Document Type : Original Article


1 Department of Community Health, Faculty of Nursing, Baqiyatallah University of Medical Sciences,

2 Medicine, Quran and Hadith Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran,


INTRODUCTION: Due to the increasing prevalence of diabetes in the world, the assessment of
the patient needs is essential. Understanding the needs of patients will play a very important role
in providing an effective training program for patients. This study aimed to explain the health‑care
needs of patients with diabetes in Iran’s health‑care system.
MATERIALS AND METHODS: The present study was conducted using a modified Delphi technique
in three rounds in 2017–2018. In the first round, patients’ needs were extracted based on qualitative
interviews and a review of the literature. Then, the second and third rounds were determined through
surveys, achieving maximum consensus and grading the importance of the patients’ basic needs.
Participants selected using purposeful sampling and included 58 diabetes patients, family, and
providers of the health system who were referred to urban health centers, rural, and one of the clinics
of Darreh Shahr, Ilam Province. For data analysis, qualitative content analysis was used in the first
Delphi round and descriptive statistics were used in the second and third rounds.
RESULTS: Regarding health‑care needs of patients with diabetes, four main themes included:
information and knowledge needs, need for reinforcement/reform of religious‑cultural beliefs, need
for health self‑management, and ultimately supportive needs have emerged.
CONCLUSIONS: According to the results, before designing and developing effective educational
programs, the need assessment to improve knowledge, correcting unrealistic attitudes and beliefs, as
well as modifying their self‑care behaviors and performance in preventing diabetes is recommended.


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