiveness of DSME were categorized into three main categories and 11 subcategories, namely patients' limited welcoming of DSME classes (allocating limited time for participation in DSME classes, inadequate knowledge about diabetes mellitus [DM] importance, inappropriate educational environment, and financial problems), unfavorable adherence to treatments: serious challenge (inattention to educations, poor motivation for adherence to medical recommendations, and inattention to the psychological aspects of DM), and the difficulty of adult education (the difficulty of changing health-related attitudes and behaviors, mere information delivery during education, adults' physical and perceptual limitations, and diabetes educators' limited competence in adult education). CONCLUSION: The findings of the present study provide an in-depth understanding about the restrictors of the effectiveness of DSME. DM management authorities and policymakers can use these findings to develop strategies for improving the effectiveness of DSME.

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Care needs and preferences from the perspective of COVID-19 patients: A qualitative study

Moayed

Heidaranlu

Parandeh

2021

mjiri

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Paying attention to patients' needs is one of the most important factors affecting their recovery. →What this article adds:  Patients with COVID-19 have extensive needs in the treatment environment. Among these, attention to emotional needs plays an important role from the perspective of patients.  Poor clinical conditions require the presence of competent and specialized treatment staff to provide specialized care compared to other patients. Due to the extensive information from various and erroneous sources, it is necessary to provide the staff with education from credible sources.

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Assessing health-care needs of patients with diabetes in Iran's health-care system: A modified delphi method study

Cited by 3 publications

References 29 publications

The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients with Type 2 Diabetes: A Controlled Randomized Clinical Trial

The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients with Type 2 Diabetes: A Controlled Randomized Clinical Trial

Restrictors of the effectiveness of diabetes self-management education

Care needs and preferences from the perspective of COVID-19 patients: A qualitative study

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