مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 144 (هفته دوم اردیبهشت 1394)

Postoperative nausea and vomiting (PONV) is one of the most common complaints of the patients. The prevention of postoperative nausea and vomiting leads to improving the patients'' satisfaction، prevention of delayed discharge from the recovery، the unexpected prolonged hospitalization and reducing the cost of health care. This study was performed with aim to provide better prevention of postoperative nausea and vomiting after elective cesarean section (C/S). This clinical trial study was performed on 100 term pregnant women with ASA class I-II scheduled for elective C/S with intrathecal anesthesia. the subjects were divided into two groups based on random number table. For control، Intrathecal lidocaine-Fentanyl and for intervention group، a combination of Intrathecal lidocaine-Fentanyl-Epinephrine were administered. Recording of vital signs، nausea and vomiting was continued until recovery of sensorimotor block level under T10. Data was analyzed using SPSS statistical software (version 11) by Kolmogrov - Smirnov test، independent t test، Chi-square، and Mann-Whitney tests. There was no statistically significant difference between two groups in terms of nausea (P=0. 80) and vomiting (P=0. 21)، age (0. 69)، parity (P=0. 94)، Ephedrine injection time (P=0. 29)، need to atropine injection (P=0. 50)، need to metoclopramide injection (P=0. 085). Mean decrease of blood pressure in control group was significantly higher than intervention group (P=0. 004). Newborns in two groups had an Apgar score of 8-9. Adding 0. 2 mg Epinephrine to a combination of Intrathecal lidocaine-Fentanyl does not cause significant difference in the incidence of postoperative nausea and vomiting.

Cervical cancer is the second most common cancer in women and one of the leading causes of cancer-related death in developing countries. In cervical cancer patient، both surgery and radiation therapy can cause sexual dysfunction. Therefore، this study was performed with aim to survey sexual dysfunction in women with cervical cancer and a history of pelvic radiation therapy.

This study was performed on 176 women with cervical cancer and a history of pelvic radiation therapy referred to Ghaem and Omid hospitals in Mashhad who were selected using convenient sampling from 2009 to 2013. Research tools consisted of personal information form and ROSEN Female Sexual Function Index (FSFI). Data was analyzed by SPSS software (version 16. 5) and Spearman and Pearson correlation coefficient tests.

53 (30%) of women with cervical cancer and a history of pelvic radiation therapy had low sexual desire، 86 (49%) undesirable sexual arousal، 62 (35%) low lubrication، 74 (42%) undesirable orgasm. 70 (40%) of women complained of dyspareunia and 42 (24%) of Women were dissatisfied from sexual function. There was a significant correlation between sexual function with staging of cervical cancer (P= 0. 001، r= - 0. 25). There was a significant correlation between sexual desire (P= 0. 04)، sexual arousal (P= 0. 008)، lubrication (P= 0. 001)، orgasm (P= 0. 004)، sexual satisfaction (P= 0. 009) and dyspareunia (P= 0. 000) with staging of cervical cancer.

Sexual disorders in women with cervical cancer and a history of pelvic radiation therapy and correlation between sexual function with stage of cervical cancer reflects the fact that treatment، education and counseling programs is necessary for these women.

Today، Epidemic of HIV / AIDS is one of the most important health، social، economic problems of human and one of the biggest problems and concerns in many countries of the world that its scope and size is still increasing. This study was performed with aim to determine the effect of educational intervention based on SET on behaviors of prevention of HIV/ AIDS in high risk and vulnerable women in the city of Neka.

This Quasi- experimental (case-control) study was performed on 70 high risk and vulnerable women referred to Drop-In Centers (DIC) in Sari and Neka. Data was gathered using a researcher-made along with completing questionnaire. According to the results obtained from primary completing of the questionnaire، educational intervention was designed based on the SET and was performed in intervention group. After 3 months of intervention، data of both groups was collected and analyzed using SPSS software (version 16) and Chi-square، Mann-Whitney، Wilcoxon، independent t، and paired t tests.

After educational intervention، use of condom was increased at intervention group (%45،7) compared to control group (%5،7). The difference between before and after of self- efficacy was significant in intervention group (9. 83±0. 05) and control group (1. 50±2. 67) and performance in the intervention group with median and interquartile range of 2. 0 (3. 0) and control group 0. 0 (0. 0). In intervention group، there was a significant relation between increase of self-efficacy and increase in performance (P<0،001).

Behaviors of prevention of AIDS and self-efficacy is insufficient in the studied women and educational intervention based on the SET can be effective on promotion of self-efficacy and use of condom to prevent from AIDS in these women.