نشریه طلوع بهداشت
سال هجدهم شماره 5 (پیاپی 77، آذر و دی 1398)

Self-medication is one of the challenging health issues among women throughout the world and Iran. Considering the main role of mothers in promoting health within the families, women play a key role in this regard. This study aimed at determining the effect of an educational intervention based on the Health Belief Model (HBM) to change the women's self-medication behavior about consuming Prescription-Only Medicines (POM) in Yasuj City, Iran.

This quasi-experimental study was conducted with a pre-test/post-test design over 192 women under the coverage of urban healthcare centers. These participants were selected by random sampling method and divided into the intervention and control groups. After measuring the constructs of HBM, a tailored intervention was designed and implemented in four weeks. The intervention program consisted of instructional sessions, pamphlet delivery, and short messages (SMS). After three months, educational contends were reevaluated and the results were compared with the pre-intervention data for both groups.  

No significant difference was observed between the interventional and control groups before and after the intervention (p> 0.05). Comparison of the data collected from the questionnaires administered before and three months after the intervention showed a significant difference between the two groups regarding the perceived susceptibility construct (P = 0.001).

Based on the results, the HBM was effective in changing women's self-medication behavior considering the prescription-only medicines. Self-medication can be reduced by increasing the women's perceived susceptibility to medication.

Regular physical activity is considered as the first priority in healthy lifestyle. Due to the importance and role of mobility and physical activity in women's lives, the main goal of this research was to design a model for attracting females to fitness clubs by  emphasizing on the health promotion behaviors.

In this research, a combination of qualitative and quantitative methods was applied. The statistical population included all female clients of fitness clubs, who exercised in these centers for more than six previous months in Yazd. For sampling, a combination of cluster and relative methods was used. The research data were analyzed using the structural equation model through the Amos software version 23.

Based on the findings of the exploratory factor analysis, three effective factors of environmental (design, facilities, and health), social (administrators, family), and services (planning, advertising, cost) were identified in attracting female clients to the fitness clubs in Yazd province. The results of the model's fitness indices showed a good fitness for the proposed model.

The findings suggest the physical fitness clubs to have more effective plans. The club managers are recommended to consider expectations of their clients, especially women and mothers to  attract more customers to their clubs.

Family consolidation leads the society towards its desirable ideals. Therefore, the youth should be encouraged to marry and provided with the necessary trainings on family consolidation. The present qualitative research aimed to develop a family consolidation model based on the Lazarus Multifaceted Model in order to consolidate the family foundation.

To collect the study information, 19 family therapists and experts were selected by purposive sampling method and interviewed in Yazd province, Iran. The guided qualitative content analysis was used to analyze the data. The interview questions were semi-structured based on the Lazarus theory including components such as behavior, emotion, cognition, senses, relationship, mental imagery, and physical senses. The interviews continued up to the data saturation where no new code was created. Later, the recorded interviews were transcribed, typewritten, and coded. After coding, the qualitative research experts’ opinions were asked to determine the content validity of the extracted codes based on the extracted results of the native model.

Data analysis ultimately led to the formation of 14 sub-themes and 7 main themes (behavior, emotion, cognition, senses, relationship, mental imagery, and physical senses). The sub-themes consisted of adherence to the family, intimacy, effective communication, importance of counseling, forgiveness, introversion / extraversion, timing, sensory improvement, family visiting, family ceremony, self-confidence, media impact, diversity in nutrition, exercises, and recreation.

Since family is the best emotional, social, and emotional basis for its members, this research presented a model to educate family consolidation to indvudlas with different problems. This model can also be valuable for therapists and family experts dealing with family members.

The prevalence of HIV/AIDS is alarmingly increasing. Considering the experiences of HIV/AIDS-positive patients, experiences of the women who took HIV/AIDS from their husbands –marital relationships- can be different. The purpose of this study was to describe the challenges of these women.

This qualitative study was conducted using focus group discussions with 10 women who took HIV/AIDS from their husbands. All interviews were recorded, transcribed verbatim, and analyzed by thematic analysis.

Data analysis showed that participants experienced a kind of compulsive social isolation. They could not interact with anyone except their parents. They suffered from social stigma because the disease is associated with the illicit sex label. From data analysis, three main themes of fear, marital despondency, and stigma emerged.

The concerns and challenges of women who took HIV/AIDS from their marital relationships revealed that these women were exposed to the social strains because of having HIV / AIDS and stigma of illegitimate sexual relationships. In this regard, public awareness should be raised about this disadvantaged group of the community. To hit this target, individuals should be provided with the required information through schools as well as broadcasting and social media. Implementation of the counseling visits can create  psychological and social support for these traumatized group and their families.

Considering the advancement of science and knowledge, we are faced with sedentary life style, which has caused strange changes in human's life and affected their inefficiency. Some of the effective recent factors on human health include food contamination and the wrong culture of food consumption, which causes people to develop diseases that are medically unknown. In this regard, our individuals are at a great health risk because no formal measure has ever been taken to deal with these destructive issues. Therefore, this study was carried out to re-conceptualize the nutrition index of the food pyramid to create and maintain health with an Islamic approach in order to treat the food-borne diseases.This qualitative and library-based research was conducted using the content analysis method to extract and conceptualize the related verses, declarations, traditions, and narratives.  Despite the careful and delicate attention of Islam to nutrition and food, many factors have been neglected by Muslims including: temperament, age, gender, season, climate, weather, food diversity, food proportion, food balance, healthy eating, amount of eating, meal distance, place of eating, eating time, eating solvent, tasty, and good foods, prohibited meals, prohibited foods, reasons for prohibition of lunch, and reasons for prohibition of eating fruits after meals. Furthermore, we are faced with new types of incurable diseases that decrease the quality of life and life expectancy. Unfortunately, new scientific findings have not addressed the issue of nutrition appropriately. Based on the results, in order to solve the current problems in nutrition and foods, we need to  raise the people's  awareness and create a culture of deep attention to Quranic and Islamic recommendations regarding nutrition.

Marital commitment is the most important factor affecting the family stability. Nurses are mostly exposed to psychological stress and marital problems. Therefore, it is important to conduct interventions in order to prevent exacerbation of these problems and to improve the mental health and quality of marital life in nurses. The purpose of this study was to assess the effectiveness of an optimism group training intervention through an Islamic approach on the marital commitment of female nurses working in Yazd Shahid Sadoughi Hospital, Iran.

This quasi-experimental study was conducted using a pre-test and post-test and case-control design. The statistical population included 30 married female nurses working in Yazd Shahid Sadoughi Hospital, Iran in 2018. The participants were selected using available sampling method. Later, they were randomly assigned into the intervention (15 participants) and control (15 participants) groups. The research tool included the Adams and Jones 's Marriage Commitment Questionnaire (1997). Both groups took a pre-test. Next, the intervention group underwent the optimism group training using an Islamic approach. The training intervention was conducted in eight sessions of 90 minutes. After training, both groups were subjected to the post-test. The results were analyzed using covariance analysis.

The average age of 30 participants was 38.13 years. A significant difference was found between the two groups regarding their marital commitment before the intervention (P <0.05 and F = 104.62). A significant difference was found between the two groups regarding their mean scores of the personal commitment, ethical commitment, and structural commitment in the post-test stage after eliminating the pre-test effect (p <0.05). The effect size of education was equal to 59.03, 0.52, and 0.617 for the personal commitment, ethical commitment, and structural commitment, respectively.

Optimism group training through an Islamic approach was effective on the increase of marital commitment and its subscales (personal commitment, ethical commitment, and structural commitment) among the nurses. Considering the presence of counseling centers in most hospitals, it is recommended to implement this training for nurses in the form of syndicated programs.

Medical tourism, as a growing industry, has provided opportunities for gaining competitive advantages for health care organizations in Yazd province. The purpose of this study was to assess the relationship between hospital capabilities and medical tourism development in Yazd city in 2018.

This descriptive cross-sectional study was conducted on 150 nurses and doctors in Yazd hospitals in 2018. The data collection tool was a valid and reliable 25-item questionnaire consisting of the demographic and hospital capabilities questionnaires. Data analysis was performed using SPSS by running Pearson correlation test, linear regression, independent t-test, and ANOVA.
The results showed that the highest and lowest mean and standard deviations were related to the cost of services (3.88 ± 0.98) and equipment (3.50±0.63), respectively. Moreover, according to the multiple linear regression, equipment had the highest positive and significant impact on the development of medical tourism (β = 0.498).

Yazd province is considered as a medical tourist attraction pole in south of Iran; therefore, special conditions should be provided for the development of medical tourism in this province. As a result, it is necessary to improve the quality of medical services at the provincial hospitals by taking measures such as providing welfare facilities for patients and their entourage, training the hospitals' personnel, establishing a brand for the province in the field of treatment.

Quality of life is a subjective and multidimensional concept that in recent years has been noticeable by researcher due to multilateral widespread of technology and industrialization process. Quality of life, was  is individuals understanding of their status in the context of physical, mental and social impacts and to indicate the status of a resident in a country or region. The purpose of this study was determination the quality of life in employees health centers of Yazd province about healthy life styles in 2011.

This research was a cross - sectional study in which 501 staff employed  in 12 central areas of health centers of Yazd  as census method were enrolled . Data collection tool was WHO Quality of Life-BREF questionnaire (WHOQOL-BREF) including 26 questions,). After  data collection , it was analyzed  by using SPSS software as well as statistical t-test and ANOVA.

The results shown that the employees health centers of Yazd province were acquired 67.9% of the quality of life score. The way in which the dimensions of physical, psychological, social relationships and environment were obtained 72.9, 65.5, 70.2 and 63.15 ​​percent from the maximum score; Respectively. The quality of life score based on age, gender, type of employment, work experience and climate conditions were significant (p≤ 0.05).

Therefore it was suggested to improve the quality of life of employees health centers, officials with proper planning includes considering educational , cultural, recreational and sport programs ,, providing healthy nutrition, installing motivation and responsibility in them as well as paying  proper salary and benefits, take effective steps in this way.