فهرست مطالب

Journal of Research and Health
Volume:10 Issue: 5, Sep Oct 2020

  • تاریخ انتشار: 1399/08/05
  • تعداد عناوین: 9
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  • Alireza Atarodi, Ahmadreza Atarodi* Pages 275-276
  • Maryam Sedighi, Ghasem Naziry* Pages 277-286
    Background

    Emotion regulation is necessary for psychological wellbeing and social functioning. The present study aimed to evaluate the effectiveness of emotion regulation skills training on reducing aggressive and oppositional behaviors in children (4-6 years old) in Shiraz, City, Iran during the fall and winter of 2018-19.

    Methods

    This was quasi-experimental study with pre-test & posttest design and controlgroup.The current studychr('39')s statistical population consisted of 26 children with symptoms of aggressive and oppositional behaviour through the Child Symptom Inventory (CSI-4) and the Seyedi questionnaire for aggression. Among these people, a purposeful sampling method was used to select 26 individuals (13 to a control group and 13 individuals assigned to an experimental group). The experimental group participated in 28, 30-45-minute emotion regulation training sessions from a programme called DECA-P2, whereas the control group received no treatment. A posttest was conducted after the sessions were done. The Child Symptom Inventory-4(CSI-4) and Aggression questionnaire were used to collect the data. Data were analyzed MANCOVA by using SPSS V. 23 software. 

    Results

    Results of covariance analysis showed that emotion regulation training with the DECA-P2 approach was effective in reducing aggressive and oppositional behavior among children (P<0.01).

    Conclusion

    Considering the effectiveness of emotion regulation training (the DECA-P2 approach) in reducing the aggressive and oppositional behaviors among children, we recommended that authorities apply this training to reduce children’s maladaptive behaviors and prepare them for the next emotional and social development stages.

    Keywords: Emotion regulation, Training, Aggression, Oppositional defiant disorder, Children, Kindergarten
  • Zahra Yosefi Chermahini, Farzaneh Taghian*, Mehdi Hedayati Pages 287-294
    Background

    The present quasi-experimental and field research was conducted to evaluate the effect of combined exercises on the levels of obestatin and ghrelin in overweight women.

    Methods

    The study subjects consisted of 34 overweight women with a Mean±SD age of 30.29±4.66 years, a Mean±SD height of 165.11±5.56 cm, a Mean±SD weight of 74.64±7.33 kg, a Mean±SD body mass index of 27.35±1.74 kg/m2, which were selected purposefully and randomly, and assigned to the experimental (n=17) and control (n=17) groups. At first, venous blood samples were taken from subjects after 12 h overnight fasting to measure the levels of ghrelin, obestatin, glucose, insulin, and insulin resistance. Then, the participants of the experimental group participated in a combined exercise program, including warming up, aerobic training, resistance training, and cooling down. All these variables were re-measured after 12 weeks and the obtained data were analyzed. The paired t test was used for intra-group comparison and independent t test was performed for inter-group comparison.

    Results

    The findings of this study showed that body weight, BMI, waist circumference, glucose level, and ghrelin-obestatin ratio were significantly different between the experimental and the control groups (P≤0.05) after 8 weeks of combined exercise training, but differences in ghrelin, obestatin, insulin levels, and insulin resistance were not significant between the experimental and control groups (P≤0.05).

    Conclusion

    The combined exercise training, therefore, seems to be a suitable method for weight loss, body composition, waist circumference, glucose level, and ghrelin-obestatin ratio.

    Keywords: Circuit-based exercise, Overweight, Ghrelin, Obestatin, Insulin resistance
  • Mohammad Sadegh Zamani Zarchi, Roghieh Nooripour, Ali Hosseinzadeh Oskooei*, Gholam Ali Afrooz Pages 295-304
    Background

    Menopause is one of the most critical phenomena in women’s lives, leading to emotional and behavioral symptoms in many cases. In this regard, this study aimed to determine the effectiveness of mindfulness training for menopausal women on psychological wellbeing and emotional regulation.

    Methods

    The research method, conducted in 2019, was quasi-experimental with a Pre-test-Post-test design and a control group. This study population included all menopausal women referring to Rasht City healthcare centers. A total of 28 women were selected using the convenience sampling method based on the study criteria and were randomly assigned to the experimental and control groups (n=14). Ryff’s psychological wellbeing questionnaire (1989) and emotion regulation questionnaire (Gross and John, 2003) were asked to complete all participants. The experimental group received an 8-session mindfulness training and the control group did not receive any training program.

    Results

    The results of multivariate analysis of covariance showed that the Mean±SD scores of psychological wellbeing 166.47±18.94 and emotional regulation 25.56±4.12 in the experimental group increased significantly in the Post-test (P<0.05), i.e., 188.67±12.220 for the psychological wellbeing and 37.02±5.12 for the emotion regulation.

    Conclusion

    Mindfulness training is an effective way to improve menopausal women’s psychological wellbeing and emotional regulation and it can be used to help these women by counselors and therapists.

    Keywords: Menopause, Mindfulness, Psychological wellbeing, Emotion regulation
  • Sedigheh Niazi, Abdulghader Taene, Mojtaba Kianmehr, Abbasali Abbasnezhad, Mohammad Matlabi* Pages 305-310
    Background

    Vitamin D (VitD) plays a significant role in human health, survival, and fertility. It is necessary for calcium absorption and bone growth and the regulation of the immune system. This study aims to determine the prevalence of VitD deficiency and the factors affecting it in women working in the campus of Gonabad University of Medical Sciences, Gonabad City, Iran.

    Methods

    In this cross-sectional analytical study, 70 women working on the campus of Gonabad University of Medical Sciences in 2019 were selected by the census method. After obtaining their consent forms, the researcher-made checklist was completed by the participants. The serum levels of 25-hydroxycholecalciferol (25-OH D3) were the index for measuring VitD. The significance level is set below 0.05.

    Results

    The Mean±SD level of VitD in the research units was 13.67±22.5 ng/mL. About 12.85% of the samples had severe deficiency (less than 10 ng/mL), 32.85% had moderate deficiency (10-20 ng/mL) and 31.42% had mild deficiency (20-30 ng/mL). The prevalence of VitD deficiency was lower in people with a history of physical activity, and those with a history of taking supplements. Also, the highest VitD deficiency was observed in the age group of older than 40 years.

    Conclusion

    According to the results, the prevalence of VitD deficiency in the study population was high because 45.7% of the subjects had severe and moderate VitD deficiency.

    Keywords: Vitamin D deficiency, Women, Gonabad
  • Javad Ghasemi Rooshnavand*, Hasan Bahrololom, Reza Andam, Hadi Bagheri Pages 311-318
    Background

    This study aimed to identify the barriers of trans-sectional cooperation in student sport. 

    Methods

    The research method was qualitative content analysis. The statistical population included all student sports authorities, experienced physical education teachers, lawmakers, natural and legal people who were related to Iranian education in the 2018–2019 academic year plus documentation related to student sport. A total of 14 semi-structured interviews were conducted with study samples recruited by a purposeful sampling method. Analyzes were conducted in three stages using MAXQDA software, resulting in 76 concepts, 14 subcategories, and 4 main categories.

    Results

    The results showed that participation in student sport, given its role in student health, faces four categories of legal, strategic, organizational, and social barriers. 

    Conclusion

    Trans-sectional participation in student sport requires practical plans to reduce or remove barriers.

    Keywords: Content analysis, Qualitative research, Health, Educational sport, Physical activity
  • Hosein Ebrahimipour, Elahe Pourahmadi, Shapour Badiee Aval, Alireza Rezazadeh* Pages 319-328
    Background

    This descriptive, analytic study aimed to compare the costs of 10 types of Global Budget Payment System (GBPS) surgery in Imam Reza Hospital, Mashhad City, Iran, in 2016 with the prices in the GBPS. 

    Methods

    From hospital-discharge data and patients’ bills, we identified 10 types of GBPS surgeries performed in Imam Reza hospital. The patients were grouped according to the surgical procedures performed in the 10 GBPS category. Data on hospital charges and cost-to-charge ratios were used to assess charges and costs for specific resources, as well as for the hospitalization overall. The researcher received training from the experts in the field of hospital accounting to learn how to determine the charge of GBPS surgeries. 

    Results

    The results showed that in some surgeries such as hysterectomy, natural delivery, C-section, tonsillectomy, hernia repair, and appendectomy, charges of services were higher than their average prices GBPS and in arteriovenous anastomosis surgery, cholecystectomy, tympanoplasty, and thyroidectomy were lower than average prices GBPS. One of the main goals of Iran’s Ministry of Health in developing GBPS was to provide a unified framework for managing admission and treatment costs in state-owned hospitals. The obtained data were analyzed by the Wilcoxon signed-rank test and the independent samples t test with 0.05 statistical significance. The results of this study and similar works show that most hospitals have completely neglected this aspect of GBPS. 

    Conclusion

    A fact that is reflected in the wide-ranging variations in the charge of GBPS surgeries in different hospitals despite their being paid based on the same rates and guidelines.

    Keywords: Health care economics, Hospital charges
  • Omid Rasekhi, Rabiollah Farmanbar*, Mandana Shirazi, Fariba Ranjbarnejad Pages 329-338
    Background

    Assessment of physicians’ communication skills with patients is essential to ensure effective treatment. Achieving such a goal requires the use of a valid, native, and culturally-based tool. This study aimed to design a physician-patient communication skills assessment tool and evaluate its validity and reliability among the medical students of Guilan University of Medical Sciences, Rasht City, Iran.

    Methods

    In this cross-sectional, descriptive, and analytical study, out of 400 medical students (interns), 300 were selected by a stratified random sampling method. The initial tool with 30 items was evaluated by calculating the item impact index in the target group. Also, its ratio and content validity indexes were assessed by 10 experts’ views and factor analysis. The reliability of the research tool was confirmed by assessing the internal consistency by calculating the Cronbach alpha value. 

    Results

    Out of the 30 initial items, after calculating the item impact score index of higher than 1.5, the content validity ratio greater than 0.51, the content validity index higher than 0.79, and exploratory factor analysis,18 items remained and were considered suitable for the physician-patient communication skills assessment tool. Then, these variables were loaded considering the amount of special value greater than 1 under four factors. The reliability of the research tool was confirmed by calculating the Cronbach alpha coefficient of 0.92. The instrument was also confirmed by confirmatory factor analysis regarding its appropriate fitness indices. This study provided a proper and native instrument with 18 valid and reliable items for the assessment of physician-patient communication skills in medical students. 

    Conclusion

    The results of this study could be of interest to researchers in evaluating physician-patient communication skills in other medical sciences universities of Iran.

    Keywords: Physician-Patient communication, Reliability, Validity, Factor analysis
  • Reza Aliyar Najafabadi, Zohreh Meshkati*, Rokhsareh Badami Pages 339-348

    The aim of this research was determined the effect of assertiveness training on bullying, competitive state anxiety and performance under pressure in futsal players. 32 futsal players teenage guys who scored from low to moderate were scored in assertiveness questionnaire and were purposefully placed into two experimental and control groups. The experimental group was given eight session training, and no training was given to the control group. The data collection tools were assertiveness, bullying, competitive state anxiety questionnaires and athleteschr('39') performance checklist. Analysis of covariance results in bullying, competitive state anxiety and performance under pressure showed a significant difference between the two groups. In general, the results indicate the effect of assertiveness training on the bullying skills, competitive state anxiety, and performance under pressure of futsal teenage players, and suggested that assertiveness training be used to improve the performance under pressure in futsal players.

    Keywords: Assertiveness, Bullying, Anxiety, Athletic performance