eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
60
68
40661
Original article
The Effects of Discharge Plan on Stress, Anxiety and Depression in Patients Undergoing Percutaneous Transluminal Coronary Angioplasty: A Randomized Controlled Trial
Farkhondeh Sharif
fsharif2008@gmail.com
1
Fariba Moshkelgosha
moshkelgosha.fariba@yahoo.com
2
Zahra Molazem
molazemzah@yahoo.com
3
Majid Najafi Kalyani
majidnajafi5@yahoo.com
4
Mehrdad Vossughi
vossughim@sums.ac.ir
5
Shiraz Geriatric Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Postgraduate Studies, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Community Based Psychiatric Care Research, Department of Postgraduate Studies, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Postgraduate Studies, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Dental Public Health, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
Background: Angioplasty is one of the most common methods for treating coronary artery diseases. However, a large number of those undergoing this treatment face psychological problems that negatively affect the quality of their life and recovery. We aimed to determine the effects of discharge planning on stress, anxiety, and depression in patients undergone percutaneous transluminal coronary angioplasty (PTCA).Methods: In this randomized controlled trial, 80 candidates for PTCA during January to April 2013 were randomly assigned to equal experimental and control groups. The patients in the experimental group participated in two training sessions before and after the procedure and an informative booklet was used for their training. These patients were followed by phone during the two weeks after discharge. The depression anxiety stress scale (DASS-21) was completed by all subjects upon admission, at discharge, and one month after discharge. Data were analyzed using SPSS software, version 18. t test was used as appropriated.Results: The experimental group showed a statistically significant decrease in their stress, anxiety and depression a month after receiving the planned discharge (P<0.001). Although scores of stress (P=0.696), anxiety (P=0.110), depression (P=0.073) of the experimental group did not differ significantly on the day of discharge, the decrease was considerable compared with that of the control group.Conclusion: Using a planned discharge program in patients undergoing PTCA lowered their stress, anxiety, and depression.Trial Registration Number: IRCT201302182812N12
https://ijcbnm.sums.ac.ir/article_40661_931292aa85080e760ecf273d1ddd6659.pdf
Discharge Plan
Angioplasty
Stress
Anxiety
depression
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
69
76
40662
Original article
Adolescents’ Self-Esteem in Single and Two-Parent Families
Ali Alami
alialami65@hotmail.com
1
Shahla Khosravan
khosravan@gmu.ac.ir
2
Leila Sadegh Moghadam
3
Fateme Pakravan
f.pakravan474@yahoo.com
4
Fateme Hosseni
5
Social Determents of Health Research Centre, Department of Public Health, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran
Social Determents of Health Research Centre, Department of Community and Mental Health Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
Department of Community and Mental Health Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
Student Research Committee, Gonabad university of Medical Sciences, Gonabad, Iran
Student Research Committee, Gonabad university of Medical Sciences, Gonabad, Iran
Background: Self-esteem is one of the basic needs for all individuals especially in adolescence. The aim of this study was to determine associations between adolescents’ self-esteem and perceived maternal parenting styles as well as its dimensions in terms of family type.Methods: In this analytic cross-sectional study, 356 high school students (250 two-parent nuclear family and 106 single-parent family) participated and filled out the Coppersmith self-esteem and the Robinson and colleagues (2001) perceived parenting styles questionnaires. Data were analyzed by SPSS software, version 18. To assess the relationship between participants’ self-esteem and parenting styles and dimensions, Mantel–Haenszel Chi-square test was used to adjust the effect of potential confounder variables. P≤0.05 was considered statistically significant.Results: From a total of 370 questionnaires, 356 questionnaires were completed. The mean±SD of the participants’ self-esteem score was 38.49±6.55. Mean±SD of self-esteem score among the two-parent and single-parent students was 39.06±6.36 and 37.42±7.28, respectively (P=0.034). Dominant parenting style in both families was authoritative style. There were significant associations between the respondents’ self-esteem and their perceived parenting styles, after matching sex, family income, level of education, and parents job (P<0.005).Conclusion: The results of this research can be used in educational interventions to modify the dimensions of parenting styles and improve self-esteem. Therefore, considering the relationship between child-rearing style and adolescent self-esteem, assessing other relating factors with adolescent self-esteem especially in single-parent family, such as father absence stigma, is suggested.
https://ijcbnm.sums.ac.ir/article_40662_02386eb3c97dd20e22a97f36a24e190e.pdf
Adolescence
Parenting Behavior
Nuclear Family
Self-esteem
Single-Parent Family
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
77
84
40663
Original article
Child Abuse in Group of Children with Attention Deficit-Hyperactivity Disorder in Comparison with Normal Children
Habib Hadianfard
hadianfd@shirazu.ac.ir
1
Department of Clinical Psychology, Shiraz University, Shiraz Iran
Background: Children suffer from attention deficit hyperactivity disorder (ADHD) are very difficult to handle. It can be very frustrating and needs an outstanding tolerance. Behavioral difficulties in ADHD children may increase the risk of child abuse for them. The aim of this research was to compare child abuse, and neglect between ADHD group and normal children.Methods: In this cross-sectional study, 30 ADHD students (10 girls and 20 boys) were selected from regional mental behavior disorder clinics and matched with 30 normal students. Data were collected using Child Abuse Self Report Scale. Descriptive statistics, one-way multivariate analysis of variance (MANOVA) and Least Significant Difference (LSD) was performed by using SPSS software.Result: The result of the research showed that almost 60% of participants had experienced neglect and 35% psychological abuse. Neglect and psychological abuse are more frequent than other maltreatments. Neglect, psychological and physical abuses are significantly higher in the ADHD group.Conclusion: The findings showed that the rates of neglect and psychological abuse are higher in the ADHD group. Therefore, it can be suggested that the society and families should be trained to deal better with ADHD children.
https://ijcbnm.sums.ac.ir/article_40663_a0bff8ca0148630019da569ae4e30db2.pdf
Attention Deficit Hyperactivity Disorder
Child abuse
Psychological Abuse
Neglect
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
85
93
40664
Original article
Relapse Experience in Iranian Opiate Users: a Qualitative Study
Naiemeh Seyedfatemi
n-seyedfatemi@tums.ac.ir
1
Hamid Peyrovi
h-peyrovi@tums.ac.ir
2
Amir Jalali
jalali_amir@yahoo.com
3
Center for Nursing Care Research, Iran University of Medical Sciences, Tehran, Iran
Center for Nursing Care Research, Iran University of Medical Sciences, Tehran, Iran
Department of Psychiatric Nursing, Kermanshah University of Medical Sciences, Kermanshah, Iran
Background: To understand the relapse process, it is required to notice the clients learned behaviors and environmental contexts. We aimed to explore and describe relapse experiences of Iranian drug users.Methods: This is a grounded theory study and twenty two participants were selected using purposive sampling, snowball and theoretical sampling. After obtaining written informed consent, data gathering was done by means of in-depth semi-structured interviews. According to Strauss and Corbin three phases of open coding, axial coding and selection coding were done for qualitative analysis and continuous comparison. During the research period Guba and Lincoln criteria were used to be reassured of the accuracy and rigor of the study findings.Results: The main categories of this study were craving and conflict, family stress and psychological indicators of relapse that emerged in three phases including recovery, tension and pre-relapse. High anxiety, withdrawal, rationalization and lying were the most common symptoms. Conclusion: Family reactions and social conditions play a key role in relapse. Relapse process is an active and multidimensional event in which the clients experience a psychosocial status continuum from recovery to relapse. Most psychological problems are seen in the tension phase.
https://ijcbnm.sums.ac.ir/article_40664_57f9a550a0614958288d231bafef69dd.pdf
Relapse
Drug Users
Psychosocial Experience
Qualitative study
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
94
102
40665
Original article
The Effect of Education on Sexual Health of Women with Hypoactive Sexual Desire Disorder: A Randomized Controlled Trial
Maasumeh Kaviani
kavianm@sums.ac.ir
1
Tahereh Rahnavard
rahnavard21@gmail.com
2
Sara Azima
saraazima2015@gmail.com
3
Masoumeh Emamghoreishi
emamm@sums.ac.ir
4
Nasrin Asadi
nsasadi2002@yahoo.com
5
Mehrab Sayadi
sayadi_me@yahoo.com
6
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Pharmacology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Biostatistics, School of Public Health, Behbahan University of Medical Sciences, Behbahan, Iran
AbstractIntroduction: Sexuality constitutes an important part of women's life. Healthy and proper sexual functioning is one of the signs of physical and mental health. The aim of this study was to identify effect of training on sexual health of women with reduced sexual desire. Methods: This study was a randomized clinical trial. The participants were 80 married women at reproductive age who were randomly assigned to two groups of placebo and training and participated in this study after completing Hurlbert index of sexual desire. To analyze the data, independent and paired t-test and Chi-square test were used.Results: The results showed that increased score of sexual desire in the intervention group (67.43±75.48) was significantly higher than that of the control group (43.8±42.7) (p<0.05). Conclusion: According to the results of this study, it seems that sexual health training was effective for women with reduced sexual desire. Keywords: training, sexual health, reduced sexual desire
https://ijcbnm.sums.ac.ir/article_40665_28bd99de32f262b26e44e093a446d7fd.pdf
education
Sexual Health
Hypoactive sexual desire disorder
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
103
111
40666
Original article
The Relationship between Neutralization Techniques and Induced Abortion
Ahmad Kalateh Sadati
1
Seyed Ziaaddin Tabei
ethics@sums.ac.ir
2
Hamzeh Salehzadeh
hsalehzadeh@sums.ac.ir
3
Farnaz Rahnavard
4
Bahia Namavar Jahromi
namavarb@sums.ac.ir
5
Soroor Hemmati
soror.hemati@yahoo.com
6
Department of Sociology and Social Planning, Management and Social Sciences, Shiraz, Iran
Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Nursing, School of Nursing and Midwifary, Rasht University of Medical Sciences,
Rasht, Iran
Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences,
Shiraz, Iran
Department of Educational Management, Islamic Azad University, Marvdasht, Iran
Background: Induced abortion is not only a serious threat for women’s health, but also a controversial topic for its ethical and moral problems. We aimed to evaluate the relationship between neutralization techniques and attempting to commit abortion in married women with unintended pregnancy. Methods: After in-depth interviews with some women who had attempted abortion, neutralization themes were gathered. Next, to analyze the data quantitatively, a questionnaire was created including demographic and psychosocial variables specifically related to neutralization. The participants were divided into two groups (abortion and control) of unintended pregnancy and were then compared.Results: Analysis of psychosocial variables revealed a significant difference in the two groups at neutralization, showing that neutralization in the control group (56.97±10.24) was higher than that in the abortion group (44.19±12.44). To evaluate the findings more accurately, we examined the causal factors behind the behaviors of the abortion group. Binary logistic regression showed that among psychosocial factors, neutralization significantly affected abortion (95% CI=1.07-1.35). Conclusion: Despite the network of many factors affecting induced abortion, neutralization plays an important role in reinforcing the tendency to attempt abortion. Furthermore, the decline of religious beliefs, as a result of the secular context of the modern world, seems to have an important role in neutralizing induced abortion.
https://ijcbnm.sums.ac.ir/article_40666_7826d83a38c455ab785d4c7a248d6f22.pdf
Induced Abortion
Unintended Pregnancy
Neutralization
Religion
Sociological Theory
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
112
120
40667
Original article
The Effect Dry Cupping Therapy at Acupoint BL23 on the Intensity of Postpartum Low Back Pain in Primiparous Women Based on Two Types of Questionnaires, 2012; A Randomized Clinical Trial
Marzieh Akbarzadeh
akbarzadehmarzieh@yahoo.com
1
Mehrnoush Ghaemmaghami
2
Zahra Yazdanpanahi
3
Najaf Zare
4
Amir Azizi
5
Abdolali Mohagheghzadeh
6
Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Bio-Statistics, Infertility Research Center Shiraz University of Medical Sciences, Shiraz, Iran
Department of Pharmacognosy, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Pharmacognosy, Shiraz University of Medical Sciences, Shiraz, Iran
Background and Objectives: Continuous low back pain is obviously related to the symptoms of the pregnancy period. In spite of the spontaneous improvement of the pain in less than 6 months after the delivery, some women experience chronic problems. Thus, the present study aimed to investigate the effect of dry cupping therapy at the BL23 point on the intensity of low back pain in the primiparous using visual analogue scale and short-form McGill pain questionnaire. Materials and Methods: In the present clinical trial, 100 samples were randomly allocated randomly to either the cupping therapy or the control group. Cupping therapy was performed for 15-20 minutes every other day up to 4 consecutive times. Visual analogue scale and short-form McGill pain questionnaire were completed by the two groups before the intervention and immediately, 24 hours, and 2 weeks after that. Then, the data were entered into the SPSS statistical software (v. 16) and analyzed using chi-square test and repeated measures ANOVA.Results: According to the visual analogue scale, the mean intensity of low back pain in the cupping therapy group decreased from 7.8+2.7 before the intervention to 3.7+1.8, 2.5+1.7, and 1.4+1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively. Besides, these measures were respectively obtained as 31.8+10.8, 9.0+6.7, 7.5+6.6, and 3.6+4.1 in the short-form McGill pain questionnaire. According to repeated measures ANOVA, a significant difference was observed among the various stages of follow-up (P=0.01).
https://ijcbnm.sums.ac.ir/article_40667_ffdfd56f617ced912742c9284fcae7ac.pdf
Dry cupping
Acupuncture Point BL23
Low back pain
Postpartum
eng
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
2014-04-01
2
2
121
126
40668
Original article
Effect of Head Covering on Phototherapy-Induced Hypocalcaemia in Icterus Newborns; A Randomized Controlled Trial
Marzieh Kargar
kargarm@sums.ac.ir
1
Zahra Jamshidi
2
Nooshin Beheshtipour
3
Narjes Pishva
kardehb@sums.ac.ir
4
Maryam Jamali
5
Department of Pediatrics, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Pediatrics, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Neonatology Center, Nemazee Hospital, School of Medicine, Shiraz University of Medical Sciences,
Shiraz, Iran
Neonatology Center, Moslemin Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Background: Although phototherapy has been used for more than 60 years it has some complications. The light waves produced from phototherapy reduce melatonin concentration in newborns with subsequent hypocalcemia. We aimed to assess the effect of head covering on calcium and magnesium levels in full term newborns during phototherapy.Methods: In this randomized controlled trial, 72 full-term icterus newborns weighing >2500 gr with indirect hyperbillirubinemia who received phototherapy at the phototherapy ward of Moslemin Hospital, Shiraz, southwest Iran, during March to September 2010 were recruited and divided randomly into two groups. The neonates in the case group received phototherapy while wearing a hat, while phototherapy was performed without hats for the control group. The newborns were in perfect health during the tests. The calcium and magnesium levels of each newborn were tested at baseline, and 24 hours after phototherapy and 48 after treatment. The variables were compared using Student’s t, Chi-square and repeat measurement tests.Results: 14 (38.8%) newborns in the control group and 5 (13.8%) in the case group had hypocalcemia after phototherapy. A significant difference was found between the incidence of hypocalcemia in these two groups (P=0.03). However, magnesium levels did not change significantly (P>0.05). Conclusion: Phototherapy caused hypocalcemia but it had no effect on magnesium levels. This can be prevented by covering the head during phototherapy with no need for prophylactic administration of calcium. Trial Registration Number: IRCT2013102315134N1
https://ijcbnm.sums.ac.ir/article_40668_834188ef3d155c1b46ef6ed830997ffd.pdf
Head Covering
Phototherapy
Hypocalcaemia
Jaundice
Newborn