فصلنامه پرستاری دیابت
سال دوازدهم شماره 1 (زمستان 1402)

One of the most significant consequences of the spread of the coronavirus is the onset of anxiety. The amalgamation of anxiety induced by pregnancy and the risk of contracting COVID-19 can lead to inevitable complications for both the mother and the fetus. Additionally, some research has indicated that listening to the Qur'an can alleviate anxiety stemming from various illnesses. Therefore, this study was designed with the aim of investigating the effect of reciting the Quran on COVID-19 anxiety in women with gestational diabetes.

In this clinical trial, 64 pregnant women with gestational diabetes, referred to the health centers of Khomein city, were selected using the available sampling method and divided into two groups: intervention and control. In the intervention group, participants listened to the recitation of Surah Rahman three times a week for four consecutive weeks. No intervention was conducted in the control group. Data collection was conducted using a questionnaire and the Corona Virus Anxiety Scale (CDAS). Subsequently, the data were analyzed using SPSS version 21 software.

The findings revealed that the average change in COVID-19 anxiety in the intervention group decreased from 31.16 ± 10.5 to 11.22 ± 8.03. In the control group, the average COVID-19 anxiety decreased from 29.69 ± 5.85 to 13.63 ± 7.53, and this decrease was statistically significant. Therefore, the average reduction in the COVID-19 anxiety score in the intervention group was higher than that in the control group.

This study demonstrated that reciting the Quran reduced the level of COVID-19 anxiety in the intervention group.

Recognizing the pivotal role of lifestyle in preventing diabetes among prediabetic individuals, this study aimed to assess the impact of a cognitive behavioral program on their lifestyle.

This quasi-experimental study took place between July 2020 and April 2022 in specialized diabetes clinics affiliated with the Institute of Endocrine and Metabolism Sciences at Tehran University of Medical Sciences. Forty-two prediabetic individuals participated in the research through simple random sampling. After random allocation to both groups, data were collected using the International Physical Activity Questionnaire, Adolescence Food Habit Checklist, and Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ).

The findings revealed a statistically significant difference in the dietary habits of adults in the intervention group before and after the intervention (p<.001, p=.480). Additionally, there was a statistically significant difference in tobacco dependence between the intervention and control groups before and after the intervention (p=.084, p=.241). The average dietary behavior score for the intervention group was 19.23 (SD=1.86) compared to 15.95 (SD=2.26) for the control group. The cognitive behavioral program significantly increased dietary behaviors in the intervention group (F=27.87, P<.001).

This study underscores the effectiveness of educational interventions utilizing cognitive behavioral programs in addressing the physical, behavioral, cognitive, and social aspects of smoking cessation and dietary habits among prediabetic individuals. Such models hold promise for inclusion in educational programs aimed at diabetes prevention.

Diabetes is one of the most common chronic diseases among children and adolescents. This study aimed to investigate the role of depression and stress, mediated by family relationships, in substance use among diabetic adolescents.

This study utilized a correlational design employing structural equation modeling. The research population consisted of diabetic adolescents who were members of the Urmia Diabetes Association and were referred to diabetes specialists at Imam Khomeini Hospital (RA) in Urmia city in 2019. A total of 206 individuals were selected using available sampling methods. The research tools included the Substance Use Screening Scale-Adolescent Version and questionnaires on depression, stress, and family relationships. Data were analyzed using Pearson correlation coefficients and structural equation modeling.

The findings indicated that the current research model fit well based on model fit indices such as CFI (0.97) and GFI (0.94). Moreover, the direct effects of depression (β=-0.33, P<0.001) and stress (β=-0.51, P<0.001) on family relationships, and family relationships (β=-0.25, P<0.008) on substance use, were significant. However, the direct effects of depression (β=0.02, P=0.73) and stress (β=0.04, P=0.64) on substance use were not significant. Additionally, the indirect effects of depression (β=0.17, P=0.007) and stress (β=0.26, P=0.006), mediated by family relationships, on substance use were significant.

depression and stress, through their impact on decreasing family relationships, may contribute to increased substance abuse among diabetic adolescents.

In this research, diabetes is approached from a qualitative perspective. Phenomenology, as a method for expressing and describing experiences and meaning-making processes, offers a comprehensive overview of the human experience of illness. The main goal was to investigate the experiences of diabetic patients to gain a deeper understanding of health-oriented life.

This research employed a qualitative approach, utilizing Schutz's phenomenological method. In-depth and consecutive interviews were conducted as instruments to gather descriptions of lived experiences. A total of 21 diabetic individuals living in Jahrom were studied through purposive sampling over an 8-month period. The collected data were analyzed and classified using the Schutz method.

The findings revealed six main themes: self-care, sleep, weight control, physical health, sexual health, and mental health, along with 21 sub-themes.

Improving health-oriented life in diabetic patients necessitates a comprehensive approach. Diabetic patients exhibited health-oriented life experiences, with self-care, physical health, mental health, and sexual health playing significant roles.

Today, health indicators are recognized as pivotal factors in a country's development, potentially contributing to the enhancement of overall development indicators. With this in mind, this research was conducted to analyze the impact of health indicators on cultural indicators among diabetic patients in Iran's provinces.

This study adopts an applied and analytical approach. Data were gathered from forms designed based on expert opinions and classified information from statistical yearbooks spanning the years 2015 to 2019 for the country's provinces. Data analysis was conducted using Stata 17 software, employing panel data to estimate the model, and the Xtpcse test to assess hypotheses.

The research findings indicate that health indicators exerted a positive and significant influence on cultural indicators among diabetic patients, including the number of published book titles and the activity level of publishers.

Authorities in the country can promote reading and research endeavors by identifying and effectively utilizing impactful indicators in both health and culture domains. This could involve organizing free webinars and educational workshops in libraries and cultural centers to foster engagement. Additionally, to address health and hygiene concerns, particularly among young people, initiatives can be undertaken to encourage health professionals and doctors to create publications and blogs aimed at enhancing the health and well-being of diabetics.