Introduction
The decision to start insulin therapy is often difficult. Determining the barriers against insulin therapy initiation can facilitate care and treatment strategies. The aim of this study was to evaluate the barriers against initiating insulin therapy among patients with diabetes living in Yazd, Iran.
Methods
This descriptive study was conducted on 214 patients referred to the Diabetes Center of Yazd University of Medical Sciences in 2015. Participants were randomly selected, and then they completed the insulin noncompliance questionnaire (20 questions). The percentage of adherence and the factors contributing to nonadherence to insulin therapy were analyzed using descriptive statistics, the Kruskal–Wallis test, and the Mann–Whitney test.
Results
The most prevalent reason for insulin therapy refusal was expecting a new method of diabetes treatment (54.7%), followed by requiring someone else to administer the injection (19.2%), fear of needles, cost, traveling (18.7%), and stress/emotional problems (18.2%). Lack of trust in the physician was the least restrictive reason for nonadherence to insulin therapy.
Conclusion
The most common reason given for insulin therapy refusal was the lack of adequate education. Therefore, specialized educational interventions can help minimize barriers and improve patients’ outcomes.
Introduction. The aim of this study was to evaluate the effect of breathing exercise using bubble blower on anxiety and pain during inferior alveolar nerve block (IANB) in children aged 7 to 10 years. Materials and Methods. In this randomized crossover clinical trial, thirty-five children with moderate to severe anxiety requiring bilateral pulp therapy of mandibular primary molars were enrolled. Based on random lists, 18 children received the BE + IANB and 17 children received a routine IANB at the first session. This trend became reverse at the second visit for each child. Anxiety was measured using Facial Image Scale (FIS), blood pressure, and pulse rate. Face Leg Activity Cry Consolability (FLACC) scale and Wong–Baker Facial Pain Scale (WBFPS) were used for pain measurement. The Paired Samples Test, Wilcoxon Signed Rank Test, and Interclass Correlation Coefficient were used for data analysis. Results. The means of FLACC, WBFPS, FIS, blood pressure, and pulse rate were higher at the control visit. However, these differences were statistically significant only for FLACC scale and WBFPS (
P
value <0.05). In subgroup analysis, only girls and children without any previous dental treatment showed significant differences in FLACC scale and WBFPS between the control and bubble blower side (
P
value <0.05). Conclusion. Breathing exercise using a bubble blower may be an efficient distraction and relaxation method to decrease pain of 7- to 10-year-old children with moderate to severe anxiety during inferior alveolar nerve block. However, anxiety levels were lower when applying BE, and the differences were not statistically significant.
Introduction: Stuttering is a multifaceted disorder that occurs in the natural course of a person’s speech, which accompanied with different behavioral, emotional, social, and attitudinal changes. Therefore, assessing these changes during stuttering is a vital aspect of treating this disorder. This study was done to investigate the relationship between emotional and social components of Calms Test and demographic characteristics of students with stuttering.
Methods: This study was an analytical cross-sectional study (10 months). The sample consisted of 74 students aged 7 to 14 years who were selected by available sampling methods from Speech Therapy Clinics of Yazd in 2020. Calms Test and demographic characteristics questionnaire were used to collect the data. Data were analyzed using SPSS version 16 software, Pearson correlation coefficient, independent t-test and one-way analysis of variance.
Results: Findings showed that there were significant positive relationship between emotional with social component and the age of students with stuttering (p <0.05). However, no significant difference was found between emotional and social components and students' educational levels (p <0.05). Other results showed that male students with stuttering had a better social component than female students.
Conclusion: Assessing the emotional and social components of people with stuttering can examine their knowledge, perception, as well as their sensitivity to the disorder, which is very effective in choosing a treatment strategy.
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