فهرست مطالب
Journal of Education and Health Promotion
Volume:8 Issue: 8, Aug 2018
- تاریخ انتشار: 1397/08/15
- تعداد عناوین: 13
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Page 96INTRODUCTION
Responsible self‑medication plays a vital role in appropriate use of nonprescription drugs which will improve safety and reduces unwanted effects of drugs.
AIMThis study is designed to assess knowledge, attitude, and practice (KAP) toward responsible self‑medication among pharmacy students. SETTINGS AND DESIGN: A cross‑sectional survey was conducted in pharmacy students of various colleges located in Anantapur district, Andhra Pradesh, India.
MATERIALS AND METHODSA total of 403 pharmacy students were enrolled and subjected for interview using prevalidated KAP questionnaire on responsible self‑medication. STATISTICAL ANALYSIS: Descriptive statistics were used to represent the sociodemographic characteristics and KAP levels. Association of socio‑demographic variables with KAP levels are determined using the Chi‑square test.
RESULTS AND DISCUSSIONA total of 403 pharmacy students are recruited in the study, in these 19 (4.7%) diploma in pharmacy, 260 (64.5%) bachelor in pharmacy, 27 (6.7%) master in pharmacy, and 97 (24.1%) are doctor of pharmacy. Among 403 respondents, 150 (37.2%) good knowledge, 397 (98.5%) positive attitude, and 170 (42.2%) practice toward responsible self‑medication. Respondent’s age, pharmacy division, residence, and their parents’ profession were significantly associated with good knowledge and rational practice toward responsible self‑medication with a P < 0.05.
CONCLUSIONThe study concludes that pharmacy students are shown more positive attitude toward responsible self‑medication. However, students are lack of knowledge and practice of responsible self‑medication.
Keywords: Attitude, knowledge, pharmacy students, practice, responsible self‑medication -
Page 97BACKGROUND
Some evidence suggests that childhood croup could be associated with increased incidence of adulthood bronchial reactivity, but its significance is uncertain. The aim of the present study was to evaluate the long‑term outcome of early life croup.
PATIENTS AND METHODSThis case–control study was conducted in 2010–2012 in Isfahan, Iran. The case group consisted of 164 adolescents with a history of severe croup in early life and an equal number of healthy controls without any history of croup or other chronic or recurrent respiratory diseases. The two groups were compared according to pulmonary function tests and bronchial reactivity (exercise challenge test). Statistical analyses were performed using the SPSS software package, version 20 (SPSS Inc., Chicago, IL, USA). P < 0.05 was considered significant.
RESULTSBaseline spirometric values (forced expiratory volume in 1st s (FEV1), forced volume capacity (FVC), FEV1/FVC, and forced expiratory flow at 25%–75% (FEF25–75) were similar in case and control groups. A reduction in FEV1 and FEF25–75 after exercise challenge test was seen in 9% and 12.8% of patients, respectively, whereas this was reduced in only 4.2% and 6.1% of the controls (P = 0.034 and P = 0.021, respectively).
CONCLUSIONOur findings suggest that childhood croup might be a predisposing factor for bronchial hyperreactivity in adulthood. Longitudinal studies are necessary to confirm the clinical significance of these findings.
Keywords: Children, croup, pulmonary function test -
Page 98INTRODUCTION
For many years, numerous researches and risk reduction activists have emphasized the importance of public awareness and education for disaster risk reduction (DRR). These needs, due to human natural manipulation, have increased. The present study was aimed to assess and determine the evidence on the strategies for education of DRR.
MATERIALS AND METHODSThis study was a systematic review of publications and gray literatures regarding to strategies for education of DRR conducted in December 2016. Fifteen articles and dissertations published during January 1, 2000 to December 31, 2016 were extracted through PubMed, Scopus, ProQuest, Web of Science, ScienceDirect, Ovid, Google Scholar, Scientific Information Database, Magiran, and Irandoc with the inclusion criteria of English and Persian language. Thematic analysis technique was used to analyze the articles.
RESULTSThe thematic analyses revealed eight major categories of DRR educational strategies such as raising knowledge, educational needs assessment, educational planning, educational approaches, educational content, educational tools, involved organizations, and educational learning barriers and challenges.
CONCLUSIONSMost countries have launched DRR education activities, but these actions are not enough, and there are some gaps between what is it and what should be. More effective and efficient teaching and learning strategies are needed to increase the effectiveness of preparedness and DRR activities at all levels of community.
Keywords: Disaster management, disaster, education, qualitative study, risk management, risk reduction, strategy -
Page 99AIMS AND OBJECTIVES
The aim and objective of this study was to sort out the reasons for use and nonuse of dental services among people visiting a private dental hospital in urban India.
MATERIALS AND METHODSA descriptive cross‑sectional study was carried out on 1800 people, aged 18–65 years, visiting a multispecialty dental hospital in urban India. A self‑administered questionnaire was used to collect data about the history of dental visits and reasons for use and nonuse of dental services.
RESULTSFor a majority of the people (45%), time since the last dental visit was more than 2 years, and the main reason for visiting a dentist was dental pain (38%). Majority of the people had received restoration of teeth in their previous dental visit (46%). The major reason cited for not visiting a dentist was lack of knowledge toward dental problems and their consequences (30%). Only few people visited dentists for preventive reasons. More patients with better educational levels visited dentists than patients with poor educational status.
CONCLUSIONMajority of the people visited dentists when their problem was severe enough to have a dental appointment. Dental practitioners across locations should also educate the patients regarding the importance of regular dental care, discuss barriers for dental care, and promote attitudinal changes toward a positive health‑seeking behavior.
Keywords: Dental services, private dental hospital, urban India, utilization -
Page 100INTRODUCTION
An important construct to consider within diabetes management and the changing landscape of diabetes therapies is self‑efficacy. Self‑efficacy research holds the potential to inform and assist the diabetes team as well as patients with type 1 diabetes.
METHODSIn this descriptive‑correlation study, 200 adolescents with type 1 diabetes were enrolled. To measure spiritual intelligence, the 24‑question Spiritual Intelligence Self‑Report Inventory questionnaire and to measure self‑efficacy of diabetes, the Self‑efficacy Questionnaire (8 questions) were used. Data collection was conducted by simple sampling. Data were analyzed using Pearson analysis, mean, and standard deviation analysis tests.
RESULTSNearly 66% of the participants were female, the mean age of the samples was 17.10 ± 1.85 years, the mean duration of diabetes was 5.98 ± 3.79 years, and 62.5% had a history of diabetes in first‑degree relatives. Almost 42% of the participants were the first children of the family and 29.5% were studying at the university.The mean score of spiritual intelligence was 60.42 ± 12.9. The mean self‑efficacy score was 5.41 ± 1.87.The mean scores in the critical thinking, personal meaning production, transcendental awareness, conscious state expansion were 18.31 ± 4.33, 13.17 ± 3.36, 11.26 ± 3.36, 46.14 ± 1.04, 11.33 ± 1.04, and 11.89 ± 3.9, respectively. Cronbach’s alpha level on the level of spiritual intelligence and self‑efficacy was 0.903 and 0.082, respectively, at 95% confidence level. There was a significant relationship between spiritual intelligence and self‑efficacy (P = 0.026). There was no significant relationship between self‑efficacy with spiritual intelligence subscales.
CONCLUSIONThis study showed that spiritual intelligence correlates with self‑efficacy and has a decisive role in improving the health of adolescents with diabetes.
Keywords: Diabetes mellitus, self‑efficacy, adolescent, spiritual intelligence -
Page 101INTRODUCTION
Pain is a common phenomenon and an inevitable part of the labor process. Labor pain is one of the most severe pains. Auriculotherapy is one of the nonpharmacological aspects of relieving pain, reduces the intensity of pain, and improves its compatibility. The purpose of this study was to determine the effect of auriculotherapy on labor pain in primiparous women.
MATERIALS AND METHODSThis clinical trial was performed on 84 pregnant women aged between 18 and 35 years, who referred to Isfahan Shahid Beheshti Hospital in 2017. This study was carried out between two groups: control group (receiving routine hospital care) and interventional group (20 min for auriculotherapy). We used the McGill Short‑Form Standard questionnaire with Visual Analog Scale. Data were analyzed by SPSS software using paired t‑test and ANOVA.
RESULTSThe results showed that there was no significant difference between demographic variables in the two groups. Statistical analysis also showed that the severity of labor pain in the interventional group (auriculotherapy) was lower than that of the control group (P = 0.001).
CONCLUSIONAuriculotherapy reduces the severity of labor pain in primiparous women. Due to the easy, inexpensive, and noninvasive nature of this method, its use has been recommended in these cases.
Keywords: Auriculotherapy, delivery, pain, primiparous women, Iran -
Page 102BACKGROUND
Cardiovascular disease (CVD) risk factors are adopted during childhood and adolescence. Health literacy at these ages remains the cornerstone of a healthy adult life. The aim of the study was to examine the role of gender regarding CVD risk factors’ awareness and to develop an evaluation tool for the assessment of CVD risk factors’ knowledge and perception among children.
METHODSDuring the school years 2014–2015 and 2015–2016, 1728 students aged 10–12 years (5th and 6th grade), from 5 Greek cities (including Athens metropolitan area), were enrolled; nearly 45% were boys (participation rate varied from 95% to 100% from school to school). Students and their parents completed an anonymous questionnaire; students’ somatometric characteristics were also recorded. Schools were randomly selected. Linear regression models were applied to evaluate the impact of children’s gender on knowledge and perceptions about CVD risk factors.
RESULTSSignificant higher percentage of correct answers, among girls compared to boys, was revealed regarding the weekly consumption of legumes, the breakfast weekly consumption, and the effects of soft drinks on health (all P < 0.05). As far as CVD risk factors’ knowledge, significantly higher percentage of girls than boys also answered that high blood pressure and television viewing are bad for health and particularly for heart‑related problems (all P < 0.05). Girls had a significantly higher mean score of 0.304 than boys, after adjusting for several confounders (P = 0.029).
CONCLUSIONHealth education programs should take into account gender differences in children’s perception and attitudes toward CVD risk factors, in order to increase awareness of children and eventually reduce CVD risk during adulthood.
Keywords: Beliefs, cardiovascular disease, gender, knowledge, risk factors -
Page 103CONTEXT
The advent of picture archiving and communication system (PACS) as medical image information system represent a major change of work pattern for radiologists and physicians and has proved to be a substantial challenge to the organization.
AIMSThe study aimed to investigate the factors affecting the use of PACS through the unified theory of acceptance and use of technology model. SETTINGS AND DESIGN: It was an applied and analytical study. SUBJECTS AND
METHODSNinety questionnaires were distributed in Kashani hospital of Esfahan which implemented web‑based PACS, and 45 usable questionnaires were returned. The questionnaire consists of scales for performance expectancy (PE), effort expectancy, facility condition, social influences, and behavioral intention (BI) and was developed by the author comparing the similar studies in which validity was confirmed by a committee of experts and the reliability was calculated using a Cronbach’s α (α = 0.946). STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 20. The statistical tests for data analysis were Pearson’s correlation and multiple regression analysis.
RESULTSThe findings suggested a direct correlation between BI and factors of PE (P < 0.001, r = 0.788), effort expectancy (P < 0.001, r = 0.564), social influences (P = 0.001, r = 0.472), and facility condition (P < 0.001, r = 0.477).
CONCLUSIONSAccording to the findings, only the PE is sufficient for predict and evaluation of user behavior toward PACS. The results could be useful in terms of designing new systems and understanding users’ need.
Keywords: Picture archiving, communication system, technology acceptance model, unified theory of use, acceptance model -
Page 104BACKGROUND
Through self‑care, people can solve their health‑related problems through increasing their awareness and correcting their lifestyles.
OBJECTIVESTo determine the association of self‑care status with some relevant factors in Kashanian middle‑aged women in their early menopausal stage.
METHODSThis is a cross‑sectional study on 351 women in the age range of 45–60 years. Women were selected based on cluster sampling method from the individuals at health‑care centers in Kashan, Iran. Researcher‑constructed questionnaire on self‑care was used. The validity and the reliability of the questionnaire were calculated. The information gathering method was questionnaire completion by the study participants or interview with them. Collected data were analyzed with SPSS 16 software. T‑test, ANOVA, Spearman correlation, and linear regression analysis were applied.
RESULTSThe mean (±standard deviation) of the self‑care score was 108.14 ± 20.43. Self‑care scores were weak in 13.92%, intermediate in 71.02%, and good in 15.06%. Regression analysis showed that the mean of self‑care was significantly higher in those with higher educational level of women’s (P = 0.045) and their spouses (P = 0.001). Women who were covered by insurance also showed higher self‑care; in addition, there was no significant relationship between self‑care and participants’ job, spouses’ jobs, marital status, marital satisfaction, economic satisfaction, number of children, number of households, and type of accommodation (P > 0.05).
CONCLUSIONThe results indicate that self‑care is inadequate and that the level of education of couples and insurance coverage has a positive effect on the level of self‑care in postmenopausal women. To promote self‑care in old age, education and empowerment can be considered.
Keywords: Menopause, self‑care, women -
Page 105INTRODUCTION
Academic self‑efficacy is the learners’ belief in their abilities in academic process. Perception of the educational‑research environment is one of the effective factors on academic self‑efficacy. The aim of this study was to examine the perception of educational‑research environment and academic self‑efficacy in students of the University of Tehran in 2016.
METHODSThis cross‑sectional study was done on 385 students of Tehran University of Medical Sciences. Samples were selected through stratified sampling method. Data were collected through questionnaires of perception of educational‑research environment scale 24 and of academic self‑efficacy scale 32 that reliability and validity of that were confirmed. Data analysis was performed using Pearson’s correlation coefficient.
RESULTSThe mean age of participants was 25.31 (standard deviation [SD] = 3.94), and 56.1% of them were female and the rest were male. The mean perception of educational‑research environment was 65.79 (SD = 13.13), and the mean academic self‑efficacy was 107.44 (15.92). The Pearson’s correlation test results showed that there was a statistically significant relationship between perception of educational‑research environment with academic self‑efficacy (P = 0.001, r = 0.180).
CONCLUSIONThere was a significant statistical relationship between perception of educational‑research environment and academic self‑efficacy. Students who have high perception of educational‑research environment are high academic self‑efficacy. Academic self‑efficacy can be improved by improving perception of the educational‑research environment.
Keywords: Academic self‑efficacy, medical science, perception of educational‑research environment, students -
Page 106AIM AND BACKGROUND
Given the fact that immune system is greatly affected by people’s emotional characteristics and since these characteristics are mainly formed through interactions with one’s parents, this study aims to determine the relation between personality characteristics and disorders of multiple sclerosis (MS) patients and their parents.
METHODSThis is an applied, descriptive study on 88 MS patients and 63 parents who had visited two physiotherapy clinics in Tehran between January and August 2016. Participants who met the inclusion criteria were selected using convenient sampling method. After acquiring their consent, participants were asked to fill the millon personality questionnaire. Gathered data were analyzed using Pearson and Spearman tests. R statistical software was also used to draw histogram of the data.
RESULTSThe most common personality disorder in MS patients includes histrionic personality disorder while the most common problems among their parents included histrionic personality disorder and obsessive character traits. There was also a direct, significant relation between histrionic personality disorder and narcissistic traits in parents and patients.
CONCLUSIONSDue to unknown nature and progress of MS, studying personality characteristics of patients and their parents can help determine better treatment methods along with advances in neurological treatments.
Keywords: Multiple sclerosis, personality disorders, personality trait -
Page 107INTRODUCTION
The postpartum period is a transition to a critical stage. Moreover, the rapid changes experienced after delivery, expose the mother to unpleasant experiences such as changes in sleep patterns. Trying to an appropriate training method is necessary. This study aims to conduct a comparative study between the impact of face‑to‑face training and e‑training on maternal sleep during the postpartum period.
MATERIALS AND METHODSThe present study was empirically conducted on 110 postpartum mothers who visited the selected healthcare centers of Isfahan in 2015. Mothers randomly divided into three groups (face to face, electronic and control). Data collection tools included demographic and fertility questionnaire and Pittsburgh Sleep Quality Index. Intervention groups were received training such as mothers with necessary instructions regarding the health approaches, relaxation techniques, sleeping place, and energy‑saving techniques. Mothers’ quality of sleep was measured and compared before training (until the 10th day after childbirth) then in the second and third cares (from the 10th to 30th day after childbirth) in all three groups. Data were analyzed using descriptive statistics and ANOVA and analyze variance with repeated measures in SPSS (SPSS Inc., Chicago, IL, USA,) version 17.
RESULTSThe results showed there was a significant difference among the sleep quality scores in the three times in the e‑training (P < 0.001) and face‑to‑face groups (P < 0.001) and in the control group (P = 0.01), but the improvement in the sleep quality score has been higher in the two groups; e‑training and face‑to‑face, than in the control group. In addition, the mothers’ mean sleep quality score was different between the control group and face‑to‑face group as well as between the control group and e‑training group. While, no statistically significant difference was found between the e‑training group and face‑to‑face group.
CONCLUSIONTraining through both methods; face‑to‑face and electronic, had the same impact on maternal sleep quality during the postpartum period. Therefore, despite the belief that in‑person trainings are more effective, the findings of this research showed the effectiveness of electronic methods too, and determined that this method, has the same effectiveness as the face‑to‑face method has.
Keywords: Electronic training, face‑to‑face training, postpartum, sleep quality