مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 177 (هفته سوم دی 1394)

Evaluating quality of health and medical care is considered as an essential criteria to promote the care's quality that can lead to improve the results of programs and their efficacy. One of the methods to assess the quality of care is Bruce model which can detect the weak units and eliminate the shortages. This study was performed with aim to evaluate the quality of postpartum care Based on Bruce Model in medical health centers of Mashhad. This cross-sectional study was performed on 500 qualified mothers from 19 medical and health centers in Mashhad in 2013-2014. The samples were selected by multi-stage sampling method. Data collection tool included demographic questionnaire and care evaluation check-list based on Bruce model which included 6 aspects of technical skills, training and consultation, inter-personal relationship, informed selection, follow-up mechanism, organizing the services and conditions. Data was analyzed by SPSS software (version 16) and descriptive-analytical statistics. P Total quality of postpartum cares was moderate. In this study, technical qualification (clinical examinations) and training and consultation in postpartum care were weak. Other aspects including technical qualification (history), inter-personal relationship, follow-up mechanism, and informed selection were moderate. Based on the Kruskal-Wallis test, there was difference between mean scores of different aspects of quality in Mashhad health centers except in the aspect of follow-up mechanism (P<0.05). With regard to the poor quality of clinical examinations and training and consultation in these cares and their effects on preventing from postpartum complications, it is recommended to do more studies about the cause of weak quality of these cares.

Premenstrual syndrome (PMS) is one of the most common psychosomatic disorders in women which have many effects on women's quality of life and leads to decreased job performance and increased absence from workplace in working women. Its etiology is unknown and therapeutic techniques have been relatively effective. Since so far, no combination study has been done by two approaches of nutrition and psychology, so, this study was performed with to evaluate the effectiveness of integrated therapy approach based on clinical psychology and traditional medicine and considering the body and mind on the symptoms of premenstrual syndrome. This clinical trial study was performed on 45 women working in Mashhad Broadcasting Centre from September 2014 to October 2015. 45 patients with PMS were randomly into three groups of 15 cases in each group including receiving cognitive-behavioral therapy, receiving cognitive-behavioral therapy along with diet, and control. Tools for data collecting in this study were premenstrual symptoms screening tool (PSST) and Beck Depression Inventory (BDI). Data was analyzed using SPSS software (version 21), and one way ANOVA with repeated measurements, Kolmogrov-Smironov test and Friedman nonparametric test. PIn the experimental group, total score of premenstrual syndrome (P<0/01) and score of depression (P=0.000), and physical symptoms (P=0.015) were significantly decreased compared to control group after the test. The cognitive-behavioral group therapy along with traditional medicine is more effective on reduced symptoms of depression and physical symptoms compared with cognitive-behavioral therapy alone.

Advances in science and technology have led to increasing human lifespan and also the aging phenomenon. With regard to the importance of appropriate designing and planning to maintain and promote health, quality of life, and independence in cognitive and functional activities of the elderly … population, and increasing the aging phenomenon in the world, so, this study was performed with aim to assess the studies about designing the exercise program with elastic band in old women and its effects on their health. This is a review study which was performed by the international and Persian databases of Magiran، Google scholar، Scopus، Iran Medex، SID، PubMed. The article's searching was performed without time limitation using the keywords of elastic band, exercise program, elderly womens. All reviewed articles that met the inclusion criteria were evaluated. Among 84 primary articles, 44 articles by checking the title and abstract were excluded due to being repetitive or irrelevant, and 33 articles were excluded for other reasons, and finally, 7 articles which had assessed designing an exercise program using an elastic band in elderly women were studied. Most studies had mentioned the positive effects of exercise program using an elastic band in elderly women (significant effects on the metabolic syndrome indicators, improve performance and increase muscle strength and endurance, fat-free mass and fat mass). Regarding to the positive effects of exercise by elastic band in elderly women, it is recommended that exercises program using elastic bands be considered in planning the elderly women's care because of the ease of access, cheapness and safety.