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Investigating the Levels of Liver Lipogenic and Lipolytic Enzymes in Rat with High-Fat Diet and Sucrose Solution Underwent Progressive Resistance Training 研究高脂饮食和蔗糖溶液进行性抗阻训练大鼠肝脏脂肪生成和脂肪分解酶水平
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12967
R. Delbari, R. Fathi, A. Safarzade, K. Nasiri
 Objective: Consuming too much fat or carbohydrates stimulates lipogenesis and excess fat is stored in non-fat tissues, including the liver, and manifests as obesity and fatty liver disease. This study aimed to investigate the effect of eight weeks of progressive resistance training (PRT) on the liver levels of some enzymes affecting lipid metabolism in rats fed a high-fat diet and sucrose solution. Materials and Methods: Twenty-four male wistar rats with 5 weeks of age were randomly divided into two groups: standard diet (SD) (n=8) and high-fat diet and sucrose solution (HFDS) (n=16). Twelve weeks later, HFDS group was divided into two groups: sedentary (HS) and PRT (HPRT). The PRT program was implemented 3 days a week for 8 weeks. Gene expression of AMPKα1, SCD-1, ATGL and FASN enzymes affecting lipid metabolism in liver tissue and its fat content were investigated. Results: HFDS significantly increased the body weight (P: 0.001) and significantly decreased the liver expression of ATGL and FASN (P: 0.001, P: 0.011). Eight weeks of PRT did not show a significant difference in the expression of AMPKα1, SCD-1, ATGL and FASN genes. Rats fed HFDS had considerably higher levels of triglyceride (TG) and total cholesterol (TC) in their liver tissue (P: 0.004, P: 0.001) and PRT did not affect them (P: 0.959, P: 0.809 respectively). Conclusion: It seems that eight weeks of PRT will not change liver lipid metabolism enzymes. Therefore, modifying the diet and changing it, will probably show different results after PRT.
目的:摄入过多的脂肪或碳水化合物会刺激脂肪生成,多余的脂肪储存在包括肝脏在内的非脂肪组织中,表现为肥胖和脂肪肝。本研究旨在探讨8周进行性阻力训练(PRT)对高脂肪饮食和蔗糖溶液喂养的大鼠肝脏中一些影响脂质代谢的酶水平的影响。材料与方法:选取24只5周龄雄性wistar大鼠,随机分为标准饲粮(SD)组(n=8)和高脂饲粮加蔗糖溶液(HFDS)组(n=16)。12周后,HFDS组分为久坐组(HS)和PRT组(HPRT)。PRT计划每周实施3天,持续8周。研究影响肝组织脂质代谢及脂肪含量的AMPKα1、SCD-1、ATGL和FASN酶的基因表达。结果:HFDS显著提高了大鼠体重(P: 0.001),显著降低了肝脏中ATGL和FASN的表达(P: 0.001, P: 0.011)。PRT治疗8周后AMPKα1、SCD-1、ATGL和FASN基因的表达差异无统计学意义。大鼠肝组织甘油三酯(TG)和总胆固醇(TC)水平显著升高(P: 0.004, P: 0.001), PRT对其无影响(P: 0.959, P: 0.809)。结论:8周PRT对肝脏脂质代谢酶无明显影响。因此,调整饮食和改变饮食,可能会在PRT后显示不同的结果。
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引用次数: 0
Improvement of Glucose Homeostasis in Response to Short-Term Aerobic Training in Middle-Aged Men with Abdominal Obesity 短期有氧训练对中年腹部肥胖患者葡萄糖稳态的改善
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12969
Reza Naseri Rad, M. Eizadi, Morteza Ghasemi
Objective: Overweight and obesity is associated with insulin resistance and is the most important risk factor of type 2 diabetes (T2DM). In present study, we assessed glycemic profile and insulin resistance response to a short term aerobic training in middle-aged men with abdominal obesity. Materials and Methods: The subjects included 28 abdominally obese (waist circumference≥102cm) middle-aged men (39 ± 5 year) that were divided into exercise (n=14) or control (n=14) groups by randomly. Exercise subject were completed a short-term aerobic training at 55-70 % of maximal heart rate (6 weeks, 3 times / weekly) and control subjects remained no training. Pre-training and post-training of anthropometrical markers, fasting glucose, hemoglobin (HbA1C), insulin and insulin resistance were measured of 2 groups and compared by independent – paired t test (SPSS, Version 22.0). Results: Aerobic exercise resulted in a significant decrease in glucose level (114 ± 13 versus 101 ± 11 mg/dL, P: 0.009) and HbA1C (6.14 ± 1.11 versus 4.91 ± 1.23, P: 0.021) in exercise group. But no significant changes were observed in insulin (8.31 ± 4.12 versus 8.29 ± 3.21, P: 0.119) and insulin resistance (2.34 ± 0.51 versus 2.07 ± 0.59, P: 0.073) in exercise groups. Conclusion: Based on our finding, aerobic training independent of insulin function is associated with improved glucose in middle-aged obese men and this improvement can be attributed to other changes caused by exercise that requires further study in this area.
目的:超重和肥胖与胰岛素抵抗有关,是2型糖尿病(T2DM)最重要的危险因素。在本研究中,我们评估了患有腹部肥胖的中年男性对短期有氧训练的血糖状况和胰岛素抵抗反应。材料和方法:受试者包括28名腹部肥胖(腰围≥102cm)的中年男性(39±5岁),随机分为运动组(n=14)和对照组(n=14)。运动受试者以最大心率的55-70%完成短期有氧训练(6周,每周3次),对照受试者不进行训练。人体测量标志物、空腹血糖、血红蛋白(HbA1C)的训练前和训练后,结果:有氧运动可使运动组血糖水平(114±13对101±11 mg/dL,P=0.009)和糖化血红蛋白(6.14±1.11对4.91±1.23,P=0.021)显著下降。但运动组的胰岛素(8.31±4.12对8.29±3.21,P:0.119)和胰岛素抵抗(2.34±0.51对2.07±0.59,P:0.073)没有显著变化。结论:根据我们的发现,独立于胰岛素功能的有氧训练与中年肥胖男性血糖的改善有关,这种改善可归因于运动引起的其他变化,需要在这一领域进行进一步研究。
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引用次数: 0
Relationship between Probiotics and Type 2 Diabetes Mellitus: A Review 益生菌与2型糖尿病关系的研究进展
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12971
Amir Hossein Kheirkhah, Mohammad Javad Forouzani-Moghaddam, M. Afkhami-Ardakani
Objective: Diabetes is a chronic medical condition that can be caused by either inherited or acquired insufficiency insulin secretion, or the body's inability to effectively utilize the insulin it produces. There are three primary classifications of diabetes: type 1, type 2, and gestational diabetes. Type 2 diabetes mellitus (T2DM) is characterized by elevated levels of fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c), indicating a disturbance in glucose metabolism. The term "probiotics" refers to living microorganisms that provide beneficial effects on the host's health. The effects of probiotics on T2DM in humans have shown conflicting results. Some studies have demonstrated that probiotic treatment substantially reduces HbA1c, FBG, or insulin resistance (IR) in patients with T2DM. However, other studies have found no significant difference between probiotic-treated patients and those receiving a placebo.. The use of probiotics was found to enhance glucose metabolism and HbA1c levels in individuals with T2DM. These findings are in line with previous reviews conducted on this topic.
目的:糖尿病是一种慢性疾病,可由遗传或获得性胰岛素分泌不足,或身体无法有效利用其产生的胰岛素引起。糖尿病有三种主要类型:1型、2型和妊娠糖尿病。2型糖尿病(T2DM)的特征是空腹血糖(FBG)和糖化血红蛋白(HbA1c)水平升高,表明糖代谢紊乱。“益生菌”一词是指对宿主健康有益的活微生物。益生菌对人类2型糖尿病的影响显示出相互矛盾的结果。一些研究表明,益生菌治疗可显著降低T2DM患者的HbA1c、FBG或胰岛素抵抗(IR)。然而,其他研究发现,在接受益生菌治疗的患者和接受安慰剂的患者之间没有显着差异。研究发现,使用益生菌可提高2型糖尿病患者的葡萄糖代谢和HbA1c水平。这些发现与先前对这一主题进行的审查一致。
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引用次数: 1
Common Polymorphisms Identified In Patients with Type 2 Diabetes Mellitus Revealed From Next-Generation Sequencing Analysis 新一代测序分析揭示了2型糖尿病患者的常见多态性
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12964
F. Sefid, G. Azamirad, Samira Asadollahi, S. Kalantar, Saeede Khalilzade, Mohammad Yahya Vahidi Mehrjardi
Objective: Type 2 diabetes mellitus (T2DM) is a multifactorial genetic condition caused by the combination of genes and environmental factors. Several variations linked to T2DM have been discovered in recent genetic investigations, particularly genome-wide association studies (GWAS). This study aimed to investigate genes involved in T2DM, focusing on the NGS analysis and studying the genetic basis of T2DM to improve diagnosis, prevention, and treatment. Materials and Methods: We selected 5 families based on the diagnosis of diabetes at the age of 30 years or earlier in at least 3 consecutive generations for NGS analyses. Results: For each of the 5 participants tested thus far, a mean of 11 to 21 variants of clinical significance were detected. These variants were located in different genes, which indicate the association of these genes with susceptibility to diabetes. WFS1 and INS gene mutations were present in all five diabetic patients analyzed. Specifically, mutations in WFS1, KCNJ11, ABCC8, HNF1B, INS, GCKR, HNF1A and PCSK1N account for 25%, 13%, 8%, 7%, 7%, 6%, 6% and 6% of patients, respectively. Conclusion: WFS1 is the most often altered gene in our participants with putative alterations, according to our findings (25%). WFS1 mutations were discovered in all of the probands.
目的:2型糖尿病(T2DM)是一种基因和环境因素共同作用下的多因素遗传病。在最近的遗传研究中,特别是全基因组关联研究(GWAS)发现了几种与2型糖尿病相关的变异。本研究旨在探讨T2DM相关基因,重点进行NGS分析,研究T2DM的遗传基础,以提高T2DM的诊断、预防和治疗水平。材料和方法:我们选择5个年龄在30岁或更早诊断为糖尿病且至少连续3代的家庭进行NGS分析。结果:到目前为止,对于5名参与者中的每一位,平均检测到11到21个具有临床意义的变异。这些变异位于不同的基因中,这表明这些基因与糖尿病易感性有关。5例糖尿病患者均存在WFS1和INS基因突变。其中,WFS1、KCNJ11、ABCC8、HNF1B、INS、GCKR、HNF1A和PCSK1N基因突变分别占患者的25%、13%、8%、7%、7%、6%、6%和6%。结论:根据我们的研究结果(25%),WFS1是我们的参与者中最常发生改变的基因。在所有先证者中均发现WFS1突变。
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引用次数: 0
The Satisfaction level with Insulin Treatment in Type 1 Diabetics - Yazd Diabetes Research Center 2019 1型糖尿病患者对胰岛素治疗的满意度-亚兹德糖尿病研究中心2019
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12965
A. Ghadiri-anari, N. Namiranian, Hassan ali Mahmoudi Kohani, Roghaye Razavi, Saeedeh Jam Ashkezari, Z. Mozafari, M. Ordooei
Objective: Diabetes is a non-communicable disease. The patient satisfaction with treatment is a key point of patient’s compliance. Definitive treatment for patients with type 1 diabetes is lifelong insulin injections, but type 1 diabetic patients are commonly in poor glycemic state due to poor compliance. Therefore, it is necessary to check insulin treatment satisfaction in this population. Therefore, the main purpose of this study was to evaluate the satisfaction of insulin treatment in patients with type 1 diabetes in Yazd. Materials and Methods: In this cross-sectional study, 114 patients with type 1 diabetes participated. Persian version of Insulin Treatment Satisfaction Questionnaire (ITSQ) used. All analyzes were performed by SPSS 22. Results: The overall satisfaction mean score in this study was 49.72(± 8.88). Insulin treatment satisfaction score had a significant positive correlation with BMI (P: 0.00) and age (P: 0.04). Hypoglycemic control subscale showed a positive correlation with BMI (P: 0.01) and age (P: 0.01). Also, inconvenience of insulin therapy regimen sub-scale showed a significant positive correlation with age (P: 0.04). Overall satisfaction and sub-groups had no significant correlation with other variables. Conclusion: The overall satisfaction in type 1 diabetics was unacceptable. Understanding the pathogenesis of this problem could guide health care providers for better and effective management of type 1 diabetes. Also, a more comprehensive approach with consider all potentially relevant variables is necessary.
目的:糖尿病是非传染性疾病。患者对治疗的满意度是患者依从性的关键。1型糖尿病患者的最终治疗是终身注射胰岛素,但由于依从性差,1型糖尿病患者通常处于低血糖状态。因此,有必要对该人群的胰岛素治疗满意度进行调查。因此,本研究的主要目的是评估亚兹德1型糖尿病患者胰岛素治疗的满意度。材料与方法:在本横断面研究中,114例1型糖尿病患者参与。使用波斯语版胰岛素治疗满意度问卷(ITSQ)。所有分析均采用SPSS 22进行。结果:整体满意度平均得分为49.72(±8.88)分。胰岛素治疗满意度评分与BMI (P: 0.00)、年龄(P: 0.04)呈显著正相关。低血糖控制量表与BMI (P: 0.01)、年龄(P: 0.01)呈正相关。胰岛素治疗方案不便程度与年龄呈显著正相关(P: 0.04)。总体满意度和分组与其他变量无显著相关。结论:1型糖尿病患者的总体满意度不可接受。了解这一问题的发病机制可以指导卫生保健提供者更好和有效地管理1型糖尿病。此外,考虑到所有潜在相关变量的更全面的方法是必要的。
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引用次数: 0
Evaluation of Restless Leg Syndrome in Patients with Type 2 Diabetes Mellitus 2型糖尿病患者不宁腿综合征的评价
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12966
Tayyaba Khalid, M. Afzal, Aneela Amjad
Objective: To evaluate restless leg syndrome (RLS) in type 2 Diabetes Mellitus (T2DM) in Lahore. Materials and Methods: A cross-sectional study design was recruited for this study. Non-probability purposive sampling technique was used to select the patients in the study. The data was collected from the Pakistan Society for the Rehabilitation of Disabled (PSRD) Hospital and Hameed Latif Hospital Lahore. Patients diagnosed with T2DM with a maximum of 10 years, ages between 35 to 65 years, and patients who suffer from minor complications of diabetes mellitus were in cluded in the study. The RLS rating scale was used to assess the severity of restlessness in participants. Results: Out of 144 subjects, the frequency of the RLS was 71.5% and the majority was more in females as compared to male subjects. The female subjects have moderate severity of RLS while male subjects have mild severity of RLS. Conclusion: The frequency of RLS was high in patients with T2DM and females were more prone to RLS as compared to male subjects.  
目的:探讨拉合尔地区2型糖尿病(T2DM)患者的不宁腿综合征(RLS)。材料与方法:本研究采用横断面研究设计。采用非概率目的抽样技术选择研究对象。数据收集自巴基斯坦残疾人康复协会医院和拉合尔Hameed Latif医院。诊断为2型糖尿病的患者最长10年,年龄在35 - 65岁之间,伴有糖尿病轻微并发症的患者被纳入研究。使用RLS评定量表评估参与者不安的严重程度。结果:144例受试者中,RLS的发生率为71.5%,女性多于男性。女性受试者为中度重度RLS,男性受试者为轻度重度RLS。结论:2型糖尿病患者发生RLS的频率较高,女性较男性更容易发生RLS。
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引用次数: 0
Identification of Factors Related to Sexual Dysfunction in Type 2 Diabetic Women 2型糖尿病女性性功能障碍相关因素的鉴定
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12963
Z. Entezari, Nastaran Injinari, M. Vakili, N. Namiranian
Objective: Type 2 diabetes mellitus (T2DM) is one of the most common metabolic diseases among women. Sexual dysfunction (SD) is a complication in patients with T2DM that has received less attention among women than men. This study aimed to assess the factors related to female SD in T2DM patients. Materials and Methods: 120 women with T2DM who referred to the Yazd Diabetes Center in 2019-2020 were selected. Female sexual function index (FSFI) as a valid questionnaire was used. Neuropathy, nephropathy, retinopathy, hyperlipidemia, hypertension, diabetes medication, Hb1Ac, age, and duration of diabetes as factors related to SD were assessed. The T-test and chi-square tests were used to analyze the data by SPSS 22 software. Results: The mean age of participants was 48.40 (±7.35). The SD was impaired in 85.8% of subjects and none of the participants showed a level of good function in any of the sexual domains. There was a significant relationship between SD and neuropathy (P= 0.005), hyperlipidemia (P= 0.007), hypertension (P= 0.015), diabetes medication (P= 0.005), age (P= 0.0001), and duration of diabetes (P= 0.0001). There was no significant relationship between SD and retinopathy (P= 0.565), nephropathy (P= 0.288), and Hb1Ac (P= 0.92). Conclusion: The frequency of SD in females with T2DM remarkably was high and the factors including age, duration of diabetes, diabetes medication, hypertension, hyperlipidemia, and neuropathy were identified as factors related to SD.
目的:2型糖尿病是女性最常见的代谢性疾病之一。性功能障碍(SD)是2型糖尿病患者的一种并发症,在女性中受到的关注少于男性。本研究旨在探讨女性T2DM患者发生SD的相关因素。材料和方法:选择2019-2020年在Yazd糖尿病中心转诊的120名2型糖尿病女性。采用女性性功能指数(FSFI)作为有效问卷。评估与SD相关的神经病变、肾病、视网膜病变、高脂血症、高血压、糖尿病药物、Hb1Ac、年龄和糖尿病病程。采用SPSS 22软件对数据进行t检验和卡方检验。结果:参与者平均年龄48.40岁(±7.35岁)。85.8%的受试者的性功能障碍受损,没有一个参与者在任何性领域表现出良好的功能水平。SD与神经病变(P= 0.005)、高脂血症(P= 0.007)、高血压(P= 0.015)、糖尿病用药(P= 0.005)、年龄(P= 0.0001)、糖尿病病程(P= 0.0001)有显著相关。SD与视网膜病变(P= 0.565)、肾病(P= 0.288)、Hb1Ac (P= 0.92)无显著相关性。结论:女性T2DM患者发生SD的频率明显高,年龄、糖尿病病程、糖尿病用药、高血压、高脂血症、神经病变等因素与SD相关。
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引用次数: 0
Prediction of Women’s Marital Intimacy Based on Sexual Satisfaction and Health Literacy among Husbands with Diabetes in Ahvaz, 2021 基于2021年阿瓦兹糖尿病丈夫性满意度和健康素养的女性婚姻亲密度预测
Pub Date : 2023-06-20 DOI: 10.18502/ijdo.v15i2.12968
Ghazaleh Hellinia, R. Homaei
Objective: Health literacy improves self-regulation and management of diabetes through proper diets in diabetic men. As a result, they will gain more knowledge about the effects of this disease on marital life and sexual relationships. The present study aimed to investigate the relationship between women’s marital intimacy with sexual satisfaction and health literacy among husbands with diabetes. Materials and Methods: The method of the present research was descriptive and correlational. The statistical population of the study included all male patients with diabetes and their wives in Ahvaz in 2021. Convenience sampling was done to select 140 diabetic men with their wives as the research sample. The research instruments included the Intimacy Questionnaire in Marital Relationships, the Index of Sexual Satisfaction, and Health Literacy for Iranian Adults. Pearson's correlation coefficient and simultaneous regression analysis were used for data analysis. Results: According to the results, sexual satisfaction and health literacy in diabetic men had significant positive relationships with the women’s marital intimacy (P< 0.001). Furthermore, regression results indicated that sexual satisfaction and health literacy had significant multiple correlations with marital intimacy (P< 0.001). Conclusion: The results highlighted the growing importance of paying attention to the roles of women’s sexual satisfaction and their diabetic husbands' health literacy in improving marital intimacy and strengthening both family and marital relationships
目的:健康素养通过糖尿病男性的适当饮食提高糖尿病的自我调节和管理。因此,他们将获得更多关于这种疾病对婚姻生活和性关系的影响的知识。本研究旨在探讨糖尿病丈夫的婚姻亲密度与性满意度及健康素养的关系。材料与方法:本研究采用描述性、相关性研究方法。该研究的统计人群包括2021年阿瓦士所有男性糖尿病患者及其妻子。选取140名糖尿病男性及其妻子作为研究样本,进行方便抽样。研究工具包括婚姻关系亲密问卷、性满意度指数和伊朗成年人健康素养。采用Pearson相关系数法和同时回归分析法对数据进行分析。结果:男性糖尿病患者的性满意度、健康素养与女性婚姻亲密度呈显著正相关(P< 0.001)。此外,回归结果显示,性满意度和健康素养与婚姻亲密关系存在显著的多重相关(P< 0.001)。结论:研究结果表明,重视女性的性满意度及其糖尿病丈夫的健康素养在改善婚姻亲密关系、加强家庭和婚姻关系中的作用日益重要
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引用次数: 0
Effect of Vitamin C Therapy on Serum Parameters in Patients with Type 2 Diabetes Mellitus: Clinical Trial 维生素C治疗对2型糖尿病患者血清参数的影响:临床试验
Pub Date : 2023-03-13 DOI: 10.18502/ijdo.v15i1.12206
Shiva Kordestani, Seyyed Behzad Razavi, M. Najaf Najafi, P. Layegh, Mohammad Mobin Miri Moghaddam, Amirali Aali, Masoud Mohebbi
Objective: Diabetes mellitus (DM) is a leading cause of morbidity and death worldwide. DM will affect 570.9 million people worldwide by 2025. The usefulness of vitamin C in improving diabetes control has been a point of contention.  Materials and Methods: This clinical-trial double-blind study with control groups was conducted on 164 patients with type 2 diabetes mellitus (T2DM). The intervention group received 1000 mg of oral vitamin C daily, and a placebo was administered to the controls. To analyze the obtained data, one-way ANOVA was used in SPSS software (version 20). A P< 0.05 was considered statistically significant. Results: Fasting blood sugar (FBS), hemoglobin A1c (HbA1C), triglyceride (TG), and high-density lipoprotein (HDL) were improved significantly in the intervention group (P< 0.05), while the low-density lipoprotein (LDL) and cholesterol were unaffected (P> 0.05). HbA1C and LDL levels in the control group increased significantly (P< 0.05). Meanwhile, this group's HDL levels decreased considerably. Conclusion: Our findings support the consumption of vitamin C to complement the primary treatment for DM. According to our results, vitamin C provides a clear benefit over a placebo in the treatment of diabetic patients' serum parameters.
目的:糖尿病(DM)是世界范围内发病和死亡的主要原因。到2025年,糖尿病将影响全球5.709亿人。维生素C在改善糖尿病控制方面的作用一直是争论的焦点。材料与方法:对164例2型糖尿病(T2DM)患者进行对照组双盲临床试验。干预组每天口服1000毫克维生素C,对照组服用安慰剂。为了分析所获得的数据,在SPSS软件(版本20)中使用单因素方差分析。P<0.05被认为具有统计学意义。结果:干预组空腹血糖(FBS)、糖化血红蛋白(HbA1C)、甘油三酯(TG)、高密度脂蛋白(HDL。结论:我们的研究结果支持服用维生素C来补充糖尿病的初级治疗。根据我们的研究成果,维生素C在治疗糖尿病患者的血清参数方面比安慰剂有明显的益处。
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引用次数: 0
The Effectiveness of Cognitive Behavioral Stress Management on Health-Related Quality of Life, Diabetes Management Self-Efficacy, and Treatment Adherence in Type 2 Diabetes 认知行为应激管理对2型糖尿病患者健康相关生活质量、糖尿病管理自我效能和治疗依从性的影响
Pub Date : 2023-03-13 DOI: 10.18502/ijdo.v15i1.12207
Samaneh Motaghi, I. Rahimian Boogar, S. Moradi, Nemat Setoodeh Asl
Objective: This study aimed to investigate the effectiveness of cognitive behavioral stress management (CBSM) on health-related quality of life (HRQOL), self-efficacy of diabetes management, and adherence to treatment of patients with type 2 diabetes. Materials and Methods: The present study was a semi-experimental study with a control group. The research samples included 30 patients with type 2 diabetes. Data collection tools in this study included the Boyer & Earp quality of life (QOL) scale for patients with diabetes (D-39), the diabetes management self-efficacy scale (DMSES), and treatment adherence questionnaire in patients with chronic diseases. The CBSM therapy was performed in 8 sessions for the experimental group. To analyze the data, a univariate analysis of covariance was used with SPSS-23 software. Results: The results showed that the CBSM had a significant effect on the overall health-based QOL (F=8.620; P=0.007), diabetes management self-efficacy (F=12.021; P=0.002), and treatment adherence (F=83.253; P=0.0001). In addition, the CBSM has a significant effect on diabetes control (F=8.932; P=0.007), anxiety and worry (F=5.023; P=0.035), and sexual functioning (F=7.611; P=0.011), diet (F=10.041; P=0.004), therapeutic regimen (F=24.250; P=0.0001), making effort for treatment (F=22.987; P=0.0001), intention to take the treatment (F=108.001; P=0.0001), adaptability (F=28.704; P=0.0001), and integrating illness into life (F=38.263; P=0.0001). Conclusion: The CBSM intervention can be used to improve health-based QOL, diabetes management self-efficacy, and treatment adherence in type 2 diabetes patients.
目的:本研究旨在探讨认知行为压力管理(CBSM)对2型糖尿病患者健康相关生活质量(HRQOL)、糖尿病管理自我效能和坚持治疗的有效性。材料与方法:本研究为半实验研究,设对照组。研究样本包括30名2型糖尿病患者。本研究中的数据收集工具包括糖尿病患者的Boyer&Earp生活质量量表(D-39)、糖尿病管理自我效能量表(DMSES)和慢性病患者的治疗依从性问卷。实验组共进行了8次CBSM治疗。为了分析数据,使用SPSS-23软件对协方差进行单变量分析。结果:CBSM对整体健康生活质量(F=8.620;P=0.007)、糖尿病管理自我效能感(F=12.021;P=0.002)和治疗依从性(F=83.253;P=0.0001)有显著影响,饮食(F=10.041;P=0.004)、治疗方案(F=24.250;P=0.0001)、努力治疗(F=22.987;P=0.0001,以及2型糖尿病患者的治疗依从性。
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引用次数: 0
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Iranian Journal of Diabetes and Obesity
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