فهرست مطالب

Research and Health - Volume:11 Issue: 5, Sep-Oct 2021
  • Volume:11 Issue: 5, Sep-Oct 2021
  • تاریخ انتشار: 1400/09/10
  • تعداد عناوین: 8
|
  • Nwosu Netochi Georgiana* Pages 285-296
    Background

    The reproductive years come with their own share of mental health issues with childbirth and the postpartum period being a particularly vulnerable time for mothers leading to an increase in the risk of depressive disorders. Postpartum depression has a huge public health effect on the mother with long-term consequences on the child and family. Research has shown that physical activity is beneficial; however, such studies are lacking in Nigeria. Therefore, this study sought to look at the association between postpartum depression and physical activity and determine its prevalence among women in a tertiary hospital in Nigeria. 

    Methods

    This cross-sectional study was conducted among 401 women attending immunization and postnatal clinics at the University College Hospital Ibadan. The data were collected using a self-administered questionnaire containing a self-developed socio-demographic section, Edinburgh postnatal depression scale to measure postpartum depression, and an International physical activity questionnaire (short type) to as sess physical activity. Analysis was done using the Chi-square test and multivariate analysis to determine independent factors. Significance was set at 0.05. 

    Results

    More than a third of the respondents (37.8%) had postpartum depression. Physical activity level was high (72.1%). High levels of physical activity increased the odds of postpartum depression compared to lower levels (95% CI= 0.797-0.97). Gender of the child, marital relationship satisfaction, and age of the child were independently associated with postpartum depression.

    Conclusion

    This study showed that the prevalence of postpartum depression is greater than previously reported in past studies in southwest Nigeria and high levels of physical activity may increase the risk of postpartum depression.

    Keywords: Postpartum depression, Women, Physical activity, Edinburgh postpartum depression scale, Nigeria
  • Yaqoob Nazia*, Zahid Ambreen Pages 297-303
    Background

    The role of hormones in the female body is well known in reproductive age. Several studies have been conducted regarding hormonal fluctuations and their association with obsessive-compulsive disorder, but the role of psychological issues relevant to it has been ignored and only hormonal fluctuation and its impact were the target. Thus, the main purpose of this study was to examine the relationship between Self-Concept Clarity (SCC) and obsessive-compulsive tendencies (Obsessive-Compulsive Concerns about Cleanliness (OCC) and Obsessive-Compulsive concerns about Harm and Injury (OCHI)). Another objective was to identify the difference between SCC, OCC, and OCHI in healthy and unhealthy females.

    Methods

    A sample of (N=210) females, an equal number of healthy and unhealthy females, from different hospitals and the general population, with a mean age of 21 years, was selected by using convenience sampling technique as a type of non-probability sampling. Study participants were selected from the same city.

    Results

    Comparison of healthy and unhealthy females revealed high levels of SCC and obsessive-compulsive tendencies among unhealthy females and also a significant positive correlation was found between these constructs.

    Conclusion

    The females with irregular hormonal fluctuations develop obsessive-compulsive tendencies and these people are most sensitive to unimportant affairs, even sensitive to themselves that might create clarity in their self-concept.

    Keywords: Obsessive Compulsive Tendencies, Self-Concept Clarity, Hormonal Imbalance
  • Mohaddeseh Sabethosseini Dokht, Mehdi Yousefi*, Hamid Heidarian Miri, Somayeh Fazaeli, Hossein Ebrahimipour Pages 305-311
    Background

    Increasing hospital capacity to cover the service demands is an important priority during an epidemic or a pandemic. The aim of this study was to increase hospital capacity using the Six Sigma method to improve the patient discharge process.

    Methods

    This was a quantitative study. The Pre- and post-intervention study was conducted in a big hospital designated for COVID-19 patients. The patient discharge process was evaluated and improved based on seven sub-processes and following the Six Sigma model, including defining the problem, measuring time in each of the discharge stations, analysis times and process, improvement process, and control.

    Results

    Implementation of the electronic patient discharge led to a 51.9% decrease in discharge time from 7.3  h during the pre-intervention period to 3.8 h post-intervention (P< 0.0001). According to the Sigma level, the yield and defects per million opportunities of the discharge process also improved to 55%.

    Conclusion

    Increasing hospital capacity by improving the discharge time is a quick action to cover the demand created during pandemics. Also, about 32 beds can be obtained by applying the Six Sigma model to improve the discharge process in a short time and at a very low cost.

    Keywords: COVID-19, Six sigma, Patient discharge, Hospital
  • Mohammad Hasan Lotfi, Hosein Malekafzali, Salimeh Zare Abdollahi, Parisa Shojaei* Pages 313-322
    Background

    The community participation concept has different implications for various individuals.

    Methods

    This research was Community-Based Participatory Research (CBPR), which was done in Yazd. The settlement area with a population of 16,000 people is located on the western outskirts of Yazd. With the implementation of health transformation programs in the 11th government, first, the health base in 2016 and then, Dr. Malekafzali Comprehensive Health Services Center in this area have been set up and started to work in 2016 to provide various health services to the residents of this area. Considering the potentials of this neighborhood, including high social cohesion and the existence of a dynamic and popular non-governmental organization, since 2017, this place has been a candidate for the implementation of empowerment and optimal development of neighborhood health (Tabassom project). The steps of implementing the optimal Health development plan (Tabasaom) involved five steps of the area identification, organizing, empowerment, requirement assessment, and intervention and action. The stage of intervention and action was covered in this article.

    Results

    Most of the problems that appeared in this study were non-health issues, encompassing a wide range of issues in other social, cultural, and economic fields.

    Conclusion

    Identified issues consisted of a wide variety of problems that were needed to be resolved through interdisciplinary activities, the support of managers and officials, and the active participation of the community.

    Keywords: Participation, Development, Neighborhood, Health, Intervention, Action
  • Samaneh Zareh Zardini, Alireza Jafari*, Mohammad Ghamari Pages 323-332
    Background

    Infertility is one of the most painful experiences of life leads to marital burnout. Psychological, emotional, and social factors affect marital burnout of infertile women. This study was done to predict marital burnout based on feelings of loneliness and emotional divorce in infertile women.

    Methods

    The method of the research was descriptive-correlational. The participants were women (aged 25-45) referring to Ibn-e Sina Infertility Clinic in 2019 in Tehran. A sample of 175 participants was selected by convenience sampling and completed the Marital Burnout questionnaire, Feeling of Longlines questionnaire, and Emotional Divorce questionnaire. Data were analyzed by Pearson’s correlation and multiple regression using SPSS v. 22. 

    Results

    The results indicated that there was a significant and positive relationship between loneliness and its subscales (lack of intimacy and lack of social network) (r= 0.62) and also a positive and significant relationship was found between emotional divorce and its subscales (feeling of separation from each other, feeling of loneliness the need for a companion, boredom, and restlessness) and marital burnout (r= 0.65). Also, feeling lonely and its subscales and emotional divorce and its subscales could predict the marital boredom of infertile women (P<0.01).

    Conclusion

    Feeling lonely and emotional divorce have a significant and positive relationship with marital boredom and can predict marital boredom in infertile women.

    Keywords: Marital conflict, Loneliness, Female infertility, Emotional divorce
  • Mina Mohammadi*, Seyedeh Zahra Alibakhshi Pages 333-340
    Background

    Marital satisfaction is a basis of other social organization health. The aim of this study was to investigate the effectiveness of the self-differentiation training based on the Bowen Theory to increase marital satisfaction.

    Methods

    The research method was semi-experimental and the pre-test-posttest design with the control group. In this intervention, the population of this study was selected by the convenience sampling method and 38 married women were randomly assigned to the experimental (n= 12) and control (n= 12) groups in Tehran in 2018. The Differentiation of Self Inventory (DSI) and Marital Satisfaction Inventory (MSI) were completed by married women. The control group received no training. The intervention included 10 sessions of self-differentiation training based on the Bowen theory. Twelve women participated in this semi-experimental project selected by convenience sampling as an experimental group and twelve women as a control group. The brief couple-based therapy was taught in 10 sessions based on techniques of Bowen therapy and four components of differentiation. The data were analyzed by SPSS v. 23 software. 

    Results

    There was a significant difference between the post-test scores of the experimental and control groups. In addition, training based on the DST approach could significantly increase marital satisfaction (t= 21.62, df= 22, P<0.001).

    Conclusion

    The results indicated that there was a significant difference between the pre-test and post-test scores of the experimental group. Therefore, the training could significantly increase the self-differentiation of married women. These findings can be used to design interventional programs to improve conflict, adaptation, intimacy, and marital satisfaction of the couples.

    Keywords: Differentiation, Marital, Satisfaction, Theory
  • Gholamali Moradi, Asghar Mohammadi*, Ismaeel Jahanbakhsh Pages 341-349
    Background

    Social health is defined as the individual’s ability to effectively and efficiently play social roles without hurting other people. It is the examination of an individual’s activities and status in society. Saffron cultivation, given its special properties, such as teamwork, cooperation, and social correlation, plays a major role in social health. Thus, the current study was done to compare the social health components among the farmers in saffron villages and the others in South Khorasan Province. 

    Methods

    The current study was applied and comparative. The statistical population included the farmers in saffron villages and the others in South Khorasan Province in 2018. The sample consisted of 550 farmers (275 producing saffron and 275 producing other plants) based on the Cochran formula who were selected through multistage sampling. The tool used to collect the data was Keyes’s standard Social Well-being Questionnaire (2004), consisting of 28 questions. After collecting the questionnaires, the data were analyzed using SPSS v. 23 and an independent t-test at a significance level of P<0.05. 

    Results

    There was a significant difference between the villagers planting saffron and other plants regarding their social health levels (P<0.000). The obtained t-value for social health, as a dependent variable, was 15.47. The obtained t-value for all the aspects of social health was higher than the acceptable t-value (P<0.05).

    Conclusion

    The results showed that saffron villages had higher social solidarity, compared to other plants. Because cooperation and collaboration are necessary for different stages of saffron production, social cohesion is naturally reinforced.

    Keywords: Social health, Saffron cultivation, Village, Crocus, Planting
  • Zahra Irani, Zohreh Latifi*, Mohammad Soltanizadeh Pages 351-361
    Background

    Drug addicts are exposed to many psychological and physical injuries due to the problems they experience in their lives; thus, they need training for psychological improvement. The purpose of this study was to evaluate the effectiveness of self-healing training on psychological capital and a sense of cohesion in drug addicts in 2020.

    Methods

    This study was a two-stage quasi-experimental study (experimental and control) in three stages (pre-test, post-test, and follow-up). Using convenience sampling, we selected 30 men willing to participate in the project and randomly divided them into the experimental (n= 15) and control (n= 15) groups. The Psychological Capital Questionnaire and the Sense of Coherence Questionnaire were administered as a pre-test. The experimental group underwent 14 sessions (90 minutes per week) of self-healing training. The follow-up was performed after 45 days. Analysis of the data involved both descriptive and inferential statistics, including mean, standard deviation, and the repeated measures ANOVA. Data analysis was done using SPSS version 24.

    Results

    The results showed that self-healing training had a significant effect on increasing psychological capital, increasing hope with the most effect and resilience with the least effect, as well as increasing participants’ self-efficacy and sense of cohesion (P<0.05). The self-healing training had no effect on optimism. The results remained until the follow-up stage. 

    Conclusion

    According to the results, self-healing training can be used as one of the new positive approaches to increase the mental health of drug addicts in treatment centers related to addiction with relatively lasting effects to increase self-care skills.

    Keywords: Self-healing, Self-caring, Psychosocial intervention, Sense of cohesion, Addiction