مجله دانشگاه علوم پزشکی گیلان
پیاپی 117 (بهار 1400)

Providing sexual counseling in cardiac rehabilitation program can improve patients’ sexual satisfaction and performance after Coronary Artery Bypass Graft (CABG) surgery. Objective This study aims to determine the effect of cardiac rehabilitation on sexual satisfaction of patients after CABG surgery.

This descriptive-analytical study with a cross-sectional design was conducted on 108 patients with CABG surgery referred to cardiac rehabilitation centers in Rasht and Tehran, Iran in 2017-2018. A demographic form and Larsson’s sexual satisfaction questionnaire were used for data collection before and after 10 sessions of cardiac rehabilitation program. The collected data were analyzed in SPSS v. 18 software using paired t-test, Wilcoxon test, and ANCOVA considering a significance level at P<0.05.

 The mean age of participants was 58.60±6.37 years. Their sexual satisfaction score significantly increased after the intervention and there was a statistically significant difference in sexual satisfaction before and after the intervention (P<0.001). The pre-test and post-test sexual satisfaction scores had no significant relationship with age, gender, years of marriage, duration of heart disease, comorbidities, occupational status, educational level, and economic status (P>0.05).

 It is necessary to pay attention to the sexual satisfaction of patients after CABG surgery to improve their sexual function and quality of life by creating an opportunity for them to participate in postoperative cardiac rehabilitation programs.

The aging population is increasing rapidly; therefore, paying attention to the needs of older people is necessary. Sexual satisfaction, which is needed to feel happy, is often neglected in older women. 

 This study aims to evaluate the relationship between sexual satisfaction and mental health in older women.

In this analytical study with a cross-sectional design, 195 married women aged ≥60 years covered by urban and rural health centers of Guilan, Iran were recruited using a cluster sampling method. A demographic form, the 28-item General Health Questionnaire (GHQ-28) and a Sexual Satisfaction Questionnaire were completed by participants and collected data were analyzed in SPSS v. 22 software using descriptive statistics (frequency, mean, standard deviation, median), and Mann-Whitney U, Kruskal-Wallis and Spearman correlation tests.

 There was a significant relationship between sexual satisfaction and mental health in older women (P<0.0001). 51.2%, 27.7% and 21.08% of participants had low, moderate and high sexual satisfaction, respectively. Sexual satisfaction was directly related to monthly income (P<0.0001) and women’s and their husbands’ education (P<0.0001 and 0.006) while it was inversely related to physical illness (P=0.030), medication use (P=0.009), age (P<0.0001), number of children (P=0.022), and duration of marriage (P<0.0001). The median score of mental health in participants was 38 (ranging 24-53) and the percentage of participants with mental problems (79.4%) was higher than those without mental problems (20.6%). 

 Mental health and sexual satisfaction in older women are directly related to each other; therefore, providing effective and appropriate sexual care programs is recommended for them.

 Poisoning is an important public health issue and causes high mortality rate each year worldwide. Having epidemiological information can lead to proper planning for its prevention and intervention. 

 This study aims to investigate the one-year prevalence and causes of poisoning in patients received pre-hospital emergency services in Ghaemshahr, Mazandaran, Iran.

This is a descriptive cross-sectional study. After reviewing the medical files of 12552 patients collected from the Medical Emergency and Accident Management Center in Ghaemshahr, Iran in 2016, 398 poisoned patients were found. Their data including age, gender, place of residence, agent and cause of poisoning, and received therapeutic interventions were extracted and recorded.

 Of 398 patients, 17.3% had received treatment; 271 (68.1%) were male and 127 (31.9%) were female. The most common cause of poisoning was abuse (58.1%); 58.3% of the poisonings were caused by the use of medications and the rest were non-medication poisonings. Tramadol (29.6%) was the most common medication that had caused poisoning. Among non-medication poisonings, the most common agent were substances (22.6%) and alcohol (13.1%). The most common route of exposure to poisoning agent (toxins) was by ingestion.

 Due to the increasing abuse of substances and medications such as tramadol among young people and considering the high prevalence of intentional poisoning in young women, there are a need for psychological support, proper monitoring of medicine distribution, and creating social and recreational opportunities for the young people in Iran.

 Attention to adolescent health is one of the Millennium Development Goals. Adolescent health planning to achieve an acceptable level of health and prevention of waste of capital should be based on attention to all aspects of health and performing needs assessment. 

 This study aims to determine the health needs of male adolescents in Iran and the factors associated with their needs. 

This is a cross-sectional study. Participants were boys studying in the first and second year of high school in the fields of mathematics, experimental sciences, humanities, and technical sciences at public, non-profit, and gifted & talented schools in Rasht, Iran. The sampling was done using a multi-stage cluster sampling method. Data were collected by using a demographic form and the Male Adolescent Health Needs-Assessment Scale.

 The boys’ Mean±SD scores of physical, sexual, mental, and social health needs was 49.65±0.15, 11.39±0.12, 89.28±0.29 and 47.3±0.24, respectively. Majority of them obtained excellent scores in physical (76%) and mental health (94%) needs and a good score in social health (81.3%) need, while they earned a moderate score in sexual health need (57.8%). Liner regression analysis results showed that the physical health need of boys had a statistically significant relationship with the type of study school (P= 0.001); their sexual health need with age (P= 0.002), type of study school (P= 0.015), mother’s education (P= 0.025), and mother’s occupation (P= 0.005); their mental health need with the type of study school (P= 0.009), birth rank (P= 0.048), father’s job (P= 0.021), and mother’s job (P= 0.022); and their social health need with the type of study school (P= 0.001). 

 Most important health needs of male adolescents in Iran is sexual health need followed by social, physical and mental health needs. The most important factors related to their health needs are type of study school, mother’s job and education, birth rank, and father’s job. The results of this study can be effective and useful in designing and implementing need-based interventions to promote male adolescents’ health.

 Identifying the factors that contribute to learning is one of the most important research goals. Learning style is one of these important and effective factors. The predominant learning styles of students in different universities of Iran are different. 

 This study aimed to review the learning styles of midwifery students in Iran based on Kolb’s learning theory.

In this review study, a search was conducted in Scopus, PubMed, Google Scholar, SID, and MagIran databases on articles published during 2000-2020 by using the keywords: Learning styles, midwifery students, and Kolb’s theory in Persian and English. Out of 28 eligible articles, 9 articles were finally reviewed.

 Learning in midwifery students is usually done by using different styles, the most common of which was convergent style followed by assimilative style.

 The predominant learning styles of midwifery students in Iran are convergent and assimilative styles. While considering individual differences, educational planning and selection of teaching method should be done in a way that is appropriate for different learning styles of midwifery students and a variety of new and innovative teaching methods should be used.

 Hypertension is an important health problem and one of the most important causes of disability and mortality. 
Objective This study aims to evaluate the effect of an educational program based on the Theory of Planned Behavior (TPB) on self-care behaviors in hypertensive patients.

This is a clinical trial conducted on 180 patients with hypertension referred to health centers in Rasht, Iran in 2014. They were divided into two intervention (n=75) and control (n=75) groups.  Data collection tools included a demographic form, the Global Physical Activity Questionnaire, the Food Frequency Questionnaire, and a TPB  questionnaire with five constructs including attitude, subjective norms, perceived behavior control, and behavioral intention related to hypertension. Collected data were analyzed in SPSS v. 18 software using descriptive and inferential statistics.

 Before intervention, two groups were similar  in terms of the scores TPB constructs. After intervention, the mean scores of attitude changed from 4.51 to 4.58; mean scores of subjective norms changed from 4.16 to 4.19; mean scores of perceived behavior control changed from 3.64 to 4.23; and mean scores of behavioral intention changed from 3.88 to 4.24. These differences were statistically significant (P<0.05). No difference was observed in the control group.

 An educational program based on TPB can promote the self-care behaviors among hypertensive patients.

Hereditary spherocytosis (HS) is a familial hemolytic disorder with intracorpuscular mechanism that characterized by the production of red blood cells with sphere-like shape prone to hemolysis and can lead to hemolytic anemia, splenomegaly, jaundice and gallstones. One of the main reasons for referring these patients to the operating room is splenectomy and cholecystectomy to treat the complications of HS. Perioperative concerns in these patients include severe anemia with a need for blood transfusion, aplastic attacks, hypoxemia and acidosis. On the other hand, management of anesthesia during splenectomy and cholecystectomy in pregnant woman with HS is very challenging due to physiological changes associated with pregnancy, choosing the appropriate time to perform the surgeries, and complications of anesthesia drugs on mother and fetus. This case study report the management of anesthesia in a pregnant woman with HS, candidate for simultaneous cholecystectomy and splenectomy.