فهرست مطالب

Preventive Care in Nursing & Midwifery Journal
Volume:7 Issue: 3, Autumn 2017

  • تاریخ انتشار: 1396/07/10
  • تعداد عناوین: 8
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  • Arezoo Safaei Nezhad, Mohammad Masoud Vakili, Loghman Ebrahimi, Roghieh Kharaghani Pages 1-8
    Background
    Reproductive variables may play an important role on the correlation between irrational parenthood cognition (IPC) and destructive behaviors of infertile couple.
    Objectives
    The aim of this study was to determine the correlation between IPC and destructive behaviors by reproductive variables in primary infertile women.
    Methods
    The study was descriptive-analytic. 183 cases of primary infertile women living in Zanjan-Iran and attended to the Infertility Clinic in Ayatollah Mousavi Hospital were investigated from 2015 to the end of 2016. The instrument included a three-part questionnaire of individual and reproductive information, IPC, and the destructive behaviors of marital relationship based on Glaser's choice theory. Data were analyzed by SPSS software using descriptive and Pearson correlation test (P
    Results
    There was a significant direct correlation between IPC and destructive behaviors of marital relationship in infertile women (r=0.47, p
    Conclusion
    Identifying infertile women with high IPC and destructive behaviors is important to educate regarding life skills and provide counseling services.
    Keywords: reproductive history, irrational cognition, marital relationship, infertility, Iran
  • Ghasem Askarizadeh, Maryam Poormirzaei, Massod Bagheri Pages 9-16
    Background
    Nowadays, burnout is known as an important phenomenon. A review of related literature shows that self-awareness and mindfulness play important roles in predicting this phenomenon.
    Objectives
    The present study was conducted to determine the best predictor of the intensity of burnout between the concepts of self-awareness or mindfulness.
    Methods
    In this predictive correlational study. The nurses working in hospitals located in Kerman, Iran in 2017. were selected using the convenience sampling method (n=100) and answered Self-awareness, Mindfulness, and burnout questionnaires. Both descriptive (mean, standard deviation) and inferential statistics (Pearson correlation coefficient and multiple regression) were used to analyze the data with SPSS version 16 soft were.
    Results
    There was no significant correlation between self-awareness and burnout intensity (P≥.05); however, the relationship between mindfulness and all subscales of burnout was significant and negative (r=-.39, P≤.01). Moreover, 21% of burnout intensity variance was explained by mindfulness. The self-awareness variable was not found to play a role in predicting burnout intensity.
    Conclusion
    Given the greater and more important role of mindfulness in predicting burnout intensity, it is recommended that training programs and mindfulness interventions prevent and reduce the negative effects of burnout during nurse's work hours
    Keywords: Burnout, Consciousness, Mindfulness, Nurse
  • Mohsen Yousefzade, Mohsen Rezaiee Ahvanuiee, Behroz Dolatshahi, Parvaneh Mohammad-Khani Pages 17-24
    Background
    Infertility is a serious medical problem with effects on quality of life Various factors such as social-demographic factors, cognitive perceptions and coping strategies can affect emotional reactions to infertility and its treatment.
    Objectives
    This study aims to identify Fertility quality of life (Fertiqol) of infertile couples and the role of coping strategies, duration and cause of infertility.
    Methods
    In this predictive correlational study 180 infertile Iranian patients (90 couples) referred to the Vali-e-Asr Reproductive health Research Center in 2015 were selected according to convenience sampling method and completed the following questionnaires: demographic questionnaire, Fertility quality of life (Fertiqol) and coping styles for infertility. Data were analyzes using Pearson’s correlation coefficient, multiple regression analysis with SPSS sofware version 18.
    Results
    The results showed that Fertiqol with meaning-based coping strategies have a significant positive relationship (r=0.42) and have a significant negative relationship (r=-0.41) with active avoidance coping strategies. These strategies together accounted for 30.6 percent of the variance of fertility quality of life.
    Conclusion
    As more use of Meaning-based coping strategies and less active avoidant coping strategy and less duration of infertility are associated with improving the quality of life of infertile couples. Hence, offering psychological services and conducting educational interventions for effective coping strategies along with biologic treatments for infertile couples is emphasized.
    Keywords: infertility, fertility quality of life (Fertiqol), coping strategies
  • Arezoo Safaei Nezhad, Mohammad Masoud Vakili, Loghman Ebrahimi, Roghieh Kharaghani Pages 25-32
    Background
    Reproductive variables may play an important role on the correlation between irrational parenthood cognition (IPC) and destructive behaviors of infertile couple.
    Objectives
    The aim of this study was to determine the correlation between IPC and destructive behaviors by reproductive variables in primary infertile women.
    Methods
    The study was descriptive-analytic. 183 cases of primary infertile women living in Zanjan-Iran and attended to the Infertility Clinic in Ayatollah Mousavi Hospital were investigated from 2015 to the end of 2016. The instrument included a three-part questionnaire of individual and reproductive information, IPC, and the destructive behaviors of marital relationship based on Glaser's choice theory. Data were analyzed by SPSS software using descriptive and Pearson correlation test (P
    Results
    There was a significant direct correlation between IPC and destructive behaviors of marital relationship in infertile women (r=0.47, p
    Conclusion
    Identifying infertile women with high IPC and destructive behaviors is important to educate regarding life skills and provide counseling services.
    Keywords: reproductive history, irrational cognition, marital relationship, infertility, Iran
  • Neda Ghavanloo, Somayeh Abdollahi Sabet, Alireza Shoghli, Esmail Rezazade, Benyamin Mohseni Saravi, Nima Motamed Pages 33-38
    Background
    Breast cancer is one of the most important malignancies in both developed and developing countries.
    Objectives
    To reduce the burden of this disease, the prediction of individuals at risk and implementation of efficient preventive interventions can be effective. The present study was aimed at investigating five-year and lifetime risks of the breast cancer in a rural community in Zanjan province, Iran.
    Methods
    A total of 435 subjects aged 35 years old were randomly selected using systematic randomization in a rural community in Zanjan. The participation rate was 92.4% (402 women). Data collection instrument was a questionnaire in which all associated variables of Gail model and demographic information were included. The data were analyzed using SPSS software version 18, and mean cancer risks were reported.
    Results
    Family history of breast cancer and history of breast biopsy were found to be positive in 3.5% and 0.3% of participants, respectively. Out of all participants, 84.3% were under 60 years old and 13.2% were illiterate. Five-year and lifetime mean risks were fund to be 0.74% and 7.6%, respectively. About 2% of the participants had a higher cancer risk>1.66%.
    Conclusion
    The findings demonstrated that based on the Gail model, the lifetime risk of the participants will be one out of 13 women. Given the lower estimations of Gail model in the prediction of breast cancer, we suggest general population interventions and high-risk strategies be implemented to decrease problems associated with the breast cancer in the future.
    Keywords: breast cancer, five-year risk, gail model, ninety-year
  • Nastaran Mansoreyeh, Hamid Poursharifi, Mohammadrezataban Sadeghi, Mohammadreza Seirafi Pages 39-46
    Background
    As a chronic disease, heart failure (HF) is a growing problem that not only impacts patients but also their family members and friends. Self-care is the main part of HF treatment. Despite the significance of determining variables involved in self-care, the relationships of self-efficacy, illness perception, and social support with self-care and the predictive roles of these variables in the treatment of HF have not been investigated.
    Objectives
    The present study was aimed at exploring the predictive roles of self-efficacy, illness perception, and social support in self-care of patients with heart failure.
    Methods
    In this predictive correlation study, 149 patients with HF were selected through convenience sampling from Tabriz Research Treatment Centre of Heart in 2016. To collect data, a demographic information questionnaire, self-care behaviour scale, general self-efficacy (GSE), brief illness perception questionnaire (Brief-IPQ), and social support scale were used. To analyse data, SPSS software version 16, descriptive statistics, Pearson correlation coefficient, and multiple stepwise regression analyses were employed.
    Results
    Out of 149 subjects, 102 (68%) participants were male, and 47 (32%) of them were female. The mean and standard deviation of samples’ age were (64.40±10.32) ranging from 37 to 88 years. Most of participants were married (82%). The mean scores were as follows: Self-care (40.66±13.16), self-efficacy (45.81±22.03), illness perception (56.05±18.24), and social support (49.09±6.74). Data analysis demonstrated significant correlations between illness perception and self-care (p
    Conclusion
    All of the investigated variables were found to have a predictive role in self-care. Illness perception was recognized as the most effective factor in predicting self-care. Hence, illness perception can be used to explain 27% of self-care ability of patients with HF.
    Keywords: heart failure, illness perception, self, care, self, efficacy, social suppor
  • Arezoo Safaei nezhad, Leila Rastegari, Roghieh Kharaghani * Pages 47-55
    Background
    The increased prevalence of cesarean section (C–section) is a global epidemic.
    Objectives
    The aim of this study was to determine the prevalence and demographic, fertility, and childbirth-related factors of C–section in Zanjan province, Iran,-Zanjan province in the period sincefrom 21 March 2014 through theto 19 March 2016.
    Methods
    This study was a descriptive analytic study, carried out in the 2014–2016, which gathered 41, 265 registered childbirth data in Zanjan province hospitals and, from country electronic childbirth register system. Data were analyzed using descriptive, univariate and multivariate logistic binominal regression.
    Results
    according to the findings, Thethe prevalence of C–section was 40.1%. The odds of having C–section went up raised enhanced with increasing maternal age (OR=1.026), gravidity (OR=0.670), and gestational age (OR=0.093), while it decreased with an increased parity, end educational level up to high school graduate. decreased the odds of having C–section, while In contrast, higher educational (OR=3.064) level increased the odds of having C–section. Living in the urban areas (OR=1.855) also increased the odds./degrees/rates/amouts of C–section. Diabetes (OR=1.990), preeclampsia or eclampsia (OR=2.350), hypertension (OR=1.983), and thyroid disorders (OR=2.289) increased the odds of having C–section. Newborns with with low birth weight (OR=1) and macrosomia (OR=2.663), and boys (OR=1.107) were delivered more by via C–section. f Among the interventions during labor, induction (OR=1.131) and stimulation of labor (OR=0.269) reduced the odds of C–section (P<0.05).
    Conclusion
    C–section rate is very high in Iran and its association with different variables can be a basis for planning and policymaking in order to reduce the C–section rate, particularly in this Zanjan province.
    Keywords: cesarean section, prevalence, risk factors, Zanjan
  • Mina Esmkhani *, Roghiieh Kharaghani, Effat Merghaty khoe, Soghrat Faghihzadeh, Elham Shakibazadeh Pages 56-62
    Background
    Sexual relationships of women with breast cancer are affected by diagnostic and therapeutic procedures.
    Objectives
    The aim of this study was to assess sexual function and sexual behavior in women with breast cancer having sexual distress in Zanjan in 2015-2016.
    Methods
    This cross sectional study was part of a larger study, which was performed on 75 women with breast cancer in the oncology clinic of Valiasr hospital and Mehraneh charity clinic. Sampling was based on a purposeful approach. Data were collected using a demographic questionnaire, Sexual Function Questionnaire (FSFI), and indigenous sexual behavior questionnaire in women of reproductive age (SBQ). Data were analyzed using the Chi-squared and Spearman-Pearson tests.
    Results
    A majority of the women (77.3%) had an undesirable sexual function and orgasm dysfunction (65.3%). Besides, it was found that the majority of women had low to moderate sexual behavior. The correlational analyses related to sexual function and sexual behavior and their sub-scales showed that there was only a significant positive relationship between the sexual capacity subscale and the total sexual function scale (P<0.005).
    Conclusion
    Women with breast cancer had sexual dysfunction and behavior. Designing and implementing related counseling programs may help to reduce sexual distress, improve sexual function and marital satisfaction, and enhance the quality of life of affected women.
    Keywords: Breast Cancer, Sexual Function, Women