فهرست مطالب

Caspian Journal of Health Research - Volume:8 Issue: 4, Dec 2023

Caspian Journal of Health Research
Volume:8 Issue: 4, Dec 2023

  • تاریخ انتشار: 1402/09/07
  • تعداد عناوین: 7
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  • Akgün Yeşiltepe, Deniz Sümeyye Yorulmaz, Bedriye Cansu Demirkiran* Pages 185-198
    Background

    International travel can facilitate the geographic spread of infectious diseases. Academics are at risk of diseases because they often travel abroad for various reasons such as conferences, congresses, Erasmus, holidays, leisure, etc.

    Objectives

     This paper investigated travel vaccination knowledge, awareness, and practice among academicians.

    Method

    This descriptive and cross-sectional study was conducted at a public university in Türkiye, between March 1 and May 31, 2022. The sample consisted of 243 academicians. Data were collected online using a personal information form and a Travel Vaccinations Knowledge, Awareness, and Action Questionnaire (TVKAAQ). The data were analyzed using numbers, percentages, and nonparametric tests such as Mann-Whitney U and Kruskal-Wallis H tests. The analysis was interpreted at the 95% confidence level and 0.05 error margin.

    Results

    Less than half of the participants were 25 to 34 years old (45.1%) and had 6 to 10 years of work experience (38.7%). Most participants never received international travel (93.4%) and vaccine consultancy (94.7%). Participants who traveled more than five times a year had a significantly higher mean TVKAAQ score than those who traveled less than five times a year. Participants who were concerned about infectious diseases had a significantly higher mean TVKAAQ score than those who were not. Participants who believed travel vaccinations are required had a significantly higher mean TVKAAQ score than those who did not. Participants who were informed about vaccines had a significantly higher mean TVKAAQ score than those who were not.

    Conclusion

    Academics have insufficient knowledge and awareness of travel vaccinations and rarely get them before traveling. In cooperation with the Turkish Ministry of Health and The Council of Higher Education, initiatives should be planned in the field of travel medicine for academicians.

    Keywords: Academics, travel medicine, vaccines, cross-sectional studies
  • Parand Pourghane, Fatemeh Jafarzadeh-Kenarsari*, Yalda Donyaei-Mobarrez Pages 199-208
    Background

    Breast cancer is the most common cancer and one of the main causes of death in women. Breast cancer and mastectomy is an unexpected event for women that can have negative or even positive consequences.

    Objectives

     This qualitative study aimed to explore women’s lived experiences of mastectomy.

    Methods

    This qualitative study was conducted with a phenomenological approach at city of Rasht in Guilan province, North of Iran during in 2017-2018. Twenty-three eligible women with breast cancer. were interviewed. Thematic analysis method was used to analyze the data.

    Results

    The analysis of data led to the formation of 4 themes and 9 sub-themes. 1) The main theme of "dealing with fear" with 3 sub-themes: fear of disruption in life- affected sexual relationships- expensive foreign medicines. 2) The main theme of "peaceful coexistence with disease" with 3 sub-themes: surrender to divine determination- regular therapeutic follow up -Positive induction of optimism. 3) The main theme of "Positive achievements of the disease" with 2 sub-themes: personality development and maturity- strengthening emotional relationships with spouse, children and family. 4) The main theme of "constructive message for other women" with 1 sub-theme: good spirit, the key to recovery.

    Conclusions

    Based on the findings, although breast cancer and mastectomy are a traumatic event, but hope, social and family support are important factors for acceptance of this unexpected event. Also, knowledge of the lived experiences of these women can help policy makers to plan for the management of this disease.

    Keywords: Breast Neoplasms, Mastectomy, Qualitative Research, Women
  • Seyyed Mohammadreza Hosseini, Behnam Makvandi*, Karim Sevari, Saeed Bakhtiarpour Pages 209-216
    Background

    Diabetes is one of the most common chronic diseases, and its management is difficult and requires long-term self-care to improve the perceived quality of life (QoL) of patients.

    Objectives

    The present study aimed to investigate the mediating role of medication adherence in the relationship between the QoL and health locus of control (HLC) in patients with diabetes.

    Materials & Methods

    The research method was descriptive cross-sectional study in which 232 patients with diabetes were selected through convenience sampling method. They were then asked to complete the research questionnaires on Quality of Life, Health Locus of Control, and Medication Adherence. The proposed model was investigated using structural equation modeling (SEM), and indirect relationships were examined using the Bootstrap method. Data were analyzed through SPSS, Amos-25 software.

    Results

    The results showed a significant relationship between medication adherence and QoL (P< 0.001), but no significant relationship was observed between HLC and QoL. The results also showed that medication adherence significantly mediated the relationship between HLC and QoL in patients with diabetes (P= 0.003).

    Conclusions

    The study results indicated that the proposed modified model was well-fitted to the data. Therefore, it can be used for identifying the most important factors affecting the QoL of patients with diabetes.

    Keywords: Quality of Life, Medication Adherence, Health Locus of Control, Diabetes
  • Fataneh Bakhshi*, Fardin Mehrabian, Saeed Omidi, Safyeh Ghasemi Pages 217-224
    Background

    The environment and activities related to nurses' work are factors that threaten their mental health and may result in anxiety.

    Objectives

    The present study was conducted with the aim of determining the level of anxiety of nurses in the hospitals of the west of Guilan province and related factors.

    Materials & Methods

    In this cross-sectional analytical study, 388 nurses from West Guilan hospitals completed the Spielberger anxiety questionnaire. Data were analyzed using t-tests or non-parametric equivalent, and multivariate linear regression model.

    Results

    The average age of the participants was 34.5±8.4 years. The mean score for state and trait anxiety were 45.4 ± 5.3 and 43.7 ± 3.9, respectively. In terms of state anxiety, more than half of the study's population (57%) had severe anxiety, while for trait anxiety, the majority of the sample (57.6%) had moderate anxiety. There was a significant relationship between walking and the reduction of anxiety levels.

    Conclusion

    The findings of this research highlight the importance of addressing nurses' anxiety in the health and treatment field. Given the impact of nurses' anxiety on job performance and the quality of patient care, it is crucial for planners to pay attention to this issue and develop necessary plans to improve the mental health of nurses.

    Keywords: Anxiety, nurses, State-Trait Anxiety Inventory, walking
  • Negar Pilban, Asieh Gharedaghi, Mahdi Mahbod, Fatemeh Sadat Fatemi Shahrbabak, Samaneh Hajiabbasi, Javad Seyed Jafari* Pages 225-232
    Background & Objective

    For public health and the quality of life, the prevention of chronic diseases is vital and requires new prevention programs. This study aimed to determine the effectiveness of hope therapy on resilience and psychological hardiness among women with type 2 diabetes referred to as diabetes association in Tehran.

    Materials and Methods

    This study used a quasi-experimental method and a pre-test-post-test with a control group in an experiment conducted. Women with type 2 diabetes comprised the statistical population of this report. Purposive sampling was used to choose 30 people from the medical centers of Tehran's regions 6, 3, and 15. This study's data collection tools were two standard questionnaires of the Connor-Davidson Resilience Scale (CD-RISC) and Kobasa (1988) hardiness questionnaire. Then they were assigned randomly to the two control (n=15), and experimental (n=15) groups. The experimental group received hope therapy training for 8 treatment sessions (90 minutes for each session). Research data were analyzed using statistical software ver.21.

    Results

    The results indicated a significant difference between the two groups when pre-test effects are removed from the post-test results for resilience (P=0.001) and psychological hardiness (P=0.01). As a result, hope therapy training has a positive effect on women with type 2 diabetes resilience and psychological hardiness (P=0.05).

    Conclusion

    According to a covariance analysis, hope therapy significantly increases the resilience and psychological hardiness of women with type 2 diabetes who were referred to a diabetes association in Tehran.

    Keywords: Hope therapy, Resilience, Psychological Hardiness, Type 2 diabetes
  • Parvin Chahardahvali, Zahra Hazrati Somee*, Majid Radfar, Mehdi Forouzesh Pages 233-240
    Background

    Appearance quality, which means the perception of each person about their body image and the level of satisfaction with this situation, is one of the important issues in the field of cosmetic surgery, and if it is not fulfilled, it leads to a complaint and a case is raised in the forensic medical commissions of the province.

    Objectives

    This study was aimed to investigate the sociological improvement of appearance quality in cosmetic surgery victims in forensic medical commissions of Tehran province.

    Materials & Methods

    In this cross-sectional study, 276 cosmetic surgery victims whom medical malpractice was confirmed twice in 2018 and 2019 by the Forensic Medical Commissions of Tehran Province were included. A researcher-made questionnaire generated from a qualitative study on 24 individuals was used to assess the appearance quality in terms of satisfaction with appearance and life.

    Results

    The majority of participants were in the 28-37 years age group (43.1%). The mean score of satisfaction with appearance was 11.18±3.60, and the mean score of satisfaction with life was 17.41±6.68. In total, the mean appearance quality was 28.59±8.67. There was a significant relationship between appearance quality and cosmetic surgery complaints (P<0.001) (r=-0.395). There was a significant relationship between the quality of appearance with dissatisfaction with the surgery (P<0.001) (r=-0.330) and dissatisfaction with the case handling process (P<0.006) (r=-0.314).

    Conclusion

    According to the study, most people who had cosmetic surgery were only slightly satisfied with their life and appearance. They believed surgery would improve their living conditions and social interactions, but actually faced challenges in family, finances, and health. If patients experience in the field of appearance quality increase, complaints from cosmetic surgeon decrease in medical commissions. Unemployed and housewives had the highest number of complaints, while self-employed people had the lowest.

    Keywords: cosmetic surgery victims, complaint, appearance quality, forensic medicine
  • Shahyad Azari-Hamidian* Pages 241-246

    The present article briefly introduces and describes the terminology which is used for ‘non-native’ and ‘invasive’ species. Also, six invasive Aedes species (Diptera: Culicidae) in which two species, Ae. aegypti and Ae. albopictus, are recorded in Iran and their medical and veterinary importance are discussed.

    Keywords: Aedes aegypti, Aedes albopictus, Georgecraigius, Hulecoeteomyia, Rampamyia, Stegomyia