Forough Rafii; Seyedeh Fatemeh Vasegh Rahimparvar; Afsaneh Keramat; Neda Mehrdad
Volume 19, Issue 5 , May 2017, , Pages 1-8
Abstract
Background: Women with previous gestational diabetes mellitus (GDM) are at elevated risk for developing Type 2 diabetes. Despite the recommendation for postpartum diabetes screening for these women, the rate of screening is low.Objectives: The present study aimed at conducting an in-depth exploration ...
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Background: Women with previous gestational diabetes mellitus (GDM) are at elevated risk for developing Type 2 diabetes. Despite the recommendation for postpartum diabetes screening for these women, the rate of screening is low.Objectives: The present study aimed at conducting an in-depth exploration of the experiences of Iranian women with recent GDM in the process of diabetes screening.Methods: This grounded theory qualitative study was conducted in Tehran, Iran, from 2013 to 2016. In this study, 22 women with recent GDM, who gave birth at least 6 months before the interview, were selected by purposeful sampling method; then, to achieve saturation, the participants were followed using theoretical sampling method. The participants were asked about their postpartum experiences, specially about the process of attendance/not attendance in diabetes screening at 6 weeks to 6 months after child birth, using semi-structured interviews. Data were analyzed using Corbin and Strauss method (2008).Results: Three main categories were extracted as postpartum diabetes screening process in women with a recent GDM: to be aware, to be sensitive, and to perceive severity of the threat. Also, the outcomes have been classified into 4 levels: selective screening, accidental screening, primary lack of screening, and secondary lack of screening. In our study, the participants had a range of procrastination in screening, from no procrastination in selective screening to high procrastination in secondary lack of screening. Sometimes, the participants had the intention to be screened but they took no action, did not do the screening due to self-deception, or perceived screening as lacking immediate reward (3 main features of procrastination). Thus, due to procrastination, they did not do the screening. Screening in the range of procrastination, as the core category, was the most obvious concept that implicitly existed in all the data.Conclusions: Even when sensitivity and perceiving a threat about diabetes were activated in women with recent GDM, they did not undertake screening due to procrastination. Procrastination is an important and missed factor in screening. Conducting further studies is recommended to develop evidence-based strategies to decrease women’s procrastination in screening.
Seyedeh Fatemeh Vasegh Rahimparvar; Shiva Khodarahmi; Zeinab Tavakol; Mohammad Ghahremani Khorram; Fatemeh Oskouie; Abbas Rahimi Foroushani
Volume 19, Issue 3 , March 2017, , Pages 1-7
Abstract
Background: People with diabetes report that diabetes affects particular aspects of their marital life and leads to other problems in their lives. Moreover, the self-efficacy of diabetic patients is affected by their disease in various respects. There is a significant relationship between self-efficacy ...
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Background: People with diabetes report that diabetes affects particular aspects of their marital life and leads to other problems in their lives. Moreover, the self-efficacy of diabetic patients is affected by their disease in various respects. There is a significant relationship between self-efficacy and health behaviors.Objectives: This study was conducted to determine the effect of audio-visual education on self-efficacy toward marriage in single people with type 1 diabetes.Methods: This randomized, controlled trial study was carried out on 100 unmarried patients with type 1 diabetes visiting Iran’s diabetes society in 2015 - 2016. The convenient sampling method was used in this study. Samples were divided into two groups (50 patients in each group) with a simple, randomized sampling method. The data collecting tool was a researcher-made questionnaire that patients completed before the intervention and eight weeks afterwards. The intervention was an educational CD about improving self-efficacy toward marriage in diabetics. Using descriptive statistics, inferential statistics (i.e., chi-square, t-test, paired t, Fisher, and co-variance tests), and SPSS software version 16, the self-efficacy toward marriage in both the intervention and control groups was compared. A significant level was considered less than 0.05.Results: The mean of the self-efficacy score improved significantly in the intervention group (84.14 ± 16.29 to 105.82 ± 5.49, P < 0.001). However, this score decreased in the control group (92.92 ± 12.33 to 86.48 ± 11.54, P < 0.001). In addition, the self-efficacy in the control group was higher than in the intervention group before the study (P = 0.003), although the score of the intervention group significantly increased after the study (P < 0.001).Conclusions: This study showed that audio-visual training can have a significant effect on the self-efficacy of people with type 1 diabetes. Providing audio-visual equipment to referral centers of type 1 diabetics, such as hospitals, health centers, and clinics, as well as informing related officials, can be of benefit to managers.
Seyedeh Fatemeh Vasegh Rahimparvar; Leila Nasiriani; Tahmine Faraj Khoda; Khadijeh Azimi; Naser Bahrani
Volume 19, Issue 3 , March 2017, , Pages 1-6
Abstract
Background: Job satisfaction, which is affected by various factors, indicates positive or negative attitude of employees towards their own occupation and affects the quality of service.Objectives: The present study aimed at investigating job satisfaction and some of its related factors in midwives of ...
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Background: Job satisfaction, which is affected by various factors, indicates positive or negative attitude of employees towards their own occupation and affects the quality of service.Objectives: The present study aimed at investigating job satisfaction and some of its related factors in midwives of Tehran primary health centers in 2014.Methods: The present cross sectional study was conducted on 125 employed midwives in Tehran health centers in 2014. Random quota samplingmethod was used to collect data. Moreover, data were gathered using a self-report questionnaire and analyzed using descriptive and analytic statistical methods (Chi square and Pearson’s correlation coefficient test).Results: The mean age of the participants was 37.38 ± 8.34 years, and the mean score of job satisfaction of midwives was 59.25 ± 1.33, which is considered moderate. A significant direct relationship was obtained between job satisfaction and the current job promotion system (P = 0.003), and modeling other colleagues (P = 0.05), moreover, a reverse relationship was found between job satisfaction and role ambiguity of midwifery (P = 0).Conclusions: Considering the findings of the present study, it seems necessary to pay more attention to the factors that increase job satisfaction of midwives such as decreasing role ambiguity and improving job promotion system in midwifery to improve their job satisfaction and the quality of care they provide to patients.
