women
در نشریات گروه پزشکی-
مجله دانشکده پزشکی دانشگاه علوم پزشکی تهران، سال هشتاد و دوم شماره 7 (پیاپی 282، مهر 1403)، صص 512 -520زمینه و هدف
از مراحل پر اهمیت در زندگی زنان، دوره یائسگی می باشد. پیش بینی شده تعداد زنان یائسه درجهان تا سال 2030 به 2/1 میلیارد نفر برسد. مهم است زنان در این سال ها مانند سال های باروری سالم زندگی کنند. از اصلی ترین نیازهای روانی انسان ها شادمانی می باشد. بر طبق مطالعات، شادمانی در دوره یائسگی کاهش می یابد. در نتیجه باتوجه به اهمیت موضوع، این مطالعه با هدف تعیین عوامل موثر بر شادمانی در زنان یائسه انجام شد.
روش بررسیجهت تدوین این مقاله مروری، جستجوی مقالات با استفاده از کلید واژه های شادمانی، یائسگی، زنان میانسال و معادل انگلیسی آنها, در پایگاه های اطلاعاتی انگلیسی یا فارسی زبان انجام شد. در ابتدا 125 مقاله یافت شد. از جمله معیارهای ورود، کلیه مطالعاتی بودند که عوامل موثر بر شادمانی را در یائسگی بررسی نموده بودند. مطالعات موردبررسی شامل مطالعات مروری، مقطعی، توصیفی و کارآزمایی بالینی بودند که در نهایت از داده های 29 مقاله استفاده شد.
یافته هانتایج مطالعه حاضر منجر به دسته بندی عوامل موثر بر شادمانی زنان یائسه در پنج دسته کلی گردید. دسته اول عوامل جسمی (از جمله عدم وجود علایم وازوموتور، بیماری های قلبی عروقی، آرتروز، پوکی استخوان، اختلال روان تنی و داشتن وضعیت مطلوب سلامتی) می باشد. دسته دوم عوامل روانشناختی (از جمله عدم وجود افسردگی و اضطراب، داشتن نگرش مثبت به یائسگی، خوش بینی، عزت نفس و تاب آوری) است. دسته سوم عوامل اجتماعی از جمله (حمایت اجتماعی خانواده و دوستان، ارتباط موثر با همکاران) است. دسته چهارم عوامل اقتصادی (از جمله تغییرات شغلی و بازنشستگی، سطح درآمد مطلوب و عدم وقوع بحران های مالی) است. دسته پنجم سبک زندگی (غیرسیگاری بودن، داشتن فعالیت جسمانی و ورزش منظم، رضایت از روابط زناشویی و مهارت مدیریت استرس و دمنوش های گیاهی) می باشد.
نتیجه گیریبه منظور بهبود و ارتقای شادمانی زنان یائسه همه عوامل جسمی، روانشناختی، اجتماعی، اقتصادی و سبک زندگی دارای اهمیت می باشد.
کلید واژگان: شادمانی، یائسگی، زنان میانسالBackgroundMenopause is one of the most important stages in women's lives. Today, menopause is an important phenomenon due to the increase in life expectancy, the number of postmenopausal women is expected to reach 1.2 billion by 2030. It is important for women to live healthy in these years as in the reproductive years. One of the main psychological needs of humans is happiness. According to studies, happiness decreases during menopause. As a result, considering the importance of the topic, this study was conducted with the aim of determining the factors affecting happiness in menopausal women.
MethodsIn order to compile this review article, searching for articles using the keywords happiness, menopause, middle-aged women, alone and in combination with AND and OR operators in databases ,such as PubMed, Scopus, Science direct, ProQuest, SID, Magiran and Google Scholar search engine without time limit. At first, 125 articles were found. The inclusion criteria were all studies that had investigated the factors affecting happiness. The reviewed studies included clinical trials, cohort and cross-sectional, and finally the data of 29 articles were used.
ResultsThe results of this study led to the classification of factors affecting the happiness of postmenopausal women into five general categories. The first category includes physical factors (including the absence of: vasomotor symptoms, cardiovascular diseases, arthritis, osteoporosis, psychosomatic disorders and having a favorable condition. health). The second category includes psychological factors (including the absence of depression and anxiety, having a positive attitude towards menopause, optimism, self-esteem and resilience). The third category includes social factors such as (social support of family and friends, effective communication with colleagues). The fourth category is economic factors (including job changes, favorable income level and the absence of financial crises). The fifth category includes lifestyle (being non-smoker, having physical activity and regular exercise, marital satisfaction, stress management skills and herbal drugs) of menopausal women.
ConclusionIn order to improve the happiness of menopausal women, all physical, psychological, social, economic and lifestyle factors are important and should be considered in national planning and policies to improve the health of menopausal women.
Keywords: Happiness, Menopause, Middle Aged, Women -
Journal of Research Development in Nursing and Midwifery, Volume:21 Issue: 4, Winter 2024, PP 14 -18Background
Declining fertility rates pose significant demographic challenges globally, particularly in Europe, the Asia-Pacific region, and Iran. Female marriage volunteers, as a group capable of having children, are a key target for pronatalist policies. We aimed to identify the factors influencing fertility intention among Iranian female marriage volunteers.
MethodsWe conducted a province-wide cross-sectional survey from January to April 2023. Using a convenience sampling approach and a validated questionnaire (Determinants of Childbearing Intention Questionnaire), we assessed the childbearing intention (i.e., intention to have a child during the next three years) and fertility intention (i.e., ideal number of kids) among 1,506 female marriage volunteers in Kerman, Iran. Data were collected through face-to-face interviews and the sealed ballot box method was applied to ensure the confidentiality of the participants’ information. Multivariate logistic regression was used to identify the factors associated with childbearing and fertility intentions.
ResultsThe majority of the female marriage volunteers (83.7%) intended to have two or more children, and 61.8% of them intended to have a child during the next three years. They believed that the most appropriate time to have a child after marriage was 2.2 (±1.8) years. Physical and mental health, with a mean of 4.37 (0.94) out of a possible score range of 0 to 5, was the most important perceived barrier to having children. The participants stated that the most appropriate ages for women and men to marry were 22.1 (3.7) and 26.2 (3.9) years, respectively. The vertical collectivism score was 3.90 (0.85) out of the maximum attainable score of 5. The working or educational situation of premarital women was a barrier against fertility intention (OR=0.82; CI95%= 0.71-0.94, p<0.001) and childbearing intention (OR=0.81; CI95%= 0.73-0.89, p<0.001).
ConclusionDespite the decline in the total fertility rate, the tendency to have children is still promising in Iranian female marriage volunteers. Their concern about work and education was the main obstacle to their childbearing intention. This finding underlines the need to implement supportive measures for having children, as seen in the law.
Keywords: Fertility, Intention, Women, Parturition -
International Journal of Community Based Nursing and Midwifery, Volume:13 Issue: 2, Feb 2025, PP 164 -166
Effective community engagement is essential for high-quality healthcare delivery. It helps providersunderstand and serve the unique needs of diverse populations.
Keywords: Community, Mobile Health, Women -
BackgroundAdolescent girls often struggle with negative body image, leading to rumination and distress. The objective of this investigation was to examine the potential of self-compassion therapy (SCT) to mitigate rumination and bolster distress tolerance in adolescent girls experiencing body image concerns.MethodsThis experimental study comprised all adolescent girls in Ahvaz, Iran, who reported body image concerns in 2023. A sample of 30 adolescent girls was drawn using multi-stage cluster sampling and then randomly allocated to either an experimental (n=15) or a control (n=15) group. Data collection was facilitated using the Ruminative Response Scale and Distress Tolerance Scale. The experimental group participated in a ten-week structured self-compassion training (SCT) program, with one 60-minute session per week. The control group received no intervention. Analysis of covariance (ANCOVA) was employed to assess the impact of SCT on the dependent variables, using SPSS version 25.ResultsAt pre-test, both groups reported similar levels of rumination (SCT group: M=64.53, SD=7.59; control group: M=68.26, SD=9.46) and distress tolerance (SCT group: M=31.06, SD=6.86; control group: M=32.06, SD=5.23). After the 10-week SCT intervention, the experimental group showed a significant reduction in rumination (M=36.26, SD=5.57) and a significant increase in distress tolerance (M=66.60, SD=5.02) compared with the control group (P<0.001). SCT was found to be effective in significantly reducing rumination and increasing distress tolerance in adolescent girls with body image concerns (P<0.001).ConclusionSCT has demonstrated its efficacy in mitigating rumination and enhancing distress tolerance among adolescent girls confronting body image challenges. The study findings underscored the potential of SCT as a promising intervention for this vulnerable population.Keywords: Self-Compassion, Rumination, Distress, Adolescent, Women
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مقدمه
کاهش فرزندآوری به تدریج ساختار سنی جمعیت را از حالت جوانی خارج می کند و به سمت پیری سوق می دهد. پژوهش حاضر با هدف بررسی تمایل به فرزندآوری و ارتباط آن با سواد سلامت و سلامت معنوی در زنان متاهل شهرستان فریمان در سال 1402 انجام شد.
روش هادر این مطالعه توصیفی- تحلیلی- مقطعی، 357 زن متاهل به روش نمونه گیری چند مرحله ای انتخاب شدند. داده ها بر اساس چهار پرسش نامه اطلاعات دموگرافیک، تمایل به باروری، سواد سلامت و سلامت معنوی جمع آوری گردید و با استفاده از آزمون های توصیفی و تحلیلی در نرم افزار SPSS مورد تجزیه و تحلیل قرار گرفت.
یافته هامیانگین نمرات سواد سلامت، تمایل به فرزندآوری و سلامت معنوی به ترتیب 16/23 ± 89/76 (کافی)، 77/12 ± 207/100 و 11/7 ± 53/72 (متوسط) به دست آمد. ارتباط معنی داری بین سواد سلامت با تمایل به فرزندآوری و سلامت معنوی وجود نداشت، اما بین تمایل به فرزندآوری و سلامت معنوی، ارتباط مثبت و معنی داری مشاهده گردید (042/0 = P، 108/0 = r). متغیرهای محل سکونت، تحصیلات و شغل زنان با سلامت معنوی و متغیرهای تحصیلات و سن زنان با سواد سلامت ارتباط معنی داری را نشان داد (001/0 > P). مهم ترین علل تاخیر در فرزندآوری به ترتیب عوامل اقتصادی (4/52 درصد)، فردی (5/32 درصد) و فرهنگی (3/5 درصد) گزارش شد. ارتباط معنی داری بین شغل، درامد و تحصیلات با عدم تمایل به فرزندآوری وجود داشت (001/0 > P).
نتیجه گیریبه نظر می رسد مرتفع کردن مشکلات اقتصادی (اشتغال و سطح درامد) به عنوان مهم ترین دلیل عدم تمایل به فرزندآوری، می تواند منجر به افزایش فرزندآوری شود. به منظور رسیدن به این هدف، می توان لذت پدر و مادر شدن را از طریق ارتقای سلامت معنوی تبلیغ و بینش منفی مردم نسبت به داشتن فرزند بیشتر را از طرق مختلف و ممکن اصلاح نمود و مداخلات بهداشتی جهت افزایش سلامت معنوی زنان انجام گیرد.
کلید واژگان: فرزندآوری، معنویت، سواد سلامت، زنانBackgroundThe decrease in childbearing gradually pushes the age structure of the population out of youth and towards old age. This study aimed at investigating the desire to have children and its relationship with health literacy and spiritual health in married women of Fariman City, Iran, in 2023.
MethodsIn this cross-sectional descriptive-analytical study, 357 married women were selected by multi-stage sampling method. Data were collected based on 4 questionnaires including demographic information, desire for fertility, health literacy, and spiritual health, and were analyzed using SPSS software and descriptive and analytical tests.
FindingsThe average score of health literacy was 76.89 ± 23.16 (adequate), the average score of willingness to have children was 100.207 ± 12.77, and the average score of spiritual health was 72.53 ± 7.11 (moderate). The results did not show a significant relationship between health literacy and the desire to have children and spiritual health; however, there was a positive and significant relationship between the desire to have children and spiritual health (P = 0.042, r = 0.108). The variables of women's place of residence, education, and occupation had a significant relationship with spiritual health, and the variables of women's education and age had a significant relationship with health literacy (P < 0.001). The most important causes of delay in having children were expressed as economic factors (52.4%), personal factors (32.5%), and cultural factors (5.3%). There was a significant relationship between occupation, income, and education with unwillingness to have children (P < 0.001).
ConclusionIt seems that solving economic problems (employment and income level) as the most important reason for reluctance to have children can lead to an increase in having children. In order to achieve this goal, the joy of becoming a parent can be promoted through promoting spiritual health, and people's negative views on having more children can be corrected in various possible ways, and health interventions can be carried out to increase women's spiritual health.
Keywords: Childbearing, Spiritualism, Health Literacy, Women -
Background & aim
A midwife as a responsible and professional person provides a wide range of services to women. In Iran, the position of midwives is challenging in terms of their professional roles and few studies have addressed this issue... The present study was conducted to explore the perceptions and experiences of midwives, obstetricians and women regarding the role of midwives.
MethodsThis qualitative study was performed using conventional content analysis in Shahrekord, Iran in 2018.Purposeful sampling was started and continued until reaching to the saturation of data. 23 semi-structured interviews were conducted with 21 participants. The MAXQDA-2018 software was used to analyze the data adopting Graneheim & Landman’s approach.
ResultsData analysis revealed three categories including 1) "uncertain identity" including five subcategories of midwife as a maternity care provider, a gynecologist assistant, a healthcare team member, an undecided health professional, a professional with overlapped duties 2) "community-based educator" including three subcategories of women and mothers health promoters, community’s fertility promoters, patient respondents, as well as 3) "compassionate and empowered supporter," including three subcategories of women’s constant companion, underpaid supporter and unsupported advocate.
ConclusionThe results of this study showed that despite the fact that midwives play an important role in providing midwifery services, they suffer from the lack of job boundaries, low income and lack of support. Therefore, paying more attention to the identity of midwifery as an independent profession and restoring the midwife's job authority is a necessity of the health system.
Keywords: Midwife, Midwifery, Healthcare Providers Obstetrician, Women -
Background & aim
Dysfunctional sexual beliefs are misconceptions about sexual responses that hinder couples from achieving their ideal relationships and often lead to conflicts. Previous research suggests that addressing these beliefs can enhance women's sexual quality of life. However, due to limited evidence, this study aimed to determine the relationship between dysfunctional sexual beliefs and sexual quality of life in married women.
MethodsThis descriptive correlational study involved 200 married women aged 18-49 who visited health centers in Mashhad, Iran. Data were collected using a demographic questionnaire, the Sexual Dysfunctional Beliefs Questionnaire for Women (SDBQ), and the Sexual Quality of Life-Female (SQOL-F) questionnaire. A multi-stage cluster sampling method was employed, which included listing the five health districts of Mashhad and selecting 10 centers (two from each district) based on proportional sampling. One working day per month was randomly assigned to each center for participant selection. Data were analyzed using SPSS version 25 statistical software and the Pearson tests.
ResultsThe average age of married women was 34.3±6.4 years. The total score of dysfunctional sexual beliefs in women was 84.5±13.5, and the total score of sexual quality of life in the studied women was 65.0±5.8. The Pearson correlation coefficient between dysfunctional sexual beliefs and sexual quality of life in the studied women was negative and significant (P<0.001, r=-0.248).
ConclusionDysfunctional sexual beliefs significantly negatively impact the sexual quality of life in married women. The counseling approach for women with low sexual quality in identifying and correcting dysfunctional sexual beliefs is recommended.
Keywords: Dysfunctional Sexual Beliefs, Sexual Quality Of Life, Women -
BackgroundIntimate partner violence (IPV) is a public health concern in the world, especially in the developing world. Bangladesh, a developing country, has the highest rate of IPV among the South Asian countries. We designed this study to examine survey data from a fishing community in Cox’s Bazar district in Bangladesh, aiming to investigate the factors associated with the poor mental health conditions of women who experienced IPV.MethodsThis study used a cross-sectional design. The target population included fishermen’s wives within the reproductive age group (15-49 years) who experienced IPV. A convenient sampling procedure selected 120 fishermen’s wives from three fishers’ villages of Cox’s Bazar district in 2022. We assessed the respondents’ mental health conditions using the Self-Reporting Questionnaire (SRQ-20). We analyzed the data using Fisher’s exact test, independent t-test, and binary logistic regression in SPSS version 26.ResultsThe respondents reported the prevalence of physical and psychological abuse by their current intimate partners in the last year. The findings indicated that their intimate partners physically abused 69.2% of respondents and psychologically abused 86.7% of them in the past year. The majority of the respondents (80%, n=96) had poor mental health (SRQ≥7). The results from binary logistic regression models demonstrated that the poor mental health of respondents was associated with several factors, including respondents’ age (P=0.045), education (P=0.001), personal income (P=0.002), consumption of betel leaf/smokeless tobacco (P=0.032), not being a member of a non-governmental organization (NGO) (P=0.023), a husband’s gambling habit (P=0.05), a history of psychological abuse (P=0.001), and those who seek assistance during crisis times (P=0.027).ConclusionsThe study findings can assist policymakers and fisheries practitioners in formulating policies and programs to reduce IPV in fisheries communities, thereby ensuring that no one is left behind.Keywords: Violence, Mental Health, Women, Psychological Abuse, Physical Abuse
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International Journal of Community Based Nursing and Midwifery, Volume:13 Issue: 2, Feb 2025, PP 103 -112BackgroundFear and anxiety of the pain caused by childbirth is the main resistance of women againstnatural childbirth; therefore, women prefer cesarean delivery. The utilization of non-pharmacologicaltreatments can make the childbirth process pleasurable for the mother. This study aimed to determinethe effect of chewing gum on anxiety and labor pain intensity in primiparous women.MethodsThis randomized controlled study was conducted in two public health centers (Babol, Iran) fromMay 2021 to October 2022. The participants comprised 116 primiparous women with a gestational age of38–42 weeks and a diagnosis of labor pain. The pregnant women were subjected to block randomizationand allocated to two groups of 58 patients. The intervention group received chewing gum for 20 minutesin the three stages, including dilatation of 3–4 cm, 5–7 cm, and 8–10 cm. The control group received onlystandard care. The tools used for data collection included demographic and obstetric characteristics, theState-Trait Anxiety Inventory (STAI) questionnaire, and the Visual Analog Scale (VAS). The data wereanalyzed hroughtSPSS, version 22, using the Chi-square test, Repeated Measures ANOVA, paired t test,independent t-test, and ANCOVA. A significance level of less than 0.05 was considered.ResultsThere was a significant difference in the mean pain scores after the intervention betweenthe two groups in dilatation of 3-4 cm (P=0.003), 5-7 cm (P<0.001), and 8-10 cm (P<0.001); also, thechewing gum group had lower pain intensity. There was a significant difference in the mean stateanxiety (P<0.001) and trait anxiety (P<0.001) scores after the intervention between the two groups,and the gum chewing group had lower anxiety.ConclusionChewing gum is a practical alternative method for decreasing anxiety and pain intensityduring childbirth in primiparous women.Trial Registration Number: IRCT20100510003902N5.Keywords: Anxiety, Chewing Gum, Labor Pain, Parity, Women
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BackgroundUnderstanding the factors that influence divorce can help individuals and couples make informed decisions about their relationships and seek appropriate support. The study aimed to investigate the correlation between self-differentiation and emotional experiences towards the spouse and the probability of divorce among married female students.MethodsThis study used a descriptive-correlational design to examine the relationship between divorce probability, selfdifferentiation, and emotional experiences in married female students at Islamic Azad University of Ahvaz, Iran in 2023. A convenience sample of 304 participants was selected. Data were collected using the Divorce Probability Questionnaire (DPQ), Differentiation of Self Inventory (DSI), and Experiences of Emotions Towards Spouse Questionnaire (EETSQ). Data analysis was conducted using SPSS version 27. Correlation coefficients and regression were employed to examine the correlations between the variables.ResultsThe results revealed a significant negative correlation between self-differentiation and the probability of divorce (r=- 35, P=0.001). Additionally, emotional experiences towards the spouse were negatively and significantly correlated with the probability of divorce (r=-33, P=0.001).ConclusionsThe findings suggested that self-differentiation and emotional experiences towards the spouse are significantly correlated with the probability of divorce among married female students. By understanding the importance of self-differentiation and positive emotional experiences, interventions can be developed to help couples strengthen their relationships and reduce the risk of divorce.Keywords: Divorce, Emotions, Women, Self-Differentiation
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BackgroundDivorce is recognized as the main factor contributing to the deterioration and collapse of the basic societal institution, the family, resulting in numerous negative social consequences. The study aimed to examine the correlation between spiritual intelligence and self-compassion with the influence of social adjustment in women who have experienced divorce.MethodsThis descriptive-correlational study focused on all divorced women under the care of the Welfare Organization of Alborz Province, Iran who have been divorced for at least one year in 2023-2024. A total number of 361 participants were selected using convenience sampling method. The Integrated Spiritual Intelligence Scale (ISIS), Social Adaptation Self-evaluation Scale (SASS), Post-Divorce Adjustment Inventory (PDAI), and Self-Compassion Scale (SCS) were given to the participants. The data were analyzed using SmartPLS 4.1.0.9 software.ResultsBased on the findings of the study, Social Adaptation was positively and significantly correlated with Adjustment following divorce (β=0.035, P=0.006). Similarly, Mindfulness achieved through Social Adaptation showed a positive and significant association with adjustment after divorce (β=0.042, P=0.002). In addition, spiritual intelligence attained through social adaptation was found to have a positive and significant correlation with adjustment after divorce (β=0.064, P<0.001). Furthermore, self-judgment as a component of social adaptation exhibited a negative and significant correlation with adjustment after divorce (β=-0.049, P=0.002).ConclusionsAccording to the results of the model fitting, all variables in various areas showed adequate levels of validity and reliability within the model. Additionally, the total impact of the model indicated significant correlations between spiritual intelligence, self-compassion, and social adjustment variables on post-divorce adjustment. The mediating impact of the social adjustment variable was also verified in this situation.Keywords: Adjustment, Spiritual Intelligence, Self-Compassion, Social Adjustment, Divorced, Women
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نشریه پرستاری ایران، پیاپی 149 (شهریور 1403)، صص 242 -257زمینه و هدف
باتوجه به نیازهای روانشناختی افراد نابارور به خصوص زنان نابارور، کمبود تحقیقات دقیق درزمینه روانشناسی ناباروری و همچنین نیاز به یافتن یک روش کوتاه مدت و کم هزینه بیش ازپیش لزوم انجام پژوهش هایی در این زمینه به خصوص در کشور ایران را تایید می کند. ازآنجاکه ناباروری و نگرش جامعه نسبت به آن زنان را با آشفتگی های هیجانی متعددی مواجه می سازد و باتوجه به اهمیت تنظیم شناختی هیجان در وضعیت روانشناختی زنان نابارور و انجام نشدن مداخله مقابله ای با تنیدگی ناباروری درزمینه ارتباط متغیرهای پیش گفت در جامعه زنان نابارور، هدف از انجام این پژوهش ارزیابی اثربخشی بسته آموزشی مقابله ای شناختی-رفتاری با تنیدگی ناباروری بر تنظیم شناختی هیجان در زنان نابارور بود.
روش بررسیپژوهش حاضر باتوجه به هدف کاربردی و شیوه اجرا نیمه آزمایشی، از نوع طرح پیش آزمون، پس آزمون و پیگیری 2 ماهه با گروه کنترل بود. جامعه آماری این پژوهش، زنان نابارور مراجعه کننده به مراکز ناباروری و مطب متخصصان زنان و درمان ناباروری شهر کرمانشاه در سال 1401 بود. 40 نفر از زنان نابارور که واجد شرایط شرکت در پژوهش بودند با استفاده از روش نمونه گیری در دسترس انتخاب و در دو گروه (آزمایش و کنترل) به صورت تصادفی ساده جایگزین شدند که ملاک ورود به پژوهش، تشخیص ناباروری براساس نظر متخصص زنان و ناباروری و دریافت درمان دارویی از سوی پزشک متخصص بود. در این پژوهش از پرسش نامه استرس ناباروری نیوتن و همکاران و مقیاس تنظیم شناختی هیجان (CERQ؛ گارنفسکی و کرایج) به کارگرفته شده است. در این پژوهش تجزیه وتحلیل داده های به دست آمده با استفاده از نرم افزار SPSS نسخه 24، آزمون آنالیز واریانس اندازه گیری مکرر و بررسی پیش فرض های آن استفاده شد.
یافته هابررسی اثربخشی بسته آموزشی بر تنظیم شناختی هیجان زنان نابارور نشان داد بین سه مرحله پیش آزمون، پس آزمون و پیگیری در تنظیم شناختی هیجان تفاوت وجود دارد (05/P<0) و این تفاوت معنی دار تا مرحله پیگیری نیز تداوم داشته است (05/P<0).
نتیجه گیریبسته آموزشی مقابله ای شناختی- رفتاری با تنیدگی ناباروری زنان نابارور می تواند بر تنظیم شناختی هیجان زنان نابارور اثربخش باشد و می توان از این برنامه برای کاهش تنیدگی زنان نابارور بهره گرفت.
کلید واژگان: مقابله شناختی- رفتاری، تنیدگی ناباروری، تنظیم شناختی هیجان، ناباروری، زنانBackground & AimsConsidering the psychological needs of infertile women, the important role of cognitive emotion regulation in their psychological state, and the lack of an intervention to deal with infertility stress in Iran, this study aims to evaluate the effectiveness of cognitive-behavioral infertility stress coping training on the cognitive emotion regulation of infertile women.
Materials & MethodsThis is a quasi-experimental study with a pre-test/post-test/two-month follow-up design. The study population consists of infertile women who referred to infertility treatment centers and visited specialists in Kermanshah, Iran, in 2021. Using a convenience sampling method, 40 women were selected and were divided into two groups (intervention and control). They completed Newton’s fertility problem inventory and Garnefski and Kraaij’s cognitive emotion regulation questionnaire (CERQ). The collected data were analyzed in SPSS software, version 24 using repeated measures analysis of variance.
ResultsThere were significant differences in the CERQ scores in the intervention group between the three stages of pre-test, post-test, and follow-up (P<0.05). The significant effect was maintained in the follow-up stage (P<0.05).
ConclusionThe cognitive-behavioral infertility stress-coping training program is effective in improving the cognitive emotion regulation of infertile women. Therefore, this program can be used to reduce the stress of infertile women in Iran.
Keywords: Cognitive-Behavioral Coping, Stress, Cognitive Emotion Regulation, Infertility, Women -
نشریه پرستاری ایران، پیاپی 149 (شهریور 1403)، صص 226 -241زمینه و هدف
افراد با تاب آوری بالا تحمل درد و رنج برای آن ها آسان است و کمتر در معرض استرس قرار می گیرند. این مطالعه با هدف بررسی تاثیر تکنیک رهاسازی هیجانی (EFT) بر استرس و تاب آوری زنان نابارور انجام شد.
روش بررسیاین مطالعه نیمه آزمایشی از نیمه بهمن سال 1401 تا نیمه مرداد سال 1402 بر روی 98زن دارای مشکلات ناباروری مراجعه کننده به دو کلینیک دولتی و خصوصی شهر بندرعباس با تخصیص 1:1 در دو گروه آزمایش و کنترل انجام شد. شرکت کنندگان گروه آزمایش 4جلسه آموزش با فاصله 1 هفته دریافت کردند. پرسش نامه جمعیت شناختی، استرس ناباروری و تاب آوری کانر و دیویدسون قبل و پس از اتمام مداخله تکمیل شد. تجزیه وتحلیل داده ها با نرم افزار SPSS نسخه 16 و استفاده از آزمون های تی مستقل و تی زوجی انجام شد.
یافته هامیانگین استرس قبل و بعد از مداخله به ترتیب در گروه آزمون 34/06±168/06 و26/02±134/59 درگروه کنترل31/08± 155/26 و31/28±156/83 بود. بعد از مداخله استرس در گروه آزمون کمتر از کنترل بود (0/001>P). میانگین نمره تاب آوری قبل و بعد از مداخله به ترتیب در گروه آزمایش 20/13±26/64 و 9/63±82/97 و در گروه کنترل 30/13±83/71 و 12/95±71/049 بود که نشان دهنده افزایش تاب آوری در گروه آزمایش نسبت به کنترل می باشد (0/001>P).
نتیجه گیریتکنیک رهاسازی هیجانی می تواند سبب کاهش سطح استرس زنان دارای مشکلات ناباروری و افزایش سطح تاب آوری آنان شود. کادر درمان می تواند این راهکار ارزان، بی خطر و آسان را به زنان نابارور جهت تاب آوری بیشتر و کاهش استرس توصیه کند.
کلید واژگان: استرس، تاب آوری، زنان، ناباروریBackground & AimsPeople with high resilience can easily tolerate pain and have less stress. This study aims to investigate the effect of the emotional freedom technique (EFT) on the stress and resilience of infertile women.
Materials & MethodsThis quasi-experimental study was conducted from February to August 2023 on 98 women with infertility problems referred to two public and private clinics in Bandar Abbas, South of Iran. They were randomly allocated into two intervention and control groups on a 1:1 basis. Participants in the intervention group received the EFT at 4 training sessions with a 1-week interval. A sociodemographic form, Newton’s fertility problem inventory (FPI), and the Connor-Davidson resilience scale (CD-RISC) were completed before and after the intervention. Data analysis was performed in SPSS software, version 16 and independent and paired t-tests were used.
ResultsThe mean score of FPI before and after the intervention were 168.06±34.06 and 134.59±26.02 in the intervention group, and 155.26±31.08 and 156.83±31.28 in the control group, respectively. After the intervention, the FPI score in the intervention group was significantly lower (P<0.001). The mean CD-RISC score before and after the intervention was 26.64±20.13 and 82.97±9.63 in the intervention group and 83.71±30.33 and 71.04±12.95 in the control group, respectively, indicating a significant increase in the resilience of the intervention group compared to the control (P<0.001).
ConclusionThe EFT can reduce the stress of infertile women and increase their resilience. This cost-effective, safe, and easy method can be recommended by the medical staff to infertile women for better resilience and stress reduction.
Keywords: Stress, Resilience, Women, Infertility -
Context:
Toxoplasma gondii remains a global concern, especially in developing countries. This parasite is particularly important in women of childbearing age due to its increased risk of miscarriage and serious complications in the newborn.
ObjectivesThis systematic review and meta-analysis was conducted to determinet the serum prevalence of acute and chronic T. gondii infection in women of reproductive age in Iran.
MethodsThe systematic search process was carried out from January 2010 to July 2024 through four English databases (PubMed, Scopus, Web of Science, and Science Direct) and two Persian databases (Magiran and SID) as well as Google Scholar as a specialized search engine for the article. Meta-analysis analysis was performed using a random effects model. Prevalence estimates and 95% confidence intervals were calculated for each study. Heterogeneity was evaluated using the I2 statistic. Egger and Begg's test was also used to assess the publication bias.
ResultsA total of 869 records were retrieved, resulting in 28 studies including 13,177 individuals of reproductive age included in the meta-analysis for T. gondii -specific IgG and/or IgM antibodies. The seroprevalence of IgG and IgM antibody serum in women is 29% (95% CI: 23% - 34%) and 4% (95% CI:3% - 5%) respectively. Egger's test results (P = 0.001) showed publication bias.
ConclusionsThe prevalence of chronic (IgG) and acute infection (IgM) T. gondii in women of reproductive age in Iran is relatively high. Therefore, there is an urgent need for education to increase women's awareness.
Keywords: Toxoplasma, Seroprevalence, Meta-Analysis, Women -
Background
During pregnancy, women encounter various physical and mental challenges, with severity influenced by their physical condition, underlying health issues, socio-economic status, and available support systems.
ObjectivesThis study aims to explore the lived experiences of faculty members during pregnancy.
MethodsThis interpretative phenomenological study was conducted using Max van Manen's phenomenological research methods. Data were collected through semi-structured, in-depth, face-to-face interviews. A total of 7 participants were selected through purposive sampling. The interviews began with the question, "How did you experience your pregnancy?" To ensure rich data, maximum diversity sampling was employed. Data collection and analysis occurred concurrently. This research was conducted in 2023 at Dezful University of Medical Sciences, focusing on medical faculty members.
ResultsThe findings revealed that the lived experiences of female faculty members in medical sciences universities in Iran during motherhood encompassed seven themes: Sick and tired body, mental instability, modified role, support failure, wrong policies, spiritual strictness, and resistance against traditionalism.
ConclusionsThe research indicates that the lack of family-friendly programs results in numerous challenges for female faculty members, including the financial burden of having children, conflicts between motherhood and professional responsibilities, ineffective demographic policies, pressures from traditional societal norms, and inadequate support systems.
Keywords: Academic Personnel, Childbirth, Experiences, Pregnancy, Qualitative Research, Women -
Background
Obesity among girls can lead to physical, psychological, or social problems. Enhancing self‑esteem and reducing self‑stigma toward obesity can play a crucial role in girls’ health. This study aims to assess girls’ self‑esteem and its association with self‑stigma toward obesity.
Materials and MethodsA descriptive cross‑sectional design was used to meet the study’s objective. A convenience sampling method was used to gather the sample from 24 middle and high schools in five cities across Iraq from (January 2023 to March 2023). A total of 1326 girls participated in the study. Weight Self‑Stigma Questionnaire and Rosenberg Self‑Esteem Scale were used to assess self‑stigma and self‑esteem regarding obesity. Pearson’s rho (r) and one‑way ANOVA were used to analyze the data by SPSS version 26.
ResultsIn total, 1200 girls scored on weight self‑stigma and self‑esteem, and the means (SD) were 29.28 (±7.06) and 30.47 (4.43), respectively. The results revealed that there was a significant negative correlation between weight self‑stigma and self‑esteem (r = ‑.404, p < 0.001).
ConclusionsIraqi girls with higher obesity‑related stigma have lower self‑esteem. Hence, as obesity can affect girls’ body image, increasing girls’ self‑esteem can reduce their weight self‑stigma.
Keywords: Obesity, Self‑Concept, Social Stigma, Women -
BackgroundBody dysmorphic disorder is a psychological condition in which an individual is convinced that there is an imperfection in their physical appearance, causing them significant distress and prompting repetitive actions.ObjectivesThe current study aimed to predict body deformity symptoms in women visiting beauty clinics by analyzing cognitive avoidance and self-differentiation.MethodsThe study was conducted based on a correlational descriptive approach. The statistical population included females who attended beauty clinics in District 3 of Tehran in 2023. Convenient sampling was utilized as the sampling method. The required data were gathered using the Differentiation of Self Inventory-Short Form and Revised Yale-Brown Obsessive-Compulsive Scale. The data analysis technique involved Pearson's correlation coefficient and multiple regression. The collected data were analyzed in IBM SPSS version 26.ResultsThe findings showed a clear negative relationship between the total self-differentiation score (r=-0.47) and its elements, such as personal identity (r=-0.19), relationships with others (r=-0.39), and emotional reactivity (r=-0.37), and symptoms of body deformity in women seeking beauty treatments.ConclusionAccording to the research results, it can be inferred that cognitive avoidance and self-differentiation play a crucial role in alleviating symptoms of body deformity among women undergoing beauty treatments. Therefore, this information can be used as a basis for developing therapeutic and educational initiatives aimed at addressing these concerns.Keywords: Body Deformity Symptoms, Cognitive Avoidance, Self-Differentiation, Women
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مجله دانشکده بهداشت و انستیتو تحقیقات بهداشتی، سال بیست و دوم شماره 3 (پیاپی 87، بهار 1404)، صص 265 -278زمینه و هدف
با توجه به کاهش باروری در ایران و رسیدن آن به زیر سطح جانشینی، سیاست گذاران به دنبال افزایش نرخ باروری از طریق سیاست های تشویقی هستند. از این رو تحقیق درباب عوامل اقتصادی و اجتماعی موثر بر باروری و قصد فرزندآوری می تواند به تدوین سیاست های جمعیتی مناسب تر کمک نماید.
روش کاردر مطالعه حاضر از تکنیک پیمایش استفاده شد. برای گردآوری داده ها از پرسشنامه استاندارد استفاده شد. جامعه آماری شامل زنان دارای همسر 15 تا 49 سال ساکن شهر شیراز بود. تعداد 384 نفر از زنان در آبان و آذر ماه 1402 پیمایش شدند. برای تحلیل داده ها از نرم افزار SPSS 27 استفاده شد.
نتایجیافته ها نشان داد که در بین متغیرهای زمینه ای مدت ازدواج، درآمد، تعلق طبقاتی، وضعیت مسکن و وضعیت اشتغال اثر معنی دار بر احتمال قصد فرزند آوری زنان داشتند (05/0 <p). حمایت اجتماعی ادراک شده و رضایت زناشویی به طور معنی داری احتمال قصد باروری زنان را افزایش دادند (05/0 <p).
نتیجه گیریاز آنجایی که شکل خانواده ها متحول و از گسترده به هسته ای تغییر شکل داده است لذا احتمال دارد زنان نتوانند حمایت اجتماعی غیررسمی را به اندازه گذشته از اطرافیان خود دریافت کنند بنابراین حمایت های رسمی دولتی می تواند این خلاء را پوشش دهد. همچنین شناسایی زوجین با تعارضات زناشویی و تلاش برای تقویت رضایت زناشویی و رفع تعارضات بین آنها، از طریق برنامه های مشاوره ای، می تواند بر سطح باروری اثر مثبت داشته باشد.
کلید واژگان: زنان، حمایت اجتماعی ادراک شده، رضایت زناشویی، قصد فرزندآوریBackground and AimConsidering the decrease in fertility in Iran, which has reached below replacement levels, policymakers seek to increase the fertility rate through incentive policies. Therefore, research on economic and social factors affecting fertility and the intention to have children can help formulate more appropriate demographic policies.
Materials and MethodsIn this quantitative study, the survey technique was employed, utilizing a standard questionnaire for data collection. The statistical population comprised married women aged 15 to 49 residing in Shiraz. A total of 384 women were surveyed in 2023, and data analysis was conducted using SPSS 27 software
ResultsThe findings indicated that, among the contextual variables, the duration of marriage, income, class belonging, housing status, and employment status had a significant effect on the probability of women's fertility intention (p< 0.05). Additionally, perceived social support and marital satisfaction significantly increased the probability of women's fertility intention (p<0.05)
ConclusionAs the structure of families has shifted from extended to nuclear, it is possible that women may not receive as much informal social support from their neighbors as in the past. Therefore, official government support can fill this void. Additionally, identifying couples experiencing marital conflicts and attempting to strengthen marital satisfaction while resolving conflicts through counseling programs can have a positive impact on fertility levels
Keywords: Women, Perceived Social Support, Marital Satisfaction, Intention To Have Children -
زمینه و هدف
مشارکت فعال و موثر زنان به عنوان نیمی از نیروهای اثربخش هر جامعه، علاوه بر تضمین رشد و بقای پایدار، ارتباطی جدی با سیاست های شکوفایی فردی، خانوادگی و اجتماعی دارد. این مطالعه با هدف بررسی وضعیت تولیدات علمی زنان کشور در حوزه سلامت و عوامل موثر بر آن و ارائه راهکارهای ارتقای فرایندها و برون دادهای متناظر انجام شده است.
روشطی یک مطالعه تلفیقی مرور نظام مند و کیفی، در گام نخست برای بررسی وضعیت جایگاه های علمی و تولیدات علمی زنان جستجو بدون محدودیت تاریخ و زبان، جستجو از طریق پایگاه های اصلی بین المللی PubMed، ISI/WOS و SCOPUS و بانک های داخلی تکمیل شد. در بخش دوم مصاحبه عمیق فردی با 18 نفر از صاحبنظران و آگاهان کلیدی، پیگیری شد. درنهایت نتایج تحلیل کیفی ماحصل این دو مرحله، در پنل خبرگان نهایی و تایید شد.
یافته هاسیاست های مربوط به نقش زنان در علم و فناوری، در کشورهای توسعه یافته نیز با چالش هایی روبه روست. شناسایی قابلیت ها و توانمندی ها، فراهم آوردن امکانات برابر رقابتی و تشویق زنان برای ورود به عرصه های مشارکت علمی، نیازمند شناخت و مدیریت محدودیت ها است. به رغم اولویت مسئله و تلاش های صورت گرفته، همچنان نقصان واضحی در مستندات علمی مرتبط و پشتیبان سیاست گذاری در این حوزه وجود دارد.
نتیجه گیریتامین مستندات پشتیبان سیاست گذاری، پایداری سیاست ها و برنامه ها، ارزیابی و پایش مستمر برنامه ها، تحلیل شاخصهای نابرابری در زمینه مشارکت زنان و مردان در تولیدات علمی کشور و جلب مشارکت زنان در سیاست گذاری، برنامه ریزی و اجرا از مهمترین استراتژی های مورد تاکید احصا شده در مطالعه حاضر هستند.
کلید واژگان: انتشارات، برابری جنسیتی، پژوهش، زنانBackgroundActive and effective participation of women as half of the effective forces of any society, in addition to ensuring sustainable growth and survival, has a serious connection with individual, family and social prosperity policies This study aimed to investigate the status of women's scientific productions in the field of health and the factors affecting it and providing solutions to improve the corresponding processes and outputs.
MethodsThrough the first step, in order to examine the status of women's scientific positions and scientific productions, a systematic search was completed through the main international databases PubMed, ISI/WOS and SCOPUS and the domestic sources. In the second part, in-depth individual interviews were conducted with 18 key experts and informants. The results of the qualitative analysis of these two stages were finalized and approved by a panel of experts.
ResultsPolicies related to the role of women in science and technology also face challenges in developed countries. Identifying capabilities, providing equal competitive opportunities, and encouraging women to enter the fields of scientific participation require removing restrictions and will not be easily achieved. Despite the priority of the issue and the efforts made, there is still a clear deficiency in relevant scientific documentation and supporting policy-making in this area.
ConclusionProviding supporting documentation for policy-making, sustainability of policies and programs, continuous evaluation and monitoring of programs, analysis of inequality indicators in the field of participation of women and men in the country's scientific production, and attracting women's participation in policy-making, planning, and implementation are among the most important strategies emphasized in the present study.
Keywords: Gender Equity, Publications, Research, Women -
مقدمه
ذهنیت طرحواره ای ناکارآمد بر کیفیت زندگی تاثیر منفی می گذارد که نیازمند مداخله ای موثر برای بهبود این حوزه است. پژوهش حاضر با هدف تعیین اثربخشی "طرحواره درمانی ذهنیت مدار" بر کیفیت زندگی و ذهنیت طرحواره ای زنان 20 تا 40 سال انجام شد.
روش کارپژوهش حاضر از نوع نیمه تجربی از نوع پیش آزمون، پس آزمون با گروه کنترل همراه با پیگیری بود. جامعه آماری پژوهش حاضر، شامل همه زنان 20 تا 40 سال شهر اصفهان در سال 1402 بودند. تعداد 28 زن 20 تا 40 سال بر اساس نمونه گیری هدفمند و به روش در دسترس انتخاب شدند. سپس به صورت تصادفی از نوع قرعه کشی در گروه "طرحواره درمانی ذهنیت مدار" (14 زن) و گروه کنترل (14 زن) گمارده شدند. جمع آوری داده ها با پرسشنامه جمعیت شناختی، ابزارهای "کیفیت زندگی سازمان جهانی بهداشت- کوتاه" (World Health Organization Quality of Life Brief WHOQOL-BREF) و "سیاهه ذهنیت طرحواره ای" (Schema Mode Inventory) انجام گرفت. روایی محتوا به روش کیفی و پایایی به روش همسانی درونی با محاسبه ضریب آلفا کرونباخ انجام شد. برای گروه مداخله، 10 جلسه 90 دقیقه ای "طرحواره درمانی ذهنیت مدار" هفته ای 1 جلسه انجام شد. گروه کنترل درمان را پس از اتمام پژوهش دریافت کردند. پس از اتمام مداخله، پس آزمون و به فاصله 2 ماه بعد پیگیری انجام شد. داده ها در نرم افزار اس پی اس اس نسخه 23 تحلیل شد.
یافته هابین گروه مداخله و گروه کنترل در متغیر کیفیت زندگی و ذهنیت طرحواره ای، در مرحله پس آزمون و پیگیری تفاوت معناداری وجود داشت. بنابراین، مداخله در ارتقاء کیفیت زندگی و ذهنیت طرحواره ای زنان 20 تا 40 سال اثربخش بود (P<0/05).
نتیجه گیری"طرحواره درمانی ذهنیت مدار" باعث ارتقاء کیفیت زندگی و ذهنیت طرحواره ای زنان 20 تا 40 سال می شود. پیشنهاد می شود روانشناسان که با زنان کار می کنند از یافته های پژوهش حاضر در جهت ارتقاء کیفیت زندگی و ذهنیت طرحواره ای زنان استفاده کنند.
کلید واژگان: طرحواره درمانی ذهنیت مدار، کیفیت زندگی، ذهنیت طرحواره ای، زنانIntroductionMaladaptive schema modes negatively impact quality of life, requiring effective interventions to improve this area. The present study was conducted with the aim of determining the effectiveness of “Schema Modes Therapy” on improving the quality of life and schema modes of women aged 20 to 40.
MethodsThe current research was of semi-experimental type with pre-test, post-test with control group and follow-up. The statistical population of the present study included all women 20 to 40 years old of Isfahan city in 2023. 28 women aged 20 to 40 were selected based on available sampling. Then they were randomly assigned to the “Schema Modes Therapy” group (14 women) and the control group (14 women) by lottery. The research data was collected with a demographic questionnaire, World Health Organization Quality of Life Brief Version WHOQOL-BREF and "Schema Mode Inventory". Content validity was done by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Then, for the intervention group, 10 90-minute sessions of “Schema Modes Therapy” (1 session per week) were conducted. The control group received the treatment after the research was completed. After the completion of the intervention, a post-test and a follow-up was conducted 2 months later. Data were analyzed in SPSS. 23 software. To analyze the data, repeated measurement variance analysis and Benferoni's post hoc test were used.
ResultsThere was a significant difference between the intervention group and the control group in the variable of quality of life and schema modes, in the post-test and follow-up phase. Therefore, the intervention was effective in on improving the quality of life and schema modes of women aged 20 to 40 (P<0.05).
ConclusionsSchema Modes Therapy improving the quality of life and schema modes of women aged 20 to 40. It is suggested that psychologists who work with women use the findings of this research to improve the quality of life and schema modes of women.
Keywords: Schema Modes Therapy, Quality Of Life, Schema Mode, Women
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