family

The present research was designed and implemented with the aim of presenting the framework of the health level of families with the approach of sustainable sports participation: a systematic review.

In this systematic review of articles from scientific sources such as Google Scholar, Scopus and Web of Science in the period from 2000 to 2023. Finally, 28 articles were finally approved. Using the CASP tool, it is possible to measure the validity of the results obtained from meta-composite analysis, and the degree of coordination and the coefficient of agreement of the coders in the review of articles and the coding of indicators was used using the Kappa coefficient.

In this study, the Kappa coefficient for the coding of two researchers was 0.840 which indicates high reliability. According to the findings, a conceptual framework was presented based on the meta-analysis (systematic review) of the empirical and theoretical background of family health with the approach of sustainable sports participation, in which 34 indicators are proposed.

In this research, based on the analysis and combination of identification factors, the conceptual framework of family health with the approach of sustainable sports participation was presented, in which the effect of each of these factors on the health of families with the approach of sustainable sports participation was specified.

Since in all societies, cultural elements and themes play a very important role in the parenting style of families, so the purpose of the present study was to feasibility a native package of parenting styles appropriate to Iranian culture.

The present study were of a qualitative research type with a purposeful sampling method, which on the one hand, through semi-structured interviews with family psychology experts, religious experts and Iranian parents, On the other hand, by studying sources, teachings and Islamic texts in a library way, themes of appropriate parenting methods were extracted and then the coefficient and content validity index (cvr) (cvi) were evaluated by 12 experts and then the framework of the parenting package was adjusted based on the components obtained in 6 sessions.

After compiling the parenting package, its framework was sent to 10 experts who had at least ten years of scientific, research and clinical experience in the field of parenting, and they were requested to state the necessity of using the package in terms of dimensions such as; acceptability and appropriateness, applicability and demand, integration, adaptability, applicability of assignments, appropriateness of the number and duration of meetings, completeness and comprehensiveness of the program and the specialization of its implementation, and the results indicated a high average score for the mentioned dimensions.

The results indicated that the implementation and scientific application of the package of parenting methods was necessary, so it is suggested that educational specialists and family experts pay special attention to the results of this study.

 Anxiety in burn patients can prolong recovery. The presence of a family companion may help reduce patient anxiety and increase family satisfaction. This study aimed to determine the effect of family presence on patient anxiety and family satisfaction in burn intensive care units (ICUs) at Imam Khomeini Hospital in Ardabil, Iran, in 2023.

This randomized clinical trial included 57 eligible patients and their families admitted to the burn ICU. Participants were divided into an intervention group (n=30), where a companion was allowed to stay at the bedside for 90 minutes daily for six consecutive days, and a control group (n=27), where companions could only visit via video call. Data were collected using a demographic questionnaire, the Visual Analog Scale for Anxiety (VAS-A), and the Family Satisfaction in the ICU questionnaire. Statistical analysis was performed using SPSS-24, paired and independent t-tests, and descriptive statistics.

Before the intervention, the two groups showed no significant differences in demographic characteristics, anxiety levels, or family satisfaction. After the intervention, the mean anxiety score in the intervention group significantly decreased from 8.42±1.90 to 2.73±1.36 (p<0.001), while no significant change was observed in the control group (9.19±1.00 to 8.78±1.28, p=0.054). Family satisfaction in the intervention group significantly increased from 61.10±13.98 to 103.93±8.79 (p<0.001), whereas the control group showed only a slight increase (63.40±13.87 to 68.37±12.60). Post-intervention comparisons between the two groups revealed significant differences in both anxiety (p<0.001) and family satisfaction (p<0.001).

Structured family presence significantly reduces anxiety in burn patients and enhances family satisfaction. Therefore, incorporating family visitation programs into burn care protocols is recommended to improve emotional support and overall patient outcomes.

The COVID-19 pandemic caused a serious crisis for all human societies with its high transmission and mortality rates. In this crisis, front-line nurses in COVID-19 wards and their family members faced a special phenomenon and a different and difficult experience. This study aimed to explain the concerns of the families of nurses working in the Covid-19 wards.

The present study is a conventional content analysis study performed on family members of nurses working in university hospitals in Sari (Iran). 12 participants were included in the study using purposeful sampling. Semi-structured interviews were used to collect data until saturation was reached. Data analysis was performed with the Elo and Kyngäs approach. Ethical considerations were taken into account in human studies.

By analyzing the data, three main categories were extracted: "times of separation, turning the house from a support to a place of torture, COVID-19’ nurses: honor of the world" and 12 sub-categories.

Since family members play the most important role in psychological and social support, knowing their experiences can be the first step in improving the quality of nursing care in facing health crises.

Reproductive, maternal, neonatal, and child health hold significant potential to enhance the health and quality of life for the current and future generations, thus they are considered the centerpiece of the Sustainable Development Goals (SDGs). Identifying Key Performance Indicators (KPIs) and utilizing them in monitoring health programs is crucial for resource management, service quality enhancement, and satisfaction. This study aimed to identify the KPIs for the health management of the population, family, and schools in the Deputy of Health at Ahvaz Jundishapur University of Medical Sciences.

This study is an observational research utilizing the Delphi technique. The research population included 50 managers and staff from the health deputy and health networks. Participants were selected using purposive sampling. Initially, a review of literature and organizational documents was conducted to examine all programs related to the management of population, family, and school health, and indicators for each program were extracted separately. Subsequently, over three stages, the opinions and assessments of these individuals were collected and analyzed to reach a consensus on the KPIs. Two Likert scale questionnaires—a three-point scale (inappropriate, no opinion, appropriate) and a nine-point scale—were used to identify and confirm the KPIs. Data analysis was performed using frequency, percentage, and median.

In five health management programs targeting the population, family, and schools, 107 indicators were included the study. The highest number of indicators (over 35 %) in the first Delphi round pertained to maternal health programs. After completing the first round of Delphi, 76 indicators were identified as appropriate by 60 % or more of the participants and entered the second round of Delphi. All 8 indicators for the adolescent, youth, and school health programs advanced to the next round. However, 53.8 % of the indicators related to population and reproductive policies were selected for the subsequent round. Moreover, 8.4 % of the second round indicators (9 indicators) were reviewed in the third round for further experts’ comments, resulting in the approval of 4 key indicators related to the middle-aged and elderly health program as key indicators in this round.

From the total indicators of population health, family, and school health management, 44 indicators were identified and confirmed as KPIs. The middle-aged and elderly health program had the most number of key indicators with 11 indicators, and the adolescent, youth, and school health programs had the fewest number with 6 indicators. Other programs key indicators were equal (9 key indicators for each program). The analysis and evaluation of these indicators by health managers and experts can facilitate effective planning and interventions to improve public health.

 Postoperative care presents diverse needs that affect the quality of life in children with congenital heart disease. The objective of the study was to determine the effect of a family-based care transition program on the health-related quality of life of children with congenital heart disease undergoing corrective surgery. 

This quasi-experimental study involved 78 mother-child dyads diagnosed with congenital heart disease and undergoing corrective surgery at the Shaheed Rajaie Cardiovascular Hospital in Tehran. The samples were divided to one of two groups: an intervention group (n=40) and a control group (n=38). Convenience sampling was employed to select participants during the 2023-2024 period. Data were collected using the TNO-AZL Preschool Quality of Life Scale across four assessment stages. The intervention group participated in 11 sessions of the family-based care transition program, while the control group followed routine discharge protocols. Data were analyzed using SPSS software version 22, employing independent t-tests, the Bonferroni test, and both one-way and two-way repeated measures analysis of variance.

Within-group comparisons showed a significant increase in quality of life scores for both the intervention and control groups (P<0.001), with the intervention group indicating a more pronounced improvement. However, between-group comparisons showed no significant differences in quality of life scores at baseline, immediately post-intervention, or one month post-discharge. Notably, a significant difference was observed three months post-discharge (P=0.003).

The implementation of a family-based care program may improve the health-related quality of life of children with congenital heart disease undergoing surgery. These findings suggest that pediatric nurses can utilize family-centered interventions to improve the health-related quality of life of these children.

 Attention deficit hyperactivity disorder (ADHD) is one of the most debilitating challenges faced by families and children affected by this disorder. It reduces the functioning of both affected individuals and their families, especially mothers. This study aims to explore the relationships among distress tolerance, spiritual well-being, and mother-child interaction, and their effects on health-related quality of life, mediated by parenting stress and family functioning in mothers of children with ADHD.

This is a descriptive-correlational study conducted with mothers of children diagnosed with ADHD in Tehran in 2022. Participants were selected through convenience sampling, resulting in a sample of 250 mothers. Research tools included a demographic information questionnaire, the Simons Distress Tolerance Index, the Paloutzian and Ellison Spiritual Well-Being Questionnaire, the Pianta Mother-Child Interaction Questionnaire, the SF-36 Quality of Life Questionnaire, the Abidin Parental Stress Questionnaire, and the McMaster Family Functioning Questionnaire. Data were analyzed using SPSS software version 24 and AMOS software version 24.

The results showed an inverse relationship between distress tolerance and quality of life (r=-0.67), spiritual well-being and quality of life (r=-0.65), mother-child interaction and quality of life (r=-0.51), and parenting stress and quality of life (r=-0.62). Conversely, a direct relationship was identified between distress tolerance and parenting stress (r=0.73). Additionally, parenting stress and family functioning served as mediators in the relationship between distress tolerance and quality of life.

The results indicate that increased distress tolerance in mothers of children with ADHD correlates with a decrease in quality of life and an increase in parenting stress. Moreover, enhanced family functioning appears to facilitate greater distress tolerance.

Pandemic diseases play an important role as a global threat because they cause a large number of deaths and crises at the same time and create many problems in compliance with disease restrictions. The corona epidemic, with its high adult mortality rate, has caused family groups to grieve. However, due to the special epidemic prevention situation during the COVID-19 epidemic, the funeral, and burial ceremonies of the deceased were also quite different from the usual situation. Therefore, this study was conducted with the aim of describing the experience of grief caused by the coronavirus pandemic among grieving families in Khoi City.

A qualitative approach of contract content analysis was used in this study, where 15 bereaved family members due to the death of a first-degree relative during the corona pandemic participated in a targeted sampling process with semi-structured interviews until full data saturationThen the data was analyzed using the Graneheim & Lundman method.

The data analysis led to the emergence of four main themes, including "lack of well-being" (Mental disturbances, physical and physiological symptoms, Spiritual disturbances), "coping reactions" (complex grief and efficient behavior), and "cold grief"(silent death and regret farewell) and "feeling abandoned" (lack of social and relatives support).

The public and politicians were poorly prepared and had low response capabilities to the emerging infectious disease COVID-19. Therefore, more preparation is needed to deal with a similar crisis. Therefore, in order to avoid repeating the problems experienced, it is necessary to have specific guidelines for different groups facing a similar crisis, and for that, more quantitative and qualitative research is needed on different age groups and specific groups at different times.

Adolescence is a sensitive period of life that is characterized by changes and rapid growth. These changes are related to behaviors that affect a person's health. Therefore, this research was conducted with the aim of determining the prevalence of high-risk behaviors among female students at state secondary schools in Ahvaz City in 2021.

This cross-sectional descriptive study was conducted on female students at state secondary schools in Ahvaz city by random sampling with inclusion criteria. The data were collected using a demographic form and the Iranian Adolescents Risk-Taking Scale and analyzed by SPSS software version 22 with descriptive statistical tests.

The average age of the subjects was 16.27 years. According to the mean and standard deviation results, the highest prevalence of risky behaviors in female students was related to dangerous driving (14.92±5.44) and drug addiction (13.13±4.70). Correlation results showed that there was a significant relationship between annual check-ups and dangerous driving, as well as between a history of physical illness and the tendency to have a relationship with the opposite sex (P<0.05). There was no significant relationship between drug addiction, alcohol consumption, smoking, violence, sexual relationship and behavior, relationship with the opposite sex, and dangerous driving with a history of mental illness and the death of family members (P>0.05).

Considering the high prevalence of high-risk behaviors and the tendency to dangerous driving and drugs in female secondary school students, it seems necessary to perform psychological, educational, educational, counseling, and therapeutic interventions because prevention of high-risk behaviors is always easier, less expensive, and more effective than treatment.