Showing 71 results for Health
Mahboobeh Darzi Poor, Reza Tavakoli, Davood Shojae Zade, Zahra Rezagholizadeh Omran,
Volume 25, Issue 1 (3-2022)
Abstract
Background and Aim Nosocomial infection is a health problem in all countries. Considering the role of midwives in controlling nosocomial infection, the aim of this study was to determine the effect of an educational intervention based on model on preventive behaviors of nosocomial infection by Babol hospitals midwives was done.
Methods & Materials The present study was a quasi-experimental study with intervention and control group. The interventions were performed in three 40-minute sessions in the Shahid Yahya Nejad Hospital in April and May 2017. The data collection tool was a structure Health Belief Model based(Awareness, structure Health Belief Model and behavior) on a questionnaire completed Its validity and reliability were assessed two months before and one month after Midwives who met the inclusion criteria education. Data were collected and analyzed by SPSS software v. 24 by Anova , T-test and ANCO one-way Covariance tests.
Ethical Considerations This research paper has been approved by the ethics committee IR.IAU.TMU.REC.1398.068 and informed consent will be taken from the participants in the study the information will remain confidential.
Results Before the intervention, the two groups did not differ significantly in terms of, mean scores of different model structures. After intervention, there was a significant difference in the mean and standard deviation of the effect of education on knowledge score (1.0±0.3), perceived sensitivity (2.8±1.5), perceived severity (3.6±1.7) Perceived barriers (-6.4±1.3), perceived benefits (5.1±4), self-efficacy (4.6 ± 2.6) and behavior( 3.1±1.1) was seen in the intervention group (P>0.05).
Conclusion By increasing the scores obtained from the structures Especially self-efficacy and reduction of perceived barriers, designing and implementing an educational program based on model in midwives can increase their performance regarding the prevention of nosocomial infections.
Nona Fazlollazadeh, Masoumeh Habibian, Babison Askari,
Volume 25, Issue 2 (5-2022)
Abstract
Background and Aim Evidence shows that vitamin D deficiency and obesity are associated with impaired physical and mental health. This study aims to investigate the effect of Pilates and vitamin D supplementation on quality of life and mental health of overweight men.
Methods & Materials This is a randomized clinical trial with a pre-test/post-test design. Fifty overweight men were selected by a convenience sampling method and were randomly divided into four groups of control, exercise, supplementation, and exercise+supplementation. The exercise and combined groups performed 8 weeks of Pilates at an intensity of 50-75% of heart rate reserve, three sessions per week. The supplementation and combined groups received 50,000 IU vitamin D capsule once per week. Assessment tools were the 36-item Short Form survey (SF-36) and the General Health Questionnaire (GHQ). The data were analyzed by paired t-test, one-way ANOVA and Kruskal-Wallis test. P˂0.05 was statistically significant.
Ethical Considerations This study was approved by the research ethics committee of Islamic Azad University, Babol Branch, Iran (Code: IR.IAU.BABOL.REC.1398.088).
Results Vitamin D status in subjects was lower than normal (<30 ng/mL) at baseline. Eight weeks of Pilates alone, vitamin D intake alone, and the combined intervention led to a significant increase in SF-36 (10.57%, 9.26% and 15.75%, respectively) and GHQ (12.66%, 10.72% and 17.90%, respectively). However, the effect of combined intervention was higher on the SF-36 (P<0.001) and GHQ (P<0.001) scores compared to two other interventions.
Conclusion It seems Pilates alone, vitamin D supplementation alone, and their combination can improve the quality of life and mental health in overweight people with vitamin D deficiency, where the combined intervention is more effective.
Farzaneh Hajizadeh, Fatemeh Ebrahimi, Seyed Zia Tabatabaei,
Volume 25, Issue 3 (8-2022)
Abstract
Background and Aim The early years of life are the most critical stage in the growth and development of children. While the optimal development of children depends on a complex set of factors, the pattern of breastfeeding and complementary feeding of infants is of undeniable importance. Therefore, the present study conducted to investigate the factors related to the feeding patterns of one-year-old children referred to healthcare centers in Rafsanjan city.
Methods & Materials his descriptive study was performed on 600 mothers with one-year-old children under the auspices of healthcare centers in Rafsanjan city in 2017. Volunteered mothers with active health records were selected randomly. The required information was collected through a questionnaire containing demographic characteristics and questions related to the feeding of children and was analyzed by SPSS software, version 18.
Ethical Considerations The Ethics Committee of Rafsanjan University of Medical Sciences (RUMS) approved the present study (Code: IR.RUMS.REC.1396.179).
Results About 95% of mothers participating in this study started breastfeeding their children up to one hour after delivery, but 56.7% of them completed breastfeeding by one year of age. The results show that most mothers had started supplemental feeding with two or three spoons in each meal, and about 90% of them followed the health worker's advice. Also, the most important reasons for feeding children with powdered milk are disorders in the child's development (34%), inadequate breast milk (17%), maternal disease (14%), do not take the mother's breast (11%) and children being twins (8%).
Conclusion Despite face-to-face training for mothers in health care centers for feeding their children, still there are some difficulties in commencing complementary feeding and its continuation. Therefore, need for more health and nutrition education regarding the best ways for feeding children to mothers by personnel of Rafsanjan health care centers.
Ms Kobraa Mastery Farahani, Dr Soghra Akbari Chermahini,
Volume 25, Issue 5 (12-2022)
Abstract
Introduction: Investigating the psychological issues of patients with diabetes, especially in adolescence and youth, is particularly important. Therefore, this study aims to compare the health anxiety and response inhibition of people with type 1 diabetes with healthy people.
Methods: This research is a description of the causal and comparative types. Its statistical population consists of all boys and girls aged 14 to 24 years old with type 1 diabetes in Arak city who were referred to the treatment clinics of this city in 1400. From this population, 30 people were selected by purposive sampling, and 34 healthy teenagers participated in this study as a comparison group. The tools of this research included the health anxiety questionnaire (Salkoskis and Warwick, 2002) and the open-ended task, and multivariate analysis of variance was used to analyze the data.
Ethical Considerations: The present research has been registered with the code IR.ARAKU.REC.1401.015 in the Ethics Committee of Arak University.
Results: The present study's findings showed a significant difference between health anxiety and cognitive inhibition of adolescents with type 1 diabetes and healthy adolescents (P<0.05).
Conclusions: The results of this research show the higher level of health anxiety and poor performance of adolescents with type 1 diabetes in choosing the right answer and neglect the wrong answer, which indicates a weakness in their inhibition system. Considering the placement of these problems along with the psychological characteristics of adolescence, it is suggested to use suitable psychological treatment approaches and suitable cognitive rehabilitation interventions to solve or reduce these problems and increase the health of these patients.
Ali Jadidi, Soleiman Zand, Mr Ali Khanmohamadi Hezave, Negin Hosseini,
Volume 27, Issue 1 (3-2024)
Abstract
Introduction: Quality of life is one of the most influential issues that can encourage a person to continue a happy and healthy life. On the other hand, spiritual health is one of the dimensions of health and a sense of harmonious connection between oneself, others, nature, and beyond, and leads to understanding the ultimate purpose and meaning in life. The purpose is to determine the relationship between spiritual health and quality of life in university students in Arak. The results of this study can be used to formulate strategic plans improve spiritual health and the quality of students' lives.
Methods: First, the population of each university in Arak city was measured, and taking into account their population and establishing a ratio between the sample size of the study and the population of each university, people who had the characteristics of entering the study were included in the study. The sample size was 400 people and was conducted on students who have been studying at the university for at least six months. After obtaining the consent of the participants, the researchers filled out the questionnaire through interviews with the students. The questionnaires included two instruments: a spiritual health questionnaire and a quality of life questionnaire with 36 questions.
Results: No significant relationship was observed between spiritual health and demographic variables. Likewise, spiritual health had no statistically significant relationship with demographic variables. The analysis of the study data showed that there is a positive correlation between the quality of life and spiritual health of students. (P < 0.05).
Conclusions: According to the horoscope results, there is a relationship between the quality of life and the spiritual health of the students of Arak universities. By improving the quality of students' lives, we can increase their spiritual health, and even by increasing their spiritual health, we can witness the improvement of students' quality of life.
Haniyeh Mozafari, Farah Lotfi Kashani, Shahram Vaziri, Mohammad Ismail Akbari,
Volume 27, Issue 3 (7-2024)
Abstract
Introduction: The present study was conducted to analyze the focal relationship of the contribution of mental adaptation to cancer, health literacy, and perceived threat in predicting the early diagnosis of breast cancer.
Methods: This study was a descriptive correlational research. The statistical population of the present study included all women with breast cancer under treatment at Shohadaye Tajrish Hospital Cancer Treatment Center in 2023, and 310 people were determined to participate in the research using G*Power software and the available sampling method. They responded to Williams, Templin, and Hines's breast cancer literacy questionnaires, Champion's perceived threat questionnaire, Watson's mental adaptation to cancer and early diagnosis questionnaire. The data were also analyzed using a focal correlation test and multiple regression.
Results: The results showed that there is a significant relationship between the contribution variables of mental adaptation, perceived threat, and health literacy with the components of early cancer diagnosis (knowledge, attitude, and actions) (P ≤ 0.01). Also, the results showed that health literacy was 4.8%, mental compatibility was 3.4 percent and perceived threat 18.7% alone predicted the variance of early diagnosis of breast cancer. The perceived threat share is 38.9%, higher than all other variables.
Conclusions: Based on the statistical results, it can be said that increasing mental adaptability, perceived threat, and health literacy play a role in early disease diagnosis, and the importance of perceived threat is more significant than mental adaptability and health literacy, which should be considered.
Leila Ghanbari-Afra, Mina Gaeeni, Jafar Shahbazpour,
Volume 27, Issue 4 (10-2024)
Abstract
Introduction: The fundamental role of marital satisfaction is vital in family formation and marriage survival. Marital dissatisfaction can make couples fail to solve their conflicts. Marital discontent, combined with job-related stress such as pre-hospital emergencies, can lead to heightened conflict in job responsibilities. It leads to the effect on personnel, patients, and their families. Therefore, this study aimed to investigate the marital satisfaction of pre-hospital emergency personnel at Qom University of Medical Sciences in 2023.
Methods: This cross-sectional study was conducted on 200 pre-hospital personnel of Qom University of Medical Sciences in May 2023. The sampling method was a stratified cluster. The data collection tool included the "Demographic Information" checklist and Enrich's "Marital Satisfaction" questionnaire. Data analysis was done using descriptive tests, Independent T-test, and Regression.
Results: The average age of the participants was 37.3 ± 7.06. More than half of the participants had a bachelor's degree. Most people had rotating shifts. The average score of marital satisfaction was 145.94 ± 22.21. Based on the results of the multivariate regression test, the variables of education, employment status, work experience, type of shift, having a second job, and having a job other than medical staff explain 63% of the variance of marital satisfaction of pre-hospital personnel.
Conclusions: According to the findings of the present study, in general, the marital satisfaction of pre-hospital emergency personnel of Qom University of Medical Sciences is at an average to high level. People with a fixed shift, with a second job, high work experience, without a fixed job status, and bachelor's and associate's degrees had less marital satisfaction than others. Therefore, managers and policymakers in the health field must pay more attention to the quality of family life, especially the married life of pre-hospital emergency workers with the mentioned conditions.
Sayed Hossein Mousavi, Ali Jafari, Hossein Basirian,
Volume 27, Issue 5 (12-2024)
Abstract
Introduction: The purpose of the "Health Communication" discussion plan, the most serious sparks of which were struck in the minds with the emergence of the COVID-19 pandemic in 2019, revealed the importance of paying attention to improving health communication more than ever. For this purpose, in the current study, the formulation of a conceptual model of health communication capacities in pandemic conditions was examined from the perspective of health system experts.
Methods: This research was conducted using a qualitative approach and the foundation's data theory method. Sampling was done with a purposeful snowball method, which included 20 communication and media professors and health professionals. Data collection was done through semi-structured interviews and document reviews based on the systematic approach of Strauss and Corbin (open, central, and selective coding), which includes causal conditions, central idea, context, mediating conditions (intervenor), strategies, and consequences of analysis. Validation was done through the review of participants and experts in the health system.
Results: The findings of the research in the grounded theory section show that the dimensions of the paradigm model include the central phenomenon: health communication (effective and informative communication), causal conditions: health communication harms (infodemic), the context of harms (widespread and popular media, lack of authority of the health unit, mass information, politicization), strategies (holding officials accountable, reliable sources and producing practical content, anxiety management, avoiding exaggeration of people's participation, teamwork and combination of experts, using the experiences of other countries) and consequences including (attracting trust and forming beneficial relationships) took place.
Conclusions: According to the dimensions achieved in presenting the model for improving health communication capacities in pandemic conditions in the country, it can be said that on the one hand, "transparency and immediacy of information" and the other hand, "empathy and trust between people and officials" in such More than one situation should be considered.
Elham Seyyed Murti, Farangis Dehmardi, Sallime Gharooni Fardi, Mohsen Saeidmanesh,
Volume 27, Issue 5 (12-2024)
Abstract
Introduction: The present study was conducted to investigate the effectiveness of schema therapy on marital satisfaction and mental health of women undergoing hysterectomy surgery.
Methods: This research was applied in terms of objective and quantitative research, and in terms of data collection method, it was semi-experimental research with two experimental and control groups with pre-test and post-test. The statistical population consisted of all women aged 30 to 50 who underwent hysterectomy surgery in 2023 in Yazd city. In this study,
30 eligible subjects were selected by the available method, and the participants were randomly divided into two experimental and control groups (15 people in each group). For the experimental group, the treatment plan was implemented in 10 sessions of 50 minutes. Goldberg's mental health questionnaire and Inrich's marital satisfaction questionnaire were used to measure the research variables.
Results: The findings from the analysis of the covariance test showed the use of the schema therapy approach increased the marital satisfaction and mental health of women undergoing hysterectomy surgery (p ≤ 0.001).
Conclusions: Therefore, the use of schema therapy sessions in medical centers for people who underwent hysterectomy surgery is suggested to reduce marital problems.
Zahra Zohre Vandi, Narges Babakhani, Afsaneh Taheri,
Volume 28, Issue 1 (3-2025)
Abstract
Introduction: The present study was conducted to investigate the effectiveness of acceptance and commitment-based therapy on the lifestyle of improving the health and emotional distress of women undergoing infertility treatment with the in vitro fertilization (IVF) method.
Methods: The method of this study was semi-experimental with a pre-test-post-test design with a control group and a follow-up stage. The statistical population of the study included women undergoing infertility treatment with the IVF method referring to the infertility center of Imam Khomeini Hospital in Tehran in the first six months of 2012. In this research, 27 women undergoing infertility treatment with IVF method were selected by voluntary sampling method and replaced by random method in test and control groups. The experimental group underwent acceptance and commitment therapy (10 sessions) for two and a half months. A health-promoting lifestyle questionnaire (HPLP) and an emotional distress questionnaire (Lavibond and Lavibond, 1995) were used as research tools. The data were analyzed using a mixed analysis of variance and Bonferroni post hoc test.
Results: It showed that the treatment based on acceptance and commitment to the lifestyle level improves health (Eta = 0.56, F = 19.74) and has a significant effect on the dimensions of emotional disorders such as depression (P < 0.0001, Eta = 0.58, F = 0.58). F = 34), anxiety (P > 0001; Eta = 0.59; F = 35.69), and stress (P > 0.0001; Eta = 0.61; F = 40.12) of women undergoing infertility treatment with the IVF, and has been able to lead to increase a healthy lifestyle, reduce depression, anxiety, and stress in these individuals.
Conclusions: Acceptance and commitment therapy, utilizing six psychological acceptance processes, cognitive breakdown, self under context, interaction with the present, specified values, and committed behavior, can be used as an effective treatment to reduce emotional distress in women undergoing IVF infertility treatment.
Davoud Shamsi, Mohsen Mohammadian Saravi, Khalil Ali Mohamadzadeh, Azadeh Ashrafi,
Volume 28, Issue 2 (4-2025)
Abstract
Introduction: Good governance, as one of the fundamental concepts in healthcare system management, plays a key role in enhancing the efficiency, effectiveness, and equity of healthcare services. This concept, Emphasizing principles such as transparency, accountability, participation, and legality, has been considered as a framework for improving policymaking and management in Iran's healthcare system.
This study conducted in 2024 aimed to design and present a model of good governance in the healthcare system using a mixed approach of thematic analysis and Partial Least Squares (PLS) method.
Methods: The research method included both qualitative and quantitative components. The qualitative phase, involved managers, health policy experts, specialists from the Ministry of Health and Medical Education, and academic scholars. Sampling was done using purposive and snowball sampling methods, with 17 participants selected until theoretical saturation was reached. In the quantitative phase, the Partial Least Squares (PLS) method was used for model fitting. The statistical population for this section included all experts and managers in Iran's healthcare sector, with a minimum sample size of 384 determined based on Cochran's formula.
Results: The results of thematic analysis of the qualitative data and model fitting showed that the final good governance model in the healthcare system consists of seven main dimensions: effectiveness, efficiency, equity, transparency and accountability, participation, legality, and leadership. Each dimension comprised specific components, and the importance of each was confirmed in strengthening good governance.
Conclusions: This study presents a comprehensive good governance model for the healthcare system, offering a framework for improving policymaking, management, and performance in this sector. The proposed model can be used as a strategic decision-making tool and improving management structures.
