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Showing 5 results for Self-Care
The Effect of Self-Care Education on Quality of Life in Unstable Angina Patients in Kashan Shahid Behashti Hospital, 2011
Neda Mirbagher Ajorpaz, Mahboube Kafaei Atrian,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Unstable angina (UA) patients account for more than half of hospitalized patients in CCU. Very often, re-hospitalization of these patients is due to lack of enough information and compliance with medical advice, having negative effect on quality of life. Thus, we aimed to determine the effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti hospital in 2010. 
Material and Methods: This quasi-experimental study was conducted on 80 unstable angina patients divided randomly into control and intervention group. The instruments were demographic and quality of life questionnaire (SF36), used before and after intervention. For intervention group, we carried out two face-to-face 2-hour sessions. The first session was performed at admission and the second at the time of discharge with the presence of patient’s family. Finally, the two groups were compared and analyzed by SPSS 14 version, using paired t test and independent t test. 
Results: The results in two groups showed that there were significant differences in dimensions including General health, physical health, mental health, social function, limitation in activities, and vitality (p≤0.05). But the difference was not significant for health changes and body pain. 
Conclusion: Nurse follow-up and patient-centered self-care education can be useful for improving quality of life in unstable angina patients.

Underlying Factors Influencing Self-Care Quality in Type 2 Diabetic Patients in Khoram Abad City,Iran
Leila Davari, Dr Ahmad Ali Eslami, Akbar Hassan Zadeh ,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Diabetes is the most common metabolic disorder associated with long-term complications. social and psychological factors have a crucial role in its management . the treatment of Diabetes mainly depends on the patient and self-care is one of the most important factors in controlling this disease. This study aimed at evaluating the self-care related factors in type 2 diabetic patients. 
Material and Methods: This descriptive-analytical study was conducted on 95 patients with type 2 diabetes in Khorramabad city in 2013. The data collected by a demographic questionnaire and Glasgow and tobert Self-care scale was analyzed by spss 20 software using independent t-test, Pearson correlation and One Way ANOVA. 
Results: Considering all areas, the average self-care score was 53.6±11.7. The lowest score was in the areas of glycemic control, physical activity, and the highest one in diet and foot care. Based on marital status, education, income and type of treatment, The average self-care was significantly different (P< 0.05). 
Conclusion: In accordance with the real need unique characteristics of the patients, comprehensive and practical training related self- care behavior should be considered.

The Effect of Virtual Self-Care Education on the Perception of Type 1 Diabetes-Related Stigma in Female Adolescents with Diabetes: A Clinical Trial
Maryam Puryaghoob, Mehri Doosti Irani, Nasrin Masoumi, Soroor Parvizy,
Volume 18, Issue 2 (7-2021)
Abstract
Background: Given the importance of diabetes-related stigma and its coincidence with adolescence and the need to implement a self-care program to strengthen knowledge, improve attitudes and practice in adolescents, the present study aimed to determine the effect of virtual self-care education on the perception of type 1 diabetes-related stigma in female adolescents with diabetes.
Methods: The present quasi-experimental clinical trial was done on 76 girls with type 1 diabetes as members of the Iranian Diabetes Society (IDS) in 2016. We recruited patients using the convenience sampling, and then randomly assigned to experimental and control groups. We implemented the self-care education in the experimental group through a mobile-based virtual social network for 12 weeks (a media message per day and interactively). The 35-item online questionnaire of type 1 diabetes-related stigma were fulfilled before intervention, immediately after the intervention and 4 weeks after the intervention. Data were analyzed using the independent t-test, Fisher's exact test, and Chi-square test in SPSS-16.
Results: There was no significant difference between the experimental (94.09±21.89) and control groups (89.87±22.97) in terms of mean scores of stigmas before the intervention (P=0.415). Mean scores of stigmas decreased significantly in the experimental group immediately (78.20±18.66; P=0.043) and 4 weeks after the intervention (77.47±19.39; P=0.012) compared to control group.
Conclusion: Self-care education via virtual social networks was effective in reducing the stigma perception. In general, the more education was separated from its traditional method, lecturing, and was accompanied by attractive and popular methods, such as the use of social networks, the higher the level of learning, and the more enjoyable it became.

The effects of self-care education based on the family-centered empowerment model on functional independence and life satisfaction among community-dwelling older adults: A randomized controlled trial
Tanaz Mehrab-Mohseni, Shahzad Pashaeypoor, Shima Nazari, Farshad Sharifi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Self-care is an indicator of power and independence among older adults. Family can increase older adults’ motivation and desire for engagement in self-care activities. This study aimed to determine the effects of self-care education based on the family-centered empowerment model (FCEM) on functional independence and life satisfaction among community-dwelling older adults.
Methods: This randomized clinical trial was conducted on 126 community-dwelling older adults   from local sociocultural centers in 2021. They purposively recruited and randomly allocated to control (n = 63) and intervention (n = 63) groups. The intervention group received FCEM-based self-care education in six 1.5-hour weekly sessions. The education focused on the physical, psychoemotional, social, and spiritual aspects of self-care and was based on the 4 steps of FCEM: perceived threat, problem-solving, educational participation, and evaluation. Katz Index of Independence in Activities of Daily Living (Katz ADL Index) and Zest Life Satisfaction Index were respectively used for independence and satisfaction assessments before and 8 weeks after the study intervention. The data were analyzed using SPSS version 16 and through the Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon, and chi-square tests.
Results: The mean age was 67.57 ± 4.62 years in the intervention group and 67.08 ± 4.62 years in the control group. There were no significant differences between the intervention and control groups respecting the pretest mean scores of life satisfaction (16.54 ± 4.46 vs 16.68 ± 4.23; P = 0.963) and functional independence (4.78 ± 1.15 vs 5.11 ± 1.00; P = 0.107). The posttest mean score of functional independence was also insignificant (5.52 ± 0.692 vs 5.24 ± 0.911; P = 0.92) between the 2 groups. However, the Mann-Whitney U test showed that the posttest mean score of life satisfaction was significantly greater in the intervention group than in the control group (18.95 ± 4.36 vs 16.13 ± 4.41; P = 0.001).
Conclusion: FCEM-based self-care education effectively improves life satisfaction among community-dwelling older adults.
Relationships among self-care behaviors, anxiety, depression, and religious attitudes in patients with heart failure
Alireza Salar , Kourosh Zarea , Nahid Kashisaz , Farzaneh Ahmadi , Samaneh Alinejad ,
Volume 23, Issue 1 (5-2026)
Abstract
Background: Heart failure (HF) is a chronic condition requiring effective self-care to improve clinical outcomes and quality of life. Psychological factors such as anxiety and depression, as well as religious attitudes, may influence self-care behaviors, but evidence remains inconsistent. Thus, this study aimed to examine the relationships among self-care, religious attitudes, anxiety, and depression among patients with HF.
Methods: This cross-sectional study involved recruiting 114 HF patients through convenience sampling at two educational hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences in Iran in 2023. Participants completed a demographic questionnaire, the European Self-Care Behavior Questionnaire (ESCBQ), the Hospital Anxiety and Depression Scale (HADS), and a Religious Attitude Questionnaire. Data were analyzed using SPSS v.22 running t-tests, one-way ANOVA, Chi-square tests, Pearson correlations, and multiple and simple regression analyses.
Results: Participants had a mean age of 55.47±13.90 years, and hypertension was the most common comorbidity (15.8%). The mean self-care score was 38.92 ± 7.86 (moderate level; higher scores indicate poorer self-care). Their anxiety (9.83±4.22) and depression (9.61±4.75) were at moderate levels, while their religious attitudes averaged 69.05 ± 10.08. Self-care behaviors were significantly negatively correlated with both anxiety and depression (p<0.05), but not with religious attitude. Multiple regression analysis revealed anxiety as the only independent predictor of self-care (β=0.50, p<0.001).
Conclusion: Anxiety is a key determinant of self-care in patients with HF, whereas depression has an indirect effect, and religious attitudes show no significant influence. Interventions focusing on anxiety reduction and psychological support may prove effective in enhancing self-care behaviors and improving clinical outcomes in this population.

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