Journal of Arak University of Medical Sciences

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Showing 4 results for Hope

Effects of Intravenous Fluids Temperature on Perioperative Hemodynamic Situation, Postoperative Shivering and Recovery in Orthopedic Surgeries

Hadi Hasankhani , Eisa Mohammadi, Farhad Moazami , Manijheh Mokhtari, Mohammad Mahdi Naghizadeh,
Volume 6, Issue 4 (12-2003)

Abstract

Introduction: Postoperative hypothermia is physiologically stressful by elevating blood pressure, heart rate and plasma catecholamine concentration. This study conducted to evaluate the effects of intravenous fluids temperature on perioperative hemodynamic situation.
Materials and Methods: This was a randomized clinical trial study Perioperative pulse rate, blood pressure, intraoperative esophageal and skin temperature were measured in 60 volunteer patients undergoing orthopedic surgeries subjects randomly divided into two groups according to intraoperative IV fluids management. In 30 patients (hypothermia group) all IV fluids infused were at room temperature. In the other 30 patients (normothermia group) all IV fluids were warmed using and dry IV fluid warmer.
Results: The core and skin temperature of hypothermia and normothermia group decreased significantly from induction of anesthesia toward end of surgery but its reduction was more in hypothermia group (P<0.005). Postoperative mean arterial blood pressure increased significantly more in hypothermia group versus normothermia group (P<0.005). Shivering was observed in 21 of 30 hypothermia and 11 of 30 normothermia group (p<0.005) and recovery time was significantly lower in normothermia group (36±5 vs. 26±3 min, P<0.005).
Conclusion: Infusion of warm fluids helps to reduce the variation of postoperative mean arterial blood pressure, core and skin temperature, occurrence of shivering and recovery time.

The Psychological, Demographical and Socio-Economic Factors Related with Suicidal Ideation among General Population of Semnan City in 1391

Eshagh Rahimian Boogar, Kaveh Alavi, Maryam Esfahani,
Volume 17, Issue 1 (4-2014)

Abstract

Background: Comprehending of suicidal ideation and related factors has valuable clinical outcomes in domains of prevention and crisis intervention. The aim of the present study was to explore the predictive role of psychological, demographical and socio-economic factors in suicidal ideation.

Material and Methods: In a cross-sectional descriptive study, 671 persons among general population of Semnan City were selected by voluntary sampling. Data were collected with NEO-Five Factor Personality Inventory, Symptom Check-List Revised, The Defense Style Questionnaire, The Beck Scale for suicide Ideation, The Beck Hopelessness Scale, The Social Support Questionnaire and demographical questionnaire, then analyzed by correlation and Logistic Regression with SPSS.

Results: Literacy level (OR=1.237 P<0.014), Family relationships (OR=1.873 P<0.010), Outcome (OR=4.211 P<0.003), Job status (OR=3.149 P<0.008), History of psychiatric disorders (OR=5.754 P<0.003), Hospitalization in psychiatric ward (OR=2.003 P<0.011), Neuroticism (OR=6.136 P<0.001), Extraversion (OR=3.612 P<0.005), Neurotic defense style (OR=2.468 P<0.005), Mature Defense Style (OR=4.107 P<0.002), Immature Defense Style (OR=3.059 P<0.003), Social Support (OR=7.609 P<0.001), and Hopelessness (OR=9.834 P<0.001) significantly differentiated persons with suicidal ideation from persons without suicidal ideation (P<0.001). These variables totally could correctly predict 97.4% of suicidal ideation.

Conclusion: In this model, risky psychological, demographical and socio-economic factors increase the odds ratio of suicidal ideation. These findings have importance for designing of preventive interventions and interventional programs for self-harm behaviors.

Designing a Cognitive-Behavioral Coping Training Package with the Stress of Infertility and Its Effectiveness on Hope in Infertile Women

Samaneh Ghobadi, Mr Keivan Kakabraee, Mahmoud Goudarzi,
Volume 27, Issue 4 (10-2024)

Abstract

Introduction: For many people, infertility is a prominent crisis and cause of mental stress that causes many unfavorable psychological reactions. The purpose of the research is to design a cognitive-behavioral coping training package with the stress of infertility and its effectiveness on the hope of infertile women.
Methods: The present study was conducted using a mixed method using the qualitative part, content analysis type, and the quantitative part, semi-experimental, in the pre-test-post-test-two-month follow-up design with the control group. The statistical population of this research was infertile women referring to infertility centers and gynecology and infertility specialists in Kermanshah in 2022. A sample of forty women was selected as a sample using the purposeful sampling method and replaced in two groups (experimental and control) in a simple random manner. Data were collected from Newton et al.'s infertility stress questionnaire (1999) and Schneider's Hope (1991). The data was analyzed using a content validity test and repeated measurement variance analysis tests.
Results: The designed educational package was valid and adequate. The findings showed a significant difference between pre-test, post-test, and follow-up in the component of hope, and this difference continued until the follow-up stage.
Conclusions: The educational package on cognitive-behavioral coping with the stress of infertility of infertile women can be used to reduce the stress and increase the hope of infertile women.

The Effect of Training Based on the Self-Efficacy Model on Coping Strategies and Hope in Breast Cancer Patients Undergoing Chemotherapy

Mehtab Farahani, Fatemeh Mehrabi, Mohammad Ali Mardom, Abdollah Abolfathi, Zahra Borzabadi Farahani, Fatemeh Rafiei,
Volume 28, Issue 4 (10-2025)

Abstract

Introduction: The purpose of this study was to investigate the effect of education based on the self-efficacy model on coping strategies and hope in breast cancer patients undergoing chemotherapy.
Methods: This study was conducted on 62 breast cancer patients undergoing chemotherapy. The intervention group received four training sessions on chemotherapy side effects and management strategies based on the self-efficacy model, while the control group received routine care without additional training. Demographic questionnaires, the Billings and Moss Coping Skills Questionnaire, and the Schneider Hope Scale were completed by both groups immediately before and after the intervention. Data were analyzed using appropriate statistical tests.
Results: The average hope in the intervention and control groups was low before and after the intervention. It remained low in the control group but showed a significant increase in the intervention group (P < 0.05). Statistical tests showed that there is a significant relationship between the average total life expectancy and their age, economy and education (P<0.05). Before the intervention, both groups demonstrated low use of coping strategies. After the educational intervention, the control group maintained low usage while, the intervention group showed substantially increased use of coping strategies.
Conclusions: Self-efficacy training intervention increased life expectancy and coping strategies in breast cancer patients undergoing chemotherapy.

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