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University of Medical sciences, Hamadan, Iran 2. MSc. Student, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran 3. Assistant Professor, Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran 4. Assistant Professor, Department of Nursing, Chronic Diseases (Home Care) Research Centre, Hamadan University of Medical Sciences, Hamadan, Iran Farshid Shamsaei1, Zahra Shookohi2, Maryam Farhadiayn3, Efat Sadeghian4*