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Showing 4 results for Diabetes
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Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim. The aim of this study was to investigate anthropometric indices in acute myocardial infarction patients and their relationship with some coronary heart disease risk factors. Background. Several studies showed that not only the quantity, but also the distribution of the fat mass is important, because increased visceral fat tissue deposition is a risk factor for cardio-metabolic diseases. Method. In this cross-sectional study with a descriptive correlational design, 140 patients with acute myocardial infarction were selected from cardiac care unit of Shariati and Rajaei hospital in Karaj, 2009. The sampling method was convenience. Demographic data and history of cardiovascular risk factors were collected through interview, and some medical information were reviewed from medical records, anthropometric indices were measured by balance scale and meter tape. Data were analyzed using SPSS software and using descriptive statistics, t-test, ANOVA and Pearson coefficient correlation. Findings. Neck circumference of 46.6% of men was over 40cm and 33.3% of women more than 37cm. Also, 53.9% of men and 74.1% of women had a waist circumference above 95 cm. Waist-to-hip ratio of 66.4% of men over 0.95 and 66.7% of women over 0.90. Waist-to-height ratio of 61.9%% of men over 0.55 and 66.7% of women over 0.62. Also, 13.3% of males and 29.6% of women had a BMI above 30 kg/m².There were significant positive correlation between triglyceride levels with neck circumference (p=0.006), waist circumference (p<0.001), waist-to-height ratio (p<0.001) and BMI (p<0.001), between cholesterol with neck circumference (p=0.009), waist circumference (p=0.001), waist-to-height ratio (p=0.003) and BMI (p<0.001), between LDL with waist circumference (P=0.005), waist-to-height ratio (p=0.014) and between glucose with waist-to-height (p=0.038). HDL had negative correlation with Waist-to-hip ratio (p<0.001) and waist-to-height ratio (p=0.001). Conclusion. More than half of myocardial infarction patients had central obesity. Central obesity is associated with cardiovascular risk factors. It Seems that lifestyle change and weight loss are to be considered during cardiac rehabilitation programs for myocardial infarction patients with overweight and obesity for reduces cardiovascular risk factors.
Fatemeh Bahramnezhad, Elham Navab, Mojdeh Navid Hamidi, Nasrin Mehrnezhad,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.This review study was done with the purpose of exploring the role of diabetes role in the development of atherosclerosis. Background.The process of accumulation of fat in the blood vessels is called atherosclerosis. The most important risk factors and aggravating condition of atherosclerosis are the accumulation of carbohydrates and diabetes. Method.In this study, we reviewed the electronic and manual searches of databases such as Medline, Embase, Springer, Blackwell Synergy, Elsevier, Scopus, Cochran Library and the databases SID, Iran Medex and Magiran within the time period of 2005 -2015. Findings.The most common cause of death in patients with diabetes is coronary artery disease. Because nitric oxide production is higher in diabetic patients, the process of atherosclerosis occurs more rapidly and coagulation cascade disorder leads to the platelet adhesion, so, diabetic people, especially women, are more prone to atherosclerosis and coronary artery disease. Conclusion.Nurses can modify several risk factors for atherosclerosis in these patients through education and follow-up, thereby, improving quality of life in these patients.
Ensieh Ghatee, Narges Sadeghi, Mehrdad Azarbarzin,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to compare hope and anxiety between adolescents with a parent with chronic heart disease and adolescents with a parent with type 2 diabetes.
Background. Chronic illness in parents is associated with developing problems such as decreased hope and anxiety for children.
Method. The present study was a descriptive cross-sectional comparative study in which 120 adolescents either with a parent with chronic heart failure or with a parent with diabetes type 2 were recruited by convenience sampling. Schneider's hope scale and Beck anxiety questionnaire were used to collect the data. Data were analyzed using descriptive and inferential statistics in SPSS software version 24.
Findings. The total hope score in adolescents with parents with chronic heart failure and adolescents with parents with type 2 diabetes was respectively 28.70±5.01 and 31.40±4.20. Sixty percent of adolescents with a parent with chronic heart disease had the lowest anxiety level, 25 percent experience mild anxiety, 10 percent reported moderate anxiety, and 5 percent experience severe anxiety. Ninety and five percent of adolescents with parents with diabetes showed the lowest anxiety, 3.3 percent experienced mild anxiety and 1.7 percent reported moderate anxiety.
Conclusion. Adolescents with a parent with chronic heart disease have significantly higher levels of anxiety than adolescents with a parent with diabetes type 2, and there is a significant difference between their overall hope score. Because anxiety and hope can affect all aspects of a person's life, therefore, the implementation of educational and behavioral interventions to improve anxiety and hope is recommended.
Mohamadreza Abedi, Zahra Ghaemmaghami, Shiva Khaleghparast Athari, Yasaman Khalili,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This Study aimed to examine the effect of social networking education on blood glucose control and post-surgical infections after open heart surgery in diabetic patients.
Background. Cardiovascular surgery is one of the most common surgeries that is performed with the aim of increasing survival and improving the quality of life in diabetic patients.
Method. This randomized clinical trial study was conducted on 120 diabetic patients (age range 18-60 years) who underwent open heart surgery at Shahid Rajaei Cardiovascular Research and Research Center. The participants were randomly divided into experimental (n=60) and control group (n=60). In the experimental group, posts were delivered to patients with educational content (such as nutrition education, blood sugar self-monitoring, and ...) on a daily basis for three months on the WhatsApp social network. Data were collected by a checklist consisting of three parts: demographic characteristics, fasting blood sugar (FBS) and glycosylated hemoglobin (HbA1c) of patients before and 3 months after the intervention.
Findings. In both experimental and control group, 55 percent were male and 45percent were female. The percent of patients with postoperative wound infection in the experimental and control groups was 5.0 and 3.3, respectively. After intervention, in the experimental group, the FBS and Hb1Ac median was significantly reduced compared to before the intervention (p<0.001). The levels of FBS and Hb1Ac before and after the intervention did not differ significantly between the experimental and control group.
Conclusion. There was no different between groups in terms of blood sugar control and wound infections after open heart surgery. Due to the easy access, lack of time and space limitations of using social networks, further studies with longer follow-up are recommended.
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