فهرست مطالب

Community Based Nursing and Midwifery - Volume:5 Issue: 2, 2017
  • Volume:5 Issue: 2, 2017
  • تاریخ انتشار: 1396/01/06
  • تعداد عناوین: 10
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  • Mohammad Farajzadeh, Reza Ghanei Gheshlagh, Kourosh Sayehmiri * Pages 100-111
    Background
    The ever-growing elderly population of Iran and their physical and mental consequences put emphasis on the necessity of determining the quality of life (QoL) in this social group. This systematic review and meta-analysis aimed to estimate the mean score of QoL in Iranian elderly citizens.
    Methods
    Twenty-one articles that were indexed in Iranian (MagIran and Iran Medex) and international (Scientific Information Database, Google Scholars, Science Direct, PubMed, ProQuest, Scopus) databases were selected. The articles have used the Short Form Health Survey (SF-36) to measure QoL in Iranian elderly. The collected data were analyzed using a random effects model, while heterogeneity of the studies was measured by I2 index. The data analysis was performed by STATA.
    Results
    The sample size of the 21 articles was 5318 and the mean score of QoL in the healthy and sick elderly citizens was 53.8 (CI 95%: 49.4-58.2) and 50.6 (CI 95%: 38.4-62.9) respectively. In addition, there was no significant relationship between the score of QoL and the year of publication of the articles. (P=0.748)
    Conclusion
    Given that QoL of the studied elderly was almost at an average level, there is a need to codify and implement comprehensive programs through effective training programs toward improving QoL of the elderly.
    Keywords: Aging, Elderly, Iran, Quality of life
  • Parasroo Rezapoor, Mohsen Shahriari *, Hamid Sanei, Mahin Moeini Pages 112-122
    Background
    Coronary artery diseases and therapies such as coronary angioplasty would lead to changes in the quality of life in patients. The aim of this study was to determine the effects of collaborative care model on the quality of life in patients after coronary angioplasty.
    Methods
    This randomized controlled clinical trial was conducted in Isfahan, Iran during 2015. In this study, 50 samples were selected by simple sampling and randomly allocated into two equal groups of intervention and control. Collaborative care model was performed in the intervention group for 3 months. Data were collected using quality of life (SF-36) questionnaire which includes 36 questions on physical and psychological dimensions and was completed before and one month after the intervention in both groups.
    Data were analyzed using descriptive and analytical statistics and by independent t- test, paired t test, Chi square and Mann-Whitney tests through SPSS 18.
    Results
    After the intervention, the mean score of quality of life in the intervention group was significantly higher than the control group (P
    Conclusion
    Results revealed that patients who had been cared based on collaborative care model had better scores of quality of life in all the physical, mental and social dimensions than the control group. Therefore, using this model for taking care of patients after coronary angioplasty is recommended.
    Keywords: Collaboration, Care, Coronary angioplasty, Quality of life
  • Elham Azmoude, Haniye Behnam *, Saeede Barati Far, Maryam Kabirian Pages 123-133
    Background
    Fertility intention is one of the strongest predictors of couple’s fertility behavior that is affected by many variables. This study aimed to identify the relationship of socio-demographic factors, fertility behavior, and child’s perceived value with fertility intention of women in a region in the east Iran
    Methods
    In this descriptive cross-sectional study, 241 married women aged between 15 and 49 years of Torbat Heydariyeh City in 2015, were studied. The data collection scales included a demographic information form, fertility information questionnaire and Trommsdorff’s child value questionnaire. Data were analyzed using SPSS 16 by Chi-square, Kruskal–Wallis, t-independent test and logistic regression. The significance level of P
    Results
    Most of the subjects (52.7%) had no fertility intention. Independent-samples test and Kruskal–Wallis revealed significant differences in fertility intention with the subject’s age, mate’s age, number of children and costs of children (P=0.001). In addition, in subjects with children of both sexes, intention for childbearing was significantly lower when compared to subjects with only one sex in children (P=0.001). However, when the logistic regression test was performed, being housewife, number of children, having children of both sexes, benefit and costs of children showed statistical significance (P
    Conclusion
    The results indicate that being housewife, number of current children, having children of both sexes, and perceived childbearing costs are important in determining the odds that a woman will intend to have a child. These findings can contribute to the realization of new population programs towards higher fertility rate in the country.
    Keywords: Fertility, Intention, Demography, Reproduction, Women
  • Nilofar Pasyar, Farkhondeh Sharif *, Mahnaz Rakhshan, Mohammad Hossein Nikoo, Elham Navab Pages 134-143
    Background
    Although Implantable Cardioverter Defibrillator (ICD) saves the life of patients with life-threatening ventricular dysrhythmias, it causes various challenges in their life span. Considering the increase in the number of ICD users, more knowledge is required regarding changes in the patients’ life after device implantation. The aim of this study was description of changes in daily life of patients after ICD implantation
    Methods
    This qualitative study was conducted through content analysis method. The participants were selected through purposive sampling. They included 3 women and 9 men whose ages ranged from 24 to 74 years, with the mean age of 42.58.55 years. They had implanted ICDs in order to treat life-threatening dysrhythmias. The study data were collected through interview and field notes from November 2013 to October 2014. The data were simultaneously analyzed using constant comparative analysis.
    Results
    Through analysis of the study data, 2 categories were emerged representing dimensions of changes in daily life of the patients with ICD. These categories were changes in the social role and familial challenges after implantation. Change in social role included the following subcategories: “Change in manifestation of routines”, “Shift in leisure time”, “Change in job and education status”, and “Change in interaction between the patient and society members”. In addition, familial challenges after implantation consisted of 2 subcategories, namely “Difficulty in marriage” and “ICD implantation and a range of familial changes”.
    Conclusion
    The study findings can be of great importance in nurses’ clinical practice for providing the patients with holistic care, education, support, and follow-up. They can also be used as a guide assisting clinical treatment of the patients with ICD.
    Keywords: Arrhythmias, Cardiac, Defibrillators, Implantable, Qualitative research
  • Elahe Aslami *, Ahmad Alipour, Fatemeh Sadat Najib, Alireza Aghayosefi Pages 144-152
    Background
    Anxiety and depression during the pregnancy period are among the factors affecting the pregnancy undesirable outcomes and delivery. One way of controlling anxiety and depression is mindfulness and cognitive behavioral therapy. The purpose of this study was to compare the efficiency of mindfulness based on the Islamic-spiritual schemas and group cognitive behavioral therapy on reduction of anxiety and depression in pregnant women.
    Methods
    The research design was semi-experimental in the form of pretest-posttest using a control group. Among the pregnant women in the 16th to 32nd weeks of pregnancy who referred to the health center, 30 pregnant women with high anxiety level and 30 pregnant women with high depression participated in the research. Randomly 15 participants with high depression and 15 participants with high anxiety were considered in the intervention group under the treatment of mindfulness based on Islamic-spiritual schemes. In addition, 15 participants with high scores regarding depression and 15 with high scores in anxiety were considered in the other group. .The control group consisted of 15 pregnant women with high anxiety and depression. Beck anxiety-depression questionnaire was used in two steps of pre-test and post-test. Data were analyzed using SPSS, version 20, and P≤0.05 was considered as significant.
    Results
    The results of multivariate analysis of variance test and tracking Tokey test showed that there was a significant difference between the mean scores of anxiety and depression in the two groups of mindfulness based on spiritual- Islamic scheme (P
    Conclusion
    Both therapy methods were effective in reduction of anxiety and depression of pregnant women, but the effect of mindfulness based on spiritual- Islamic schemes was more.
    Keywords: Mindfulness, Cognitive-behavior, Anxiety, Depression, Pregnant
  • Maryam Aalaa, Mahnaz Sanjari, Hamid Reza Aghaei Meybodi, Mohammad Reza Amini, Mostafa Ghorbani, Hossien Adibi, Neda Mehrdad* Pages 153-164
    Background
    Diabetes Education by Peer Coaching is a strategy which helps the patients with diabetes in the field of behavioral and emotional problems. However, the results of studies in this field in other countries could not be generalized in our context. So, the current study aimed to examine the effectiveness of Diabetes Education by Peer Coaching on Diabetes Management.
    Methods
    Outcome variables for patients and peer coaches are measured at baseline and in3,6 and 12 months. The primary outcome consisted of Fasting Blood Sugar (FBS) and HbA1c. Secondary outcomes included Blood Pressure (BP), Body Mass Index (BMI,) Waist–Hip Ratio (WHR), Lipid Profile, diabetes self-care activities, diabetes-related quality of life, depression, and Social Capital levels.Initial analyses compared the frequency of baseline levels of outcome and other variables using a simple Chi-square test, t-test and the Mann-Whitney- U test. Sequential measurements in each group were evaluated by two-way analysis of variance. If significant differences in baseline characteristics were found, analyses were repeated adjusting for these differences using ANOVA and logistic regression for multivariate analyses. Additional analyses were conducted to look for the evidence of effect modification by pre-specified subgroups.
    Conclusion
    The fact is that self-control and self-efficacy in diabetes management and treatment of diabetes could be important components. It seems that this research in this special setting with cultural differences would provide more evidence about peer-coaching model. It seems that if the peer-coaching model improves learning situations between patients with diabetes by offering one-on-one Diabetes Self Management Education, it could be an interactive approach to diabetic education.
    Keywords: Diabetes mellitus, Education, Peer group, Hemoglobin A, Glycosylated
  • Masoud Khodaveisi, Afsar Omidi, Shima Farokhi *, Ali Reza Soltanian Pages 165-174
    Background
    Changes in lifestyle and eating habits have put women at risk of obesity and overweight more than ever. This aim of this study was to investigate the effect of Pender’s Health Promotion Model (HPM) to improve the nutritional behavior of overweight and obese women admitted to Fatemiyeh Hospital clinics in Hamadan, west Iran in 2015.
    Methods
    n this quasi-experimental study, 108 eligible women were selected and randomly assigned to two groups: one experimental and one control. Data were gathered using three questionnaires: demographics, Pender’s HPM constructs, and nutritional behavior. The questionnaires were filled out by both groups as pre-test and two months later. A Pender’s HPM-based intervention was conducted for the experimental group. The data were analyzed by paired and independent t-tests, ANCOVA, and Spearmans’ correlation coefficient in SPSS/16. The level of significance was considered to be
    Results
    The mean score of nutritional behavior was 41.75±3.28 and 42.36±3.69 before the intervention and 79.09±5.27 and 49.72±9.49 after it in the experimental and control groups, respectively. The difference was significant only between before and after the intervention in the experimental group (P
    Conclusion
    The results showed that Pender’s HPM-based training improved nutritional behavior and some constructs of the model. Therefore, this educative model can be used by healthcare providers to improve the nutritional and other health promoting behaviors.
    Keywords: Pender's health promotion model, Obesity, Women, Nutritional behaviours
  • Amir Reza Salehmoghaddam, Seyed Reza Mazloom, Mohammad Sharafkhani *, Hassan Gholami, Amir Emami Zeydi, Fatemeh Khorashadizadeh, Ali Emadzadeh Pages 175-187
    Background
    Revising the medical education programs to meet the needs of society has become both a necessity and an important priority due to the considerable increase of population, changing patterns of diseases, and new health priorities. While this necessity has been highlighted in Iran’s Fifth Development Plan as well as its National 2025 Vision Plan, the determinants of social accountability have not been explained yet. This study aimed to develop determinants of social accountability in the Iranian Nursing and Midwifery Schools.
    Methods
    This classic Delphi study included thirty experts in Nursing and Midwifery Education, Research and Services selected based on purposive sampling and three rounds of Delphi technique and conducted in Nursing and Midwifery School of Mashhad University of Medical Sciences. The primary data were collected using an initial structured questionnaire prepared through extensive review of literature. SPSS 11.5 software was used to analyze the data. The interquartile deviation and percentage of agreement were also used to study the consensus of opinion by experts.
    Results
    Finding obtained from the rounds of Delphi resulted in selecting 69 determinants out of the initial pool of 128 primary determinants of social accountability. The items were selected based on experts’ consensus and categorized under three mainactivities of Nursing and Midwifery School, namely education, research, and service.
    Conclusion
    Social accountability determinants were explained by 69 items for Schools of Nursing and Midwifery in Iran. The proposed determinants can be used by managers and authorities of Nursing and Midwifery School, policy makers, and evaluating institutions associated with them to ensure realizing social accountability goals.
    Keywords: Accountability, Social accountability, Social responsibility, Nursings, Delphi technique
  • Hossein Ashtarian, Elaheh Mirzabeigi, Elham Mahmoodi, Mehdi Khezeli * Pages 188-195
    Background
    Although the Pap smear is known as one of the effective methods to detect the cervical cancer, a large group of women are reluctant to do the test because of various reasons. Therefore, we carried out this study to determine the level of knowledge about cervical cancer and Pap smear and the factors influencing the Pap test screening among women.
    Methods
    In this cross-sectional study, 355 women referred to the health centers of Gilan-e gharb city were randomly recruited in 2015. The participants asked to complete a self-administered questionnaire including five parts (questions about: demographic factors, knowledge about cervical cancer and Pap smear, Pap smear performance, barriers and facilitators related to Pap smear and the sources of information). Data were analyzed through SPSS version 19, using descriptive statistics, Independent T-test, and logistic regression.
    Results
    The mean age of the participants was 34.08±7.81 years. Almost 50.4% of the subjects had a history of Pap smear test. Pap test performance was significantly higher in those who had higher knowledge (P
    Conclusion
    Knowledge about Pap smear and cervical cancer was important in predicting Pap test doing. In addition, inadequate knowledge was introduced as the most important barrier to screening test from the perspective of women. Therefore, we suggest that health education and health promotion studies as interdisciplinary and targeted interventions should be implemented to improve the women’s knowledge.
    Keywords: Knowledge, Cervical cancer, Pap smear, Barriers, Facilitators
  • Hajar Rezaee, Maryam Amidi Mazaheri * Pages 196-204
    Background
    Numerous benefits of physical activity are well-known for the prevention and treatment of various diseases such as diabetes, cardiovascular disease, obesity, and cancers. However, the status of physical activities among women remains noticeably less than the recommended level. Considering the importance of the spouses’ participation in the promotion of women’s health, this study examined the impact of spousal support on women’s physical activity.
    Methods
    This semi--experimental study was done in February 2015 on 100 couples in reproductive age referred to health centers of Falavarjan city. The participants were randomly divided into intervention and control groups. The information related to women’s physical activity in both groups was collected by aquestionnaire in two steps, before and three months after the intervention. The spouses of women in the intervention group were trained in the field of the importance of physical activity in women’s health in two sessions. The data were analyzed by the software SPSS21 and suitable statistical tests (Independent t, paired t, and Chi-square).
    Results
    The mean and standard deviation of women’s age in the both groups were 28.76±5.51 and 30.38±5.31, respectively. The prevalence of obesity and overweight in the women under the study was generally estimated 44%. Physical activities of women in the intervention group were significantly increased after the intervention (P
    Conclusion
    Spouses could encourage women to perform physical activities. It is recommended that the health care system should implement educational sessions for men to encourage women to exercise.
    Keywords: Education, Spousal support, Spouse, Physical activity, Body mass index