Relationship between trust in God and self – efficacy With mental health in type II diabetics

Background and Aim: Diabetes mellitus is a prevalent chronic disease in the world, which threatens mental health. Various factors, including improvement of religious faith and increasing self-care efficacy, are effective in the treatment and control of the complications of the disease. The present study aimed at studying of the role of trust in God and self– efficacy in the mental health of type П diabetics. Materials and Methods: The present descriptive– analytical and correlational study was done on 204 type П diabetics selected through systematic randomized method. The patients' trust in God, self– efficacy, and mental health were assessed by means of "trust in God" questionnaires DMSES and GHQ-28. The obtained data was analysed by means of SPSS software (version 13), Pearson's correlation coefficient, t-test, and multiple regression analysis at the significant level α=0.05. Results: It was found that there was no significant difference between the two genders regarding trust in God, self-efficacy, and mental health at the level P<0.05. Besides, according to Pearson's coefficient correlation the relationship between trust in God and self-efficacy (P<0.001, r=0.45), between mental health and self-efficacy (P<0.001, r=0.44) was significant. Regression analysis revealed that trust in God and self-Efficacy justifies 35% of mental health variance in diabetics and are powerful prognosticators of the illness. Conclusion: Regarding the increase in the prevalence of diabetes mellitus, the disease is one of the notorious health problems in the world. Thus, intervention aimed at increasing religious faith and self-efficacy in order to do self-care activities will be useful in decreasing diabetic complications

The effectiveness of group training of cognitive behavioral therapy-based stress management on anxiety, hardiness and self-efficacy in female medical students

INTRODUCTION: The present study aimed to investigate the effectiveness of cognitive behavioral therapies (CBTs) for anxiety, hardiness, and self-efficacy in female students of Birjand University of Medical Sciences. MATERIALS AND METHODS: This was an interventional study. A sample of 30 participants were selected through the available sampling method and randomly assigned into experimental (CBT) and control groups (each group, 15 female student). The data collection instrument was the Beck Depression Inventory questionnaire. The questionnaires of Beck Anxiety Inventory, Ahvaz Hardiness Inventory, and Schwartz's General Self-Efficacy Scale were completed by all participants in two stages (pretest and posttest). A 6-session protocol of cognitive behavioral group therapy was performed only on the experimental group. The data were analyzed using Kolmogorov–Smirnov, Levene's F, Mbox, analysis of variance, and multivariate analysis of variance tests. RESULTS: The intervention group showed that the mean of anxiety decreased, whereas (P < 0.001) the means of hardiness and self-efficacy increased in the posttest for the experimental group (P < 0.001). CONCLUSION: Based on the obtained results, it can be concluded that CBT is an effective treatment for anxiety, hardiness, and self-efficacy. Therefore, through managing anxiety, the levels of hardiness and self-efficacy can be increased in students of university to be able to cope with the different challenges in their life

Diabetes patients’ perspectives on the patients’ rights: evidence from east of Iran

Purpose The Iranian patients’ rights charter defines patient rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patient rights accepted in international texts. The purpose of this paper is to study the way in which diabetes patients’ rights are being exercised in everyday hospital practice in Birjand, Iran. Design/methodology/approach A cross-sectional study design was used in 2014. The sample size was estimated 150 patients, out of which 108 diabetes patients completed questionnaire. The questionnaire of diabetes patients’ perspectives on the patients’ rights was used to collect data. The questionnaire consists of 22 questions. Data entry and analysis were carried out using SPSS software (version 22). Descriptive and inferential statistics were calculated with all survey items and total scores, as well as demographic data. Findings The response rate was 72 percent. Overall, the mean score percentage of diabetes patients’ perspectives on the patients’ rights was 74.04± 8.4. Furthermore, statistical significant differences were found among diabetes patients in relation to patients’ perspectives on the patients’ rights according to highest level of education (F=16.52, p=0.002), their habitat(t=3.49, p=0.001), age groups (F=18.70, p=0.0001) and the duration of the disease (F=5.16, p=0.007). The results showed that no statistically significant differences were observed among diabetes patients in relation to diabetes patients’ perspectives on the patients’ rights according to their gender (F=1.57, p=0.12) and marital status (F=1.56, p=0.09). Originality/value Clinicians can provide care based on patients’ rights, and their knowledge of patients’ rights needs to be evaluated. Educational courses, leaflets, booklets and posters can be helpful in this regard. In addition, professional organizations and the Ministry of Health need to be more sensitive to this issue. </jats:sec