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6 8D J. X= XV 'D < f' T : ;G4 D Cuspidi F 86 i D T* < : LV < L& 0) I5 <7/C J D F t = 8D J E.(19 F:+ D U/ (6 Ü94 F E A <) :+ u/c 4 ;G4 < < ( :+ T>Y T&= )* :+ DF : LA4 : ).? T ). F Ü94 () = <}.A Å? 8?) I5 8D J. 8D f : D D :+ <Y : ULV o. E <.'. V )7I \C? xa <A <7/C : LV <': 8D F:+ : 7 / (* 61/7) [?. \C? F:+ : 6 86 (* 83/3) {Y \C? < xa S RV E I5 <7/C.(1) D <9V 94 <9V 97 <.)D O RV D V6 <7/C. <9V 14 <.)D O )* A K. D Ford <7/C E'WD.(1)? ' <9V E UY T7/C : 8 u4 < <A? )4 : 4 E.() ]PY <) 8D J D (1.= )4 )4 & D : E :+ <Y : ULV < L& : E <Y : 7 E <A? <.6 H>.Y D 3 N :+ <Y Lx ;G4 : : 7 4 <A? T~4 ': + 'A F:+?? 89 < <=4. : ;G4 E74 I5 <7/C : K E Y 'V $.'A F D+ F:+. K < >.L : 8D J xa U~ f : 8D J E 4 6 D U~ K <A E < <=4. <Y E : ( <. ÇL4 N = <': </ D+ I5 8D J. f' 4 N?. A U'??K>S : < = E :.& X' E < T7/C,? D J 9 'D T>S A E= <= ÑD < <A W < <=4 Dd. :+ D D Y 'V < Ç D:+ 6 E <A 6 <N. E'W 4 F:+ : N : $.'A ]PY M1 w &= A D+ : A5 < T7/C.L :t : LV M1 w <':. F:+ T7/C?.(15 16). 86 i D.(17) I5 8D J dd <A? ]PY F :. E 8D J 86 F:+ : 7 N : ).? :+ <Y ;G4 : E <A 6 i 4 <A D N ]PY Lx F

7 :+ < : D Heisler <A A Y * 7/3 < <Y : ULV * 8/3 : A1c ED D <A SD.(31)? <Y : ' dd I5 <7/C J <N. 'V 8DA F:+ ;G4 'D D $.'A Y A ÇL'.? E'W 4 R9^4 E o. < <=4 Y 'V u?' $.'A <A? < A : ).? S < T* z.d :+. N K ]PY - < )* D J 7 <7/C E / 5 up4 <C? )* <&?.^ U'? : E'}D. '=.? Ç LS gd4 :+.^ $ %& E = < 6 {'=. V <7/C : E A 8D J. H>.Y M1 w F:+ O : 7 8D J o. = E.(3) A : 8DA U) F: O N $L <. =.(4) D (@:? A TA5 <L'= <A : F:+ ;G4 99^ : Y 9 < Y < = I5 8D J.(5) N <': 86 8 T* D < ) <.Y+ + 3 :+ <Y O L T ts F:+ ; <A 8DA /+ N 8D J <7/C.(6)? <. 6 :,&^ S < <Y : 7 A1c ED * FBS I5 F:+ Lx ;G4 <A 6 F:+ ;G4 YD R9^4.(7-9 17) < T7/C? F:+ <A N 9D [?4 <A < 11/3 ± 3 : [?. S < <: ED.(9)? A 8DA (P < 0/005) 9/48 ± Y 'V 8DA : A5 D Matteucci <7/C.(30)? F:+ ; Y 'V. $.'A. References 1. Obrosova IG, Chung SS, Kador PF. Diabetic cataracts: mechanisms and management. Diabetes Metab Res Rev 010; 6(3): Aghamollaie T, Eftekhar H, Shojaeizadeh D, Mohammad K, Nakhjavani M, Ghofrani F. Behavior, metabolic control and health- related quality of life in diabetic patient at Bandar Abbas diabetic clinic. Iranian Journal Public Health 003; 3(3): Aghamolaei T, Eftekhar T, Mohammad K, Nakhjavani M, Shojaeizadeh D, Ghofranipour F, et al. Effect of a health education program on behavior, HbA1c and health- related quality of life in diabetic patients. Acta Medica Iranica 005; 43():

8 4. Waryasz GR, McDermott AY. Exercise prescription and the patient with type diabetes: a clinical approach to optimizing patient outcomes. J Am Acad Nurse Pract 010; (4): Baum K, Votteler T, Schiab J. Efficiency of vibration exercise for glycemic control in type diabetes patients. Int J Med Sci 007; 4(3): Azizi F, Larijani B, Hossien Panah F. Endocrine Disorders. Tehran: University of Shahid Beheshty Publication; Kordi R, Rabbani A. Exercise and Diabetes Type 1 Recommendations, Safety. Iranian Journal of Pediatrics 007; 17(1): Shabbidar S, Fathi B. Effects of nutrition education on knowledge and attitudes of type diabetic patients. Journal of Birjand University of Medical Sciences 007; 14(1): Mohammadzedeh SH, Rajab A, Mahmoodi M, Adili F. Assessment of effect of applying the transtheoretical model to physical activity on health indexes of diabetic type patients. Medical Science Journal of Islamic Azad University,tehran Medical 008; 18(1): Rhee MK, Slocum W, Ziemer DC, Culler SD, Cook CB, El Kebbi IM, et al. Patient adherence improves glycemic control. Diabetes Educ 005; 31(): Agnasier P, Liotolz B. Exercise and cure disease. Trans. Hazaveyee S; Torkaman A. Hamedan: Chehr Publication, Forghani B, Kasaeean N, Faghih Imani B, Hossein Poor M, Amini M. Assessment of leisure time physical activity situation in NIDDM patient referring to diabetic center Esfahan. The Bimonthly Medical Research Journal of Ahvaz Jundishapur University of Medical Sciences 001; 4(31): Nakamura N, Kanematsu Y. Coping in relation to self-care behaviors and control of blood glucose levels in Japanese teenagers with insulin-dependent diabetes mellitus. J Pediatr Nurs 1994; 9(6): Aghamohammadi M. The Effect of Education on Foot Care in Diabetic Patients. Journal Of Ardabil University Of Medical Sciences & Health Services 005; 5(17): Baghiani Moghadam MH, Afkhami Ardekani M. The effect of educational intervention on quality of life of diabetic patients type, referee to diabetic research centre of Yazd. Ofogh-e-danesh, Journal of Gonabad University of Medical Sciences And Health Services 007; 13(4): Borzou SR, Biabangardi Z. The effect of dietary edcation upon the level of blood sugar of patient with NIDDM. Journal of Qazvin University of medical sciences 000; 13(1): Khoshniat M, Komeylian Z, Moadi M, Peimani M, Heshmat R, Baradar jalili R, et al. The effect of three educational method on the level of knowledge of school health care worker of diabetes in elementary school of tehran, 003. Iranian Journal of Diabetes And Lipid Disorders 007; 6(4): Cuspidi C, Sampieri L, Macca G, Fusi V, Salerno M, Lonati L, et al. Short and long-term impact of a structured educational program on the patient's knowledge of hypertension. Ital Heart J 000; 1(1): Ooi GS, Rodrigo C, Cheong WK, Mehta RL, Bowen G, Shearman CP. An evaluation of the value of group education in recently diagnosed diabetes mellitus. Int J Low Extrem Wounds 007; 6(1): Gesteland HM, Sims S, Lindsay RN. Evaluation of two approaches to educating elementary schoolteachers about insulin-dependent diabetes mellitus. Diabetes Educ 1989; 15(6): Moridi G, Esmail Nasab K. Study of training programs effect on the KAP of the NIDDM patient. Journal of Kurdestan University of Medical Sciences 1998; 3(9): Ford ES, Merritt RK, Heath GW, Powell KE, Washburn RA, Kriska A, et al. Physical activity behaviors in lower and higher socioeconomic status populations. Am J Epidemiol 1991; 133(1): Kamrani A. The effect of educational diet on nutrition type diabetes based on Health Belief Model, [Thesis] Isfahan: Isfahan School of Public Health, Isfahan University of Medical Science; Shakeri MT, Hoshmand P, Khazaee MH, Ghorbani A. Effect of exercise on blood glucose changes and helping diabetic seekers. Journal of Zanjan University of Medical Science 001; 1(3): Miller C, Brown J. Knowledge and use of the food label among senior women in the management of type diabetes mellitus. J Nutr Health Aging 1999; 3(3):

9 6. Raudenbush SW. HLM 6: hierarchical linear and nonlinear modeling. Lincolnwood (IL): Scientific Software International; Baghiani Moghadam H, Shafiei F, Heidar Nia AR, Babaei GR, Afkhami Ardakani M. The effect of Educationa intervention l in diminish HbA1c among patient with diabetes in Yazd city. Journal of Medical Sciences Yazd University Medical Sciences 000; 8(): Perry TL, Mann JI, Lewis-Barned NJ, Duncan AW, Waldron MA, Thompson C. Lifestyle intervention in people with insulin-dependent diabetes mellitus (IDDM). Eur J Clin Nutr 1997; 51(11): Dehghani K. The effect of educational program about control hemoglobin glicisile in children with diabetes, [Thesis] Tehran: Tehran school of nursing, Tehran university of medical science; Matteucci E, Giampietro O. Closing the gap between literature and practice: evaluation of a teaching programme (in the absence of a structured treatment) on both type 1 and type diabetes. Diabetes Nutr Metab 003; 16(5-6): Heisler M, Smith DM, Hayward RA, Krein SL, Kerr EA. How well do patients' assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services? Diabetes Care 003; 6(3):

10 Abstract Original Article The effect of walking educational program on knowledge, attitude, performance, and blood sugar in women with type II diabetes M. Shamsi 1, GH. Sharifirad, A. Kachoue 3, A. Hassanzadeh 4 Background and Aim: Physical activity is considered to be effective in prevention and modification of diabetes mellitus. This research aimed at identifying the effects of an educational program of walking training on outlook knowledge, attitude and performance of women with diabetes type II. Materials and Methods: In this intervention and quasi-experimental study, 88 women suffering from diabetes type II were enrolled. The tools for gathering data were a questionnaire and checklist completed via interview before and 3 months after training interference. Finally, data were analyzed using chi-square, t-test and paired t-test. Results: Before interfering, the mean score of knowledge and view in each two groups, case and control, was in average level and mean performance score regarding correct walking was less than average. After interference and 3 months of perseverance, the mean score of a wariness, view, and performance regarding the correct way of walking increased (P < 0.05); also the minutes spent on hiking with average and heavy extents in the case group increased significantly (P < 0.05); average blood sugar level before breakfast and glycoside hemoglobin was significantly reduced too (P < 0.05). Conclusion: The finding of this study show the importance of walking training toward increasing of knowledge, outlook, and correct performance concerning walking and better control of blood sugar of women suffering from diabetes type II. We recommend regular walking in these patients. Keywords: Knowledge, Attitude, Performance, Walking, Educating Diabetes type II. Journal of Birjand University of Medical Sciences 010; 17(3): 179. Received: Last Received: Accepted: Online Version: Instructor, School of Paramedicine, Arak University of Medical Sciences, Arak, Iran. Corresponding Author; Associate Professor, Department of Public Health, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. sharifirad@hlth.mui.ac.ir 3 Associate Professor, Department of Endocrinology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. 4 Instructor, Department of Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. 179

The Effect of Health Belief Model Educational Program and Jogging on Control of Sugar in Type 2 Diabetic Patients

Iranian Red Crescent Medical Journal SHORT COMMUNICATION The Effect of Health Belief Model Educational Program and Jogging on Control of Sugar in Type 2 Diabetic Patients SM Kashfi 1, A Khani Jeihooni