ORIGINAL_ARTICLE
The Effect of Orientation Program Based on the Activities of Daily Living on Stress, Anxiety and Depression in the Elderly
Background: This study aimed to analyze the effect of the Orientation Program based on Activities of Daily Living on depression, anxiety, and stress in the elderly.
Methods: This is an experimental study on 65 elderly individuals living in 5 nursing homes in Tehran in 2017 for 6 months (May to October). Samples were selected using non-random available sampling methods and randomly assigned to intervention and control groups. Demographic information questionnaire and 21-item version of the Depression Anxiety Stress Scale (DASS- 21) were used. The elderly in the intervention group were subjected to the Orientation Program based on Activities of Daily Living for 6 one-hour sessions for 1 month. DASS- 21 was measured before the intervention, one month and two months after the intervention. Data were analyzed using SPSS V. 24 and Independent T-test, Mann-Whitney, Chi-Square and repeated measure ANOVA tests with a significance level of P<0.05.
Results: The results showed differences between the two groups regarding depression, anxiety, and stress one month after the intervention (P=0.003, P=0.005 and P<001, respectively). One month after the intervention, the mean scores of depression, anxiety, and stress in the intervention group decreased to 8±4.54, 4.5±3.09 and 7.53±5.42, respectively, and two months after the intervention, they decreased to 8.25±4.44, 4.71±3.05 and 8.21±5.71, respectively.
Conclusion: According to the results, the Orientation Program based on Activities of Daily Living is effective on depression, anxiety, and stress in the elderly. Considering the instability of the intervention on the depression variable, further studies and long-term interventions are recommended.
https://ijcbnm.sums.ac.ir/article_44992_c1729ff420bee83493011f3629492318.pdf
2019-07-01
170
180
10.30476/ijcbnm.2019.44992
Activities of daily living
Anxiety
depression
Elderly
Stress
Marzieh
Piadehkouhsar
m.piadehkouhsar@modares.ac.ir
1
Student of Master of Geriatric Nursing, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
Fazlollah
Ahmadi
ahmadif@modares.ac.ir
2
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
LEAD_AUTHOR
Masoud
Fallahi Khoshknab
fallahi@uswr.ac.ir
3
Department of Nursing Education, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
AUTHOR
Aliakbar
Rasekhi
rasekhi@modares.ac.ir
4
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
World Health Organization. World Health Statistics (Large Gains in Life Expectancy). Geneva: World Health Organization; 2014.
1
Darabi S, Torabi F. Analysis and Comparison of Aging Population in Europe and Asia During 1950 to 2015. Iranian Journal of Ageing. 2017;12:30-43.[In Persian]
2
World Health Organization. Aging and Life Course. Geneva: World Health Organization; 2014. [cited 4 April 2014]. Available from: http://www.who.int/ageing/en.
3
Statistical Centre of Iran. Selected results of the 2016 national population and housing census. Tehran (Iran): Statistical Centre of Iran; 2016.
4
Mojadam M, Eshghizadeh M, Johari Naeimi A. Assessing interpersonal communication skills of elderly in Gonabad city. Journal of Geriatric Nursing. 2015;2:29-38. [In Persian]
5
Aghajanian A, Thompson V. Gender and living arrangements of the elderly in Iran. Asian Population Studies. 2016;12:177–86.
6
Robinson KM. Policy issues in mental health among the elderly. The Nursing Clinics of North America. 2010;45:627-34.
7
Shahrki SK, Abazari F, Nayer ND, Pouraboli B. An ethnographic study in nursing homes in Iran. International Journal of Palliative Nursing. 2018;24:540-7.
8
Rajabizadeh G, Ramezani A. Prevalence of depression in elderly people in Kerman province in 2002. Journal of Rafsanjan University of Medical Sciences. 2003;3:58-65. [In Persian]
9
Bryant C, Jackson H, Ames D. The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders. 2008;109:233-50.
10
Zeraati M, Haghani*Zemeidani M, Khodadadi*Sangdeh J. The Comparison of Depression and Death Anxiety among Nursing Home Resident and Non-Resident Elderlies. Iran Jounal of Nursing. 2016;29:45–54. [In Persian]
11
Unsar S, Dindar I, Kurt S. Activities of daily living, quality of life, social support and depression levels of elderly individuals in Turkish society. Journal of the Pakistan Medical Association. 2015;65:642-6.
12
Bonder BR, Dal*Bello-Haas V. Functional performance in older adults. Philadelphia: FA Davis; 2008.
13
Jeon HG, Sim JM, Lee KC. An empirical approach to analyzing effects of disease and activity limit on depression prevalence rate in the elderly depending on stress experience: Knhanes Data Analysis. Korean Journal of Health Education and Promotion. 2016;33:13-22. [In Korea]
14
Zhilian GU, Yanwei CH. Change of mobility of urban elderly and effects on their daily life: a narrative analysis of the life of a retired couple living in an urban community. Progress in Geography. 2015;34:1617-27.
15
Davin B, Paraponaris A, Verger P. Demographic and socioeconomic factors associated with needs for home assistance among community-dwelling elderly: a study from the French Home Survey Handicaps-Disabilities-Dependence. Rev Epidemiol Sante Publique. 2005;53:509-24. [In French]
16
McPhee JS, French DP, Jackson D, et al. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016;17:567-80.
17
Millan-Calenti JC, Tubío J, Pita-Fernández S, et al. Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Archives of Gerontology and Geriatrics. 2010;50:306-10.
18
Taylor C, Lillis C, LeMone P. Fundamentals of nursing: The art and science of nursing care. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2001.
19
Pourhossein*Alamdari M. The effect of using continuous care model on sleep quality and depression, stress and anxiety in patients with multiple sclerosis. [thesis]. tehran: Tarbiat Modares University; 2015. [In Persian]
20
Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 1995;33:335-43.
21
Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Journal of Iranian Psychologists. 2005;1:36-54. [In Persian]
22
Moradipanah F, Mohammadi E, Mohammadil AZ. Effect of music on anxiety, stress, and depression levels in patients undergoing coronary angiography. Eastern Mediterranean Health Journal. 2009;15:639-47.
23
Wood BM, Nicholas MK, Blyth F, et al. The utility of the short version of the Depression Anxiety Stress Scales (DASS-21) in elderly patients with persistent pain: does age make a difference? Pain Medicine. 2010;11:1780–90.
24
Shah S, Muncer S. Sensitivity of Shah, Vanclay and Cooper’s modified Barthel index. Clinical Rehabilitation. 2000;14:551-2.
25
Kutner MH, Nachtsheim CJ, Neter J, Li W. Applied Linear Statistical Models. 5th ed. New York: McGraw-Hill; 2005.
26
Montazeri N, Sorbi MH, Ahmadi SM, Yazdanpoor S. Comparative study of depression, anxiety and stress between athletics and nonathletic elderly in 1392. Rehabilitation Medicine. 2014;3:15-21.
27
Teixeira CM, Vasconcelos-Raposo J, Fernandes HM, Brustad RJ. Physical activity, depression and anxiety among the elderly. Social Indicators Research. 2013;113:307-18.
28
Khajavi D, Khanmohamadi R. Predicting Depressive Symptoms of the Elderly According to Physical Activity Level and Demographic Characteristics: Examining the Role of Age and Gender. Development and Motor Learning (HARAKAT) .2015;7:87-103. [In Persian]
29
Park IS, Kim NC. The effect of integrated recreation program on mood state, flexibility and stress of elderly women. Journal of the Korea Academia-Industrial cooperation Society. 2016;17:70–80. [In Korea]
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Salmon P. Effects of physical exercise on anxiety, depression, and sensitivity to stress: a unifying theory. Clinical Psychology Review. 2001;21:33-61.
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Pasco JA, Williams LJ, Jacka FN, et al. Habitual physical activity and the risk for depressive and anxiety disorders among older men and women. International Psychogeriatrics. 2011;23:292-8.
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Wegner M, Helmich I, Machado S, et al. Effects of exercise on anxiety and depression disorders: review of meta-analyses and neurobiological mechanisms. CNS & Neurological Disorders Drug Targets. 2014;13:1002–14.
33
Herring MP, O’connor PJ, Dishman RK. The effect of exercise training on anxiety symptoms among patients: a systematic review. Archives of Internal Medicine. 2010;170:321–31.
34
ORIGINAL_ARTICLE
Women’s Experiences of Emotional Recovery from Childbirth-Related Perineal Trauma: A Qualitative Content analysis
Background: The postpartum health care program in Iran is limited to the first six weeks of delivery and only focuses on women’s physical problems. It seems that the issue of emotional recovery is underestimated in postnatal women with prenatal injuries. This study was designed to explore women’s experiences of emotional recovery from childbirth-related perineal trauma.
Methods: This qualitative content analysis was performed on 22 postnatal women with perineal trauma during labor at Omol-banin Hospital from the 20th of April to 25th of December in Mashhad, Iran in 2016. The participants were purposively selected between 10 days to one year after childbirth. Data were collected through semi-structured interviews and saturated after 26 interviews. The analysis of data was concurrently carried out using conventional content analysis adopted by Elo and Kyngas (2008). The MAXQDA software (Ver.10) was used for data organization.
Results: Emotional recovery after birth trauma is defined as going on a journey from negative emotions to subjective well-being. Two super-ordinate generic categories emerged from the analysis: 1) feeling trapped in multifaceted issues, and 2) regaining possession of life. The participants encountered numerous concerns initially and with the help of family and community support, they regained the ability to dominate life and develop a pleasant mood. Improving physical functions had an essential role in regaining emotional well-being and enjoying daily life.
Conclusion: The results of this study promoted our understanding of the emotional recovery in women with childbirth-related perineal trauma. This helps the caregivers to understand woman’s emotional concerns and needs in order to offer appropriate counseling services.
https://ijcbnm.sums.ac.ir/article_44993_da99ef341af2a95e8a7aa05efce42967.pdf
2019-07-01
181
191
10.30476/ijcbnm.2019.44993
Birth
Emotions
Injuries
Perineum
Postnatal care
Nahid
Jahani shoorab
jahanishn@mums.ac.ir
1
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Masoumeh
Mirteimouri
2
Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ali
Taghipour
taghipoura@mums.ac.ir
3
Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Robab
Latifnejad Roudsari
rlatifnejad@yahoo.com
4
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Albers LL. Health problems after childbirth. Journal of Midwifery & Women’s Health. 2000;45:55-7
1
Frohlich J, Kettle C. Perineal care. BMJ Clinical Evidence. 2015;2015:1401.
2
Abedzadeh-Kalahroudi M, Talebian A, Sadat Z, Mesdaghinia E. Perineal trauma: incidence and its risk factors. Journal of Obstetrics and Gynaecology. 2019;39:206-11.
3
Cunningham FG, Leveno KJ, Bloom SL, et al. Williams Obstetrics. 24th ed. New York: McGraw- hill; 2014.
4
Dahlen HG, Priddis H, Thornton C. Severe perineal trauma is rising, but let us not overreact. Midwifery. 2015;31:1-8.
5
Jahani Shourab N, Mirteimouri M, Latifnejad*Roudsari R. A case series of severe perineal lacerations during normal childbirth. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21:103-14. [In Persian]
6
Susman EJ, Feagans LV, Ray WJ. Emotion, Cognition, Health, and Development in Children and Adolescents. 1st ed. London: Psychology Press; 2014.
7
Morris WF. Emotion and anxiety: A philosophic inquiry. 1st ed. USA: Xlibris Corporation; 2006.
8
Ory MG, Smith ML, editors. Evidence-based programming for older adults. Switzerland: Frontiers Media SA; 2015.
9
Mirzaaghas R, Kohani Y, Banuasadu H, Tara F. Maternal anxiety and attention deficit hyperactivity disorder (ADHD) in Children. Journal of Midwifery and Reproductive Health. 2014;2:233-7.
10
Okon-Singer H, Hendler T, Pessoa L, Shackman AJ. The neurobiology of emotion–cognition interactions: fundamental questions and strategies for future research. Frontiers in Human Neuroscience. 2015;9:58.
11
Song JE, Chae HJ, Kim CH. Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time. Nursing & Health Sciences. 2014;16:335-42.
12
Fairbrother N, Young AH, Janssen P, et al. Depression and anxiety during the perinatal period. BMC Psychiatry. 2015;15:206.
13
World Health Organization. WHO technical consultation on postpartum and postnatal care. Geneva: World Health Organization; 2010.
14
Britton JR. Maternal anxiety: course and antecedents during the early postpartum period. Depression and Anxiety. 2008;25:793-800.
15
Dunn AB, Paul S, Ware LZ, Corwin EJ. Perineal injury during childbirth increases risk of postpartum depressive symptoms and inflammatory markers. Journal of Midwifery & Women’s Health. 2015;60:428-36.
16
Zare O, Pasha H, Faramarzi M. Effect of perineal massage on the incidence of episiotomy and perineal laceration. Health. 2014;6:10-14.
17
Ananth M. In defense of an evolutionary concept of health: nature, norms, and human biology. 1sted. UK: Routledge; 2017.
18
Razurel C, Bruchon-Schweitzer M, Dupanloup A, et al. Stressful events, social support and coping strategies of primiparous women during the postpartum period: a qualitative study. Midwifery. 2011;27:237-42.
19
Baghirzada L, Ibrahimov F, Macarthur A. Recovery after childbirth: A qualitative study of postpartum women. Clinical Obstetrics, Gynecology and Reproductive Medicine. 2018;4:1-5.
20
Fourtune AE, Reid WJ, Miller RL. Qualitative research in social work. New York: Colombia University press; 2013.
21
Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62:107-15.
22
Deci EL, Ryan RM. Hedonia, eudaimonia, and well-being: an introduction. Journal of Happiness Studies. 2008;9:1-11.
23
Slade M, Oades L, Jarden A. Wellbeing, recovery and mental health. 1st ed. UK: Cambridge University Press; 2017.
24
Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychological Bulletin. 1999;125:276-302.
25
Priddis H, Schmired V, Dahlen H. Women’s experiences following severe perineal trauma: a qualitative study. BMC Women’s Health. 2014;14:32
26
Obertinca B, Dangellia A, Pacarada M, et al. Emotional and Psychological Effects on Women after Induced Abortion. International Journal of Science and Research (IJSR). 2016;5:1785-8.
27
Way S. A qualitative study exploring women’s personal experiences of their perineum after childbirth: Expectations, reality and returning to normality. Midwifery. 2012;28:e712–9.
28
McCarthy M, McMahon C. Acceptance and experience of treatment for postnatal depression in a community mental health setting. Health Care for Women International. 2008;29:618-37.
29
Leamy M, Bird V, Le Boutillier C, et al. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. The British Journal of Psychiatry. 2011;199:445-52.
30
Di*Mascio V, Kent A, Fiander M, Lawrence J. Recovery from postnatal depression: a consumer’s perspective. Archives of Women’s Mental Health. 2008;11:253-7.
31
Letourneau N, Duffett-Leger L, Stewart M, et al. Canadian mothers’ perceived support needs during postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2007;36:441-9.
32
Chen CH, Wang SY, Chung UL, et al. Being reborn: the recovery process of postpartum depression in Taiwanese women. Journal of Advanced Nursing. 2006;54:450-6.
33
ORIGINAL_ARTICLE
Comparison of Pain-Related and Psychological Variables between Acute and Chronic Migraine Patients, and Factors Affecting Headache Chronicity
Background: Migraine headache is classified as acute or chronic. In recent years, efforts have been made to identify the factors that might predispose individuals to develop the chronic-type headache. The present study aimed to draw a comparison between patients with acute and chronic migraine in terms of demographic, pain-related, and psychological variables. In addition, we also investigated factors affecting headache chronicity in such patients.
Methods: The present cross-sectional study was conducted during 2017-2018. The target sample consisted of 250 patients with acute or chronic migraine who referred to various clinics affiliated to Shiraz University of Medical Sciences (SUMS), Shiraz, Iran, recruited by convenience sampling. All the participants filled in the questionnaires related to demographic characteristics, pain intensity, disability, depression, emotional intelligence, and anger. The data were analyzed using SPSS software (version 22.0) with t test, Chi-square test, and logistic regression analysis. P<0.05 was considered statistically significant.
Results: Patients suffering from chronic migraine experienced higher levels of disability, depression, anger, and had lower levels of emotional intelligence compared to those with acute migraine. Based on the logistic regression analysis, variables that had a significant effect on headache chronicity were female gender (OR=5.81), married status (OR=3.77), patients with lower level of education (OR=0.26), headache duration (OR=1.53), disability (OR=0.28), depression (OR=3.66), and anger (OR=5.04).
Conclusion: Variables such as disability, depression, and lack of anger control were among the key factors associated with headache chronicity in migraine patients.
https://ijcbnm.sums.ac.ir/article_44994_dc206bc71fed131877f9a7e1e19d8353.pdf
2019-07-01
192
200
10.30476/ijcbnm.2019.44994
Anger
Chronicity
Disability
emotional intelligence
migraine
Farhad
Emadi
farhad.emadi@gmail.com
1
Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Farkhondeh
Sharif
fsharif2008@gmail.com
2
Community Based Psychiatric Care Research Center, Department of Mental Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Maryam
Shaygan
shayganyas@gmail.com
3
Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Maryam
Shaygan
m2620.shaygan@gmail.com
4
Community Based Psychiatric Care Research Center, Department of Mental Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Nasrin
Sharifi
sharifin@sums.ac.ir
5
Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Nahid
Ashjazadeh
ashyzn@sums.ac.ir
6
Department of Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Williams AC, Craig KD. Updating the definition of pain. Pain. 2016;157:2420-3.
1
Cano A, Miller LR, Loree A. Spouse beliefs about partner chronic pain. The Journal of Pain. 2009;10:486-92.
2
Wahl AK, Rustøen T, Rokne B, et al. The complexity of the relationship between chronic pain and quality of life: a study of the general Norwegian population. Quality of Life Research. 2009;18:971-80.
3
Racine M. Chronic pain and suicide risk: A comprehensive review. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2018;87:269-80.
4
Shaygan M. Intensity of depression, its predictive and mediating factors in the patients with chronic headache. Scientific Journal of Kurdistan University of Medical Sciences. 2017;22:110-9.
5
Fasick V, Spengler RN, Samankan S, et al. The hippocampus and TNF: Common links between chronic pain and depression. Neuroscience and Biobehavioral Reviews. 2015;53:139-59.
6
Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629-808.
7
May A, Schulte LH. Chronic migraine: risk factors, mechanisms and treatment. Nature Reviews Neurology. 2016;12:455-64.
8
Katsarava Z, Buse DC, Manack AN, Lipton RB. Defining the differences between episodic migraine and chronic migraine. Current Pain and Headache Reports. 2012;16:86-92.
9
Young*Casey C, Greenberg MA, Nicassio PM, et al. Transition from acute to chronic pain and disability: a model including cognitive, affective, and trauma factors. Pain. 2008;134:69-79.
10
Lantéri-Minet M, Duru G, Mudge M, Cottrell S. Quality of life impairment, disability and economic burden associated with chronic daily headache, focusing on chronic migraine with or without medication overuse: a systematic review. Cephalalgia. 2011;31:837-50.
11
Buse DC, Manack AN, Fanning KM, et al. Chronic migraine prevalence, disability, and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study. Headache. 2012;52:1456-70.
12
Davey C, Lopez-Sola C, Bui M, et al. The effects of stress–tension on depression and anxiety symptoms: evidence from a novel twin modelling analysis. Psychological Medicine. 2016;46:3213-8.
13
Baskin SM, Smitherman TA. Comorbidity between migraine and depression: update on traditional and alternative treatments. Neurological Sciences. 2011;32:S9-13.
14
Carod-Artal FJ, Irimia P, Ezpeleta D. Chronic migraine: definition, epidemiology, risk factors and treatment. Revista de Neurologia. 2012;54:629-37. [In Spanish]
15
Kim SY, Park SP. The role of headache chronicity among predictors contributing to quality of life in patients with migraine: a hospital-based study. The Journal of Headache and Pain. 2014;15:68.
16
Lipton RB. Tracing transformation: chronic migraine classification, progression, and epidemiology. Neurology. 2009;72:S3-7.
17
Katsarava Z, Schneeweiss S, Kurth T, et al. Incidence and predictors for chronicity of headache in patients with episodic migraine. Neurology. 2004;62:788-90.
18
Rossi P, Di*Lorenzo G, Malpezzi MG, et al. Depressive symptoms and insecure attachment as predictors of disability in a clinical population of patients with episodic and chronic migraine. Headache. 2005;45:561-70.
19
Paice JA, Cohen FL. Validity of a verbally administered numeric rating scale to measure cancer pain intensity. Cancer Nursing. 1997;20:88-93.
20
Imani F. A Comprehensive Book of Pain. Anesthesiology and Pain. 2013;3:133-4. [In Persian]
21
Vakilzadeh P, Nakhaei N. validity and reliability of a short questionnaire of pain in patients with cancer. Journal of Rafsanjan University of Medical Sciences. 2007;5:253-8. [In Persian]
22
Stewart WF, Lipton RB, Whyte J, et al. An international study to assess reliability of the Migraine Disability Assessment (MIDAS) score. Neurology. 1999;53:988-94.
23
Ertaş M, Siva A, Dalkara T, et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache. 2004;44:786-93.
24
Zandifar A, Asgari F, Haghdoost F, et al. Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. BioMed Research International. 2014;2014:978064.
25
Martin A, Rief W, Klaiberg A, Braehler E. Validity of the brief patient health questionnaire mood scale (PHQ-9) in the general population. General Hospital Psychiatry. 2006;28:71-7.
26
Lotrakul M, Sumrithe S, Saipanish R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry. 2008;8:46.
27
Khamseh ME, Baradaran HR, Javanbakht A, et al. Comparison of the CES-D and PHQ-9 depression scales in people with type 2 diabetes in Tehran, Iran. BMC Psychiatry. 2011;11:61.
28
Bradbury T, Greaves J. The emotional intelligence quick book: Everything you need to know to put your EQ to work. New York: Simon & Schuster; 2005.
29
Stys Y, Brown SL. A review of the emotional intelligence literature and implications for corrections. Canada: Research Branch Correctional Service of Canada; 2004.
30
Ganji H, Mirhashemi M, Sabet M. Bradberry-Greaves’ Emotional Intelligence Test: Preliminary Norming-Process. Journal of Thought and Behavior. 2007;1:23-35. [In Persian]
31
Novaco RW. The Novaco anger scale and provocation inventory: NAS-PI. Los Angeles: Western Psychological Services; 2003.
32
Malakpour M, Zanganeh S, Aghababaei S. A study of the psychometric properties of Novaco Anger Questionnaire (short form) in Isfahan City. Journal of Researches of Cognitive and Behavioral Sciences. 2012;2:1-8. [In Persian]
33
Schramm SH, Obermann M, Katsarava Z, et al. Epidemiological profiles of patients with chronic migraine and chronic tension-type headache. The Journal of Headache and Pain. 2013;14:40.
34
Zebenholzer K, Andree C, Lechner A, et al. Prevalence, management and burden of episodic and chronic headaches-a cross-sectional multicentre study in eight Austrian headache centres. The Journal of Headache and Pain. 2015;16:46.
35
Blumenfeld AM, Varon SF, Wilcox TK, et al. Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia. 2011;31:301-15.
36
Rist PM, Schürks M, Buring JE, Kurth T. Migraine, headache, and the risk of depression: Prospective cohort study. Cephalalgia. 2013;33:1017-25.
37
Nespereira-Campuzano T, Vázquez-Campo M. Emotional intelligence and stress management in Nursing professionals in a hospital emergency department. Enfermería Clínica. 2017;27:172-8.
38
Buscemi V, Chang WJ, Liston MB, et al. The role of psychosocial stress in the development of chronic musculoskeletal pain disorders: protocol for a systematic review and meta-analysis. Systematic Reviews. 2017;6:224.
39
Liossi C, White P, Schoth DE. Time-course of attentional bias for threat-related cues in patients with chronic daily headache–tension type: evidence for the role of anger. European Journal of Pain. 2011;15:92-8.
40
ORIGINAL_ARTICLE
Challenges in the Daily Living Activities of Patients with Multiple Sclerosis: A Qualitative Content Analysis
Background: Multiple sclerosis (MS) is a chronic nervous system disease with a wide range of symptoms that affect the self-care ability of patients in daily activities of life; the patients afflicted with this disease face with many challenges. This study was conducted to explore the activities of daily living (ADL) challenges of these patients.
Methods: In this conventional content analysis study, fourteen MS patients who were selected purposively from Iran MS Society in Jahrom (Iran) participated in 2018. Data were gathered using semi-structured and in-depth interviews. A total of 14 interviews were conducted. These data were analyzed using MAXQDA 10 Software and the Graneheim and Lundman method.
Results: Analysis of data led to extraction of the main theme “fear of ambiguous future of diseases” as the most important daily living challenge in MS patients. This challenges were categorized in four main categories: 1) confrontation to physical, emotional, psychological and behavioral changes, 2) fear of becoming crippled, 3) tolerance of financial burden of the disease, and 4) confrontation to cultural-social wrong beliefs.
Conclusion: The results of this study showed that people with MS face a number of ADL challenges. Fear of an ambiguous future leads to problems in ADL of patients. Therefore, considering the ADL challenges, health care personnel especially nurses, family members and social organizations can improve ADL and compromise patients with the disease as much as possible by providing conditions for application of the self-care activities and their implementation by patients.
https://ijcbnm.sums.ac.ir/article_44995_0ad61dfcb7aae71463478eb8166ccce0.pdf
2019-07-01
201
210
10.30476/ijcbnm.2019.44995
Activities of daily living
Iran
Multiple Sclerosis
Qualitative research
Ali
Dehghani
ali.dehghani2000@gmail.com
1
Department of Nursing, School of Nursing and Paramedical, Jahrom University of Medical Sciences, Jahrom, Iran
LEAD_AUTHOR
Mahsa
Khoramkish
khorramkish68@gmail.com
2
Department of Nursing, School of Nursing and Paramedical, Jahrom University of Medical Sciences, Jahrom, Iran
AUTHOR
Sara
Shahsavari Isfahani
shahsavarii1592@gmail.com
3
Department of Nursing, School of Nursing and Paramedical, Jahrom University of Medical Sciences, Jahrom, Iran
AUTHOR
Kinnett-Hopkins D, Adamson B, Rougeau K, Motl RW. People with MS are less physically active than healthy controls but as active as those with other chronic diseases: an updated meta-analysis. Multiple Sclerosis and Related Disorders. 2017;13:38-43.
1
Dehghani A, Dehghan Nayeri N, Ebadi A. Development and validation of the coping with multiple sclerosis questionnaire. Multiple Sclerosis and Related Disorders. 2017;18:49-55.
2
Dehghani A, Dehghan Nayeri N, Ebadi A. Features of coping with disease in Iranian multiple sclerosis patients: a qualitative study. Journal of Caring Sciences. 2018;7:35-40.
3
Belbasis L, Bellou V, Evangelou E, et al. Environmental risk factors and multiple sclerosis: an umbrella review of systematic reviews and meta-analyses. The Lancet Neurology. 2015;14:263-73.
4
Etemadifar M, Sajjadi S, Nasr Z, et al. Epidemiology of multiple sclerosis in Iran: a systematic review. European Neurology. 2013;70:356-63.
5
Rahn AC, Köpke S, Backhus I, et al. Nurse-led immunotreatment Decision Coaching In people with Multiple Sclerosis (DECIMS)-Feasibility testing, pilot randomised controlled trial and mixed methods process evaluation. International Journal of Nursing Studies. 2018;78:26-36.
6
Stadelmann C. Multiple sclerosis as a neurodegenerative disease: pathology, mechanisms and therapeutic implications. Current Opinion in Neurology. 2011;24:224-9.
7
Schüz J, Fored M. Chronic Disease Registries–Trends and Challenges. Methods of Information in Medicine. 2017;56:328-9.
8
Etemadifar M, Izadi S, Nikseresht A, et al. Estimated prevalence and incidence of multiple sclerosis in Iran. European Neurology. 2014;72:370-4.
9
Ghanati E, Hadiyan M, Daghighi Asli AR. Economic expenditures of multiple sclerosis medications and feasibility of providing health insurance policies for medications. Journal of Health Administration. 2011;14:37-54. [In Persian]
10
Basak T, Unver V, Demirkaya S. Activities of Daily Living and Self-Care Agency in Patients with Multiple Sclerosis for the First 10 Years. Rehabilitation Nursing. 2015;40:60-5.
11
Soleimani MA, Bastani F, Negarandeh R. Exploraing of challenges of self-care in people with Parkinson’s disease: Resulting from qualitative research study. Journal of Gerontology. 2016:1:63-78. [In Persian]
12
Einarsson U, Gottberg K, Fredrikson S, et al. Activities of daily living and social activities in people with multiple sclerosis in Stockholm County. Clinical Rehabilitation. 2006;20:543-51.
13
Masoudi R, Kheiri F, Ahmadi F, Mohammadi I. The effect of Self-Care Program Base on the Orem Frame Work on Fatigue and Activity of Daily Living in Multiple Sclerosis Patients. Journal of Rehabiliation. 2009;10:43-52.
14
Roudi O, Tirgari B, Cheraghi MA, et al. “Tender Care”: Iranian Women’s Needs to Cope with Hysterectomy and Oophorectomy- A Qualitative Content Analysis Study. International Journal of Community Based Nursing and Midwifery. 2019;7:63-74.
15
Valizadeh L, Zamanzadeh V, Habibzadeh H, et al. Experiences of Iranian nurses that intent to leave the clinical nursing: a content analysis. Journal of Caring Sciences. 2016;5:169-78.
16
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12.
17
Sanders SL, Bantum EO, Owen JE, et al. Supportive care needs in patients with lung cancer. Psycho‐oncology. 2010;19:480-9.
18
Garrido MM, Balboni TA, Maciejewski PK, et al. Quality of life and cost of care at the end of life: the role of advance directives. Journal of Pain and Symptom Management. 2015;49:828-35.
19
Motl RW, McAuley E, Snook EM, Gliottoni RC. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychology, Health & Medicine. 2009;14:111-24.
20
Elliott TR, Berry JW, Grant JS. Problem-solving training for family caregivers of women with disabilities: A randomized clinical trial. Behaviour Research and Therapy. 2009;47:548-58.
21
Reynolds R, Dennis S, Hasan I, et al. A systematic review of chronic disease management interventions in primary care. BMC Family Practice. 2018;19:11.
22
Oliveira M, Campos M, Padilha J, et al. Exploring the family caregiving phenomenon in nursing documentation. Online Journal of Nursing Informatics. 2011;15(1).
23
Finlayson M. Concerns about the future among older adults with multiple sclerosis. American Journal of Occupational Therapy. 2004;58:54-63.
24
Kaba E, Bellou P, Iordanou P, et al. Problems experienced by hemodialysis patients in Greece. British Journal of Nursing. 2007;16:868-72.
25
Kayes NM, McPherson KM, Taylor D, et al. Facilitators and barriers to engagement in physical activity for people with multiple sclerosis: a qualitative investigation. Disability and Rehabilitation. 2011;33:625-42.
26
Alnazly EK. Burden and coping strategies among Jordanian caregivers of patients undergoing hemodialysis. Hemodialysis International. 2016;20:84-93.
27
Towle A, Bainbridge L, Godolphin W, et al. Active patient involvement in the education of health professionals. Medical Education. 2010;44:64-74.
28
Palmer AJ, Colman S, O’Leary B, et al. The economic impact of multiple sclerosis in Australia in 2010. Multiple Sclerosis Journal. 2013;19:1640-6.
29
Dehghani A, Dehghan*Nayeri N, Ebadi A. Antecedents of coping with the disease in patients with multiple sclerosis: a qualitative content analysis. International Journal of Community Based Nursing and Midwifery. 2017;5:49-60.
30
Langdon DW, Amato MP, Boringa J, et al. Recommendations for a brief international cognitive assessment for multiple sclerosis (BICAMS). Multiple Sclerosis Journal. 2012;18:891-8.
31
Maghsoodi S, Mohammadi N. Qualitative analysis of the process of restoring social esteem by the women with multiple sclerosis. Quality & Quantity. 2018;52:2557-75.
32
Nikbakht Nasrabadi A, Sabzevari S, Negahban Bonabi T. Iranian women’s experiences of health information seeking barriers: a qualitative study in Kerman. Iranian Red Crescent Medical Journal. 2015;17:e25156.
33
Plow MA, Resnik L, Allen SM. Exploring physical activity behavior of persons with multiple sclerosis: a qualitative pilot study. Disability and Rehabilitation. 2009;31:1652-65.
34
ORIGINAL_ARTICLE
The Effects of Resilience Training on the Self-Efficacy of Patients with Type 2 Diabetes: A Randomized Controlled Clinical Trial
Background: In view of the effect of self-efficacy on empowerment of patients and the role of resilience in the psychological adjustment and physical health of patients, the present study was conducted to examine the effect of resilience training on the self-efficacy of patients with type 2 diabetes.
Methods: This double-blinded controlledclinical trial was carried out on 143 diabetic patients in the diabetes clinic in Shiraz between June 2016 and January 2017. Patients were selected using a simple sampling method and randomly divided into control (n=71) and intervention (n=72) groups. The intervention group received 6 sessions of training workshops on resilience skills. The control group received the routine educational pamphlets. The subjects completed diabetes self-efficacy questionnaire before, immediately after, and one month after completion of the intervention. Data were analyzed using SPSS version 16.0. Repeated measure ANOVA, t-test, and Chi-Square tests were used. P<0.05 was considered statistically significant.
Results: Based on the results of the repeated measures ANOVAs, the overall score of self-efficacy was found to be significantly increased in the intervention group. Compared with the control group, the intervention group reported significantly higher levels of self-efficacy immediately after the intervention (P<0.001) and one month later (P<0.001).
Conclusion: Training programs in resilience skills improves the self-efficacy of patients with type 2 diabetes. The results of this study support the use of resilience training in diabetics; it provides the health professionals and policymakers with an increased understanding of how to recognize the resilience skills for the improvement of self-efficacy.
https://ijcbnm.sums.ac.ir/article_44996_9919031c8c4de3dd5ab8f956bfe3ba9f.pdf
2019-07-01
211
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10.30476/ijcbnm.2019.44996
diabetes mellitus
Resilience
Self-efficacy
Type 2
Camellia
Torabizadeh
camellia_torabizadeh@yahoo.com
1
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zahra
ASadabadi poor
zahraasadabadi69@gmail.com
2
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Maryam
Shaygan
m2620.shaygan@gmail.com
3
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Kolonin MG. Adipose tissue and cancer. 1st edition. New York: Springer Science & Business Media; 2013
1
Torabizadeh C, Jalali K, Moattari M, Moravej H. Effects of the Problem Solving Technique in Type 2 Diabetic Patients with Cognitive Impairment: A Randomized Clinical Trial. International Journal of Community Based Nursing And Midwifery. 2018;6:197-208.
2
Chaturvedi N. Commentary: Socioeconomic status and diabetes outcomes; what might we expect and why don’t we find it?. International Journal of Epidemiology. 2014;33:871-3.
3
World Health Organization. Global report on diabetes. Geneva: World Health Organization; 2016.
4
King DK, Glasgow RE, Toobert DJ, et al. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care. 2010;33:751-3.
5
Trief PM, Teresi JA, Eimicke JP, et al. Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel project. Age and Ageing. 2009;38:219-25.
6
Mohebi S, Azadbakht L, Feizi A, et al. Review the key role of self-efficacy in diabetes care.Journal of Education and Health Promotion. 2013;2:36.
7
Tol A, Sharifirad G, Eslami A, et al. Self-efficacy: An efficient functional concept in type 2 diabetes control. Health System Research. 2012;8:339-47.
8
Sacco WP, Bykowski CA. Depression and hemoglobin A1c in type 1 and type 2 diabetes: the role of self-efficacy. Diabetes Research and Clinical Practice. 2010;90:141-6.
9
Kanbara S, Taniguchi H, Sakaue M, et al. Social support, self-efficacy and psychological stress responses among outpatients with diabetes in Yogyakarta, Indonesia. Diabetes Research and Clinical Practice. 2008;80:56-62.
10
Bandura A. Self-efficacy mechanism in human agency. American Psychologist.1982;37:122-47.
11
Lee YJ, Shin SJ, Wang RH, et al. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Education and Counseling. 2016;99:287-94.
12
Rasbach L, Jenkins C, Laffel L. An integrative review of self-efficacy measurement instruments in youth with type 1 diabetes. The Diabetes Educator. 2015;41:43-58.
13
Bohanny W, Wu SF, Liu CY, et al. Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus. Journal of the American Association of Nurse Practitioners. 2013;25:495-502.
14
Yi JP, Vitaliano PP, Smith RE, et al. The role of resilience on psychological adjustment and physical health in patients with diabetes. British Journal of Health Psychology. 2008;13:311-25.
15
Lee TY, Cheung CK, Kwong WM. Resilience as a positive youth development construct: a conceptual review. The Scientific World Journal. 2012;2012:390450.
16
Pierini D, Stuifbergen AK. Psychological Resilience and Depressive Symptoms in Older Adults Diagnosed with Post‐Polio Syndrome. Rehabilitation Nursing. 2010;35:167-75.
17
Seery MD. Resilience: A Silver Lining to Experiencing Adverse Life Events? Current Directions in Psychological Science. 2011;20:390-4.
18
Van*Breda AD. A critical review of resilience theory and its relevance for social work. Social Work. 2018;54(1).
19
Windle G. What is resilience? A review and concept analysis. Reviews in Clinical Gerontology. 2011;21:152-69.
20
Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Development. 2000;71:543-62.
21
Coholic DA. Exploring the feasibility and benefits of arts-based mindfulness-based practices with young people in need: Aiming to improve aspects of self-awareness and resilience. Child & Youth Care Forum. 2011;40:303-17.
22
Khan Z, Fuehrer D, Coddington CC, et al. Stress Management and Resilience Training (SMART) therapy for couples undergoing in vitro fertilization (IVF): a randomized clinical trial (RCT). Fertility and Sterility. 2015;104:e42.
23
Loprinzi CE, Prasad K, Schroeder DR, Sood A. Stress Management and Resilience Training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: a pilot randomized clinical trial. Clinical Breast Cancer. 2011;11:364-8.
24
Davydov DM, Stewart R, Ritchie K, Chaudieu I. Resilience and mental health. Clinical Psychology Review. 2010;30:479-95.
25
Wright LJ, Zautra AJ, Going S. Adaptation to early knee osteoarthritis: the role of risk, resilience, and disease severity on pain and physical functioning. Annals of Behavioral Medicine. 2008;36:70-80.
26
Shi Q, Ostwald SK, Wang S. Improving glycaemic control self‐efficacy and glycaemic control behaviour in Chinese patients with Type 2 diabetes mellitus: randomised controlled trial. Journal of Clinical Nursing. 2010;19:398-404.
27
Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson resilience scale (CD‐RISC). Depression and Anxiety. 2003;18:76-82.
28
Mohammadi KH. Investigating the risk factors of exposing subjects to drug abuse. Doctoral dissertation in Psychology. [thesis]. Tehran (Iran): University of Social Welfare and Rehabilitation Sciences; 2006. [In Persian]
29
Bijl JV, Poelgeest-Eeltink AV, Shortridge-Baggett L. The psychometric properties of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus. Journal of Advanced Nursing. 1999;30:352-9.
30
McDowell J, Courtney M, Edwards H, Shortridge-Baggett L. Validation of the Australian/English version of the Diabetes Management Self‐Efficacy Scale. International Journal of Nursing Practice. 2005;11:177-84.
31
Noroozi A, Tahmasebi R. The diabetes management self-efficacy scale: Translation and psychometric evaluation of the Iranian version. Nursing Practice Today. 2014;1:9-16.
32
Feddes AR, Mann L, Doosje B. Increasing self-esteem and empathy to prevent violent radicalization: a longitudinal quantitative evaluation of a resilience training focused on adolescents with a dual identity. Journal of Applied Social Psychology. 2015;45:400-11.
33
Burton NW, Pakenham KI, Brown WJ. Evaluating the effectiveness of psychosocial resilience training for heart health, and the added value of promoting physical activity: a cluster randomized trial of the READY program. BMC Public Health. 2009;9:427.
34
Steinhardt MA, Brown SA, Dubois SK, et al. A resilience intervention in African-American adults with type 2 diabetes. American Journal of Health Behavior. 2015;39:507-18.
35
Bradshaw BG, Richardson GE, Kumpfer K, et al. Determining the efficacy of a resiliency training approach in adults with type 2 diabetes. The Diabetes Educator. 2007;33:650-9.
36
Tharek Z, Ramli AS, Whitford DL, et al. Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Family Practice. 2018;19:39.
37
Cosansu G, Erdogan S. Influence of psychosocial factors on self-care behaviours and glycaemic control in Turkish patients with type 2 diabetes mellitus. Journal of Transcultural Nursing. 2014;25:51-9.
38
Massey CN, Feig EH, Duque-Serrano L, et al. Well-being interventions for individuals with diabetes: A systematic review. Diabetes Research and Clinical Practice. 2019;147:118-33.
39
ORIGINAL_ARTICLE
Validity and Reliability Evaluation of the Persian Version of the Heart Failure-Specific Health Literacy Scale
Background: Health literacy (HL) has important implications for health outcomes in heart failure (HF) patients. Studying health literacy requires culturally appropriate and valid instruments. The aim of the study was validation of the Persian version of the heart failure-specific health literacy scale (HF-Specific HL Scale).
Methods: One hundred patients with heart failure were selected in Qom, Iran in 2017. The ‘forward-backward’ procedure was applied to translate the questionnaire from English into Persian. Content validity, face validity, construct validity have been employed to validate the prepared scale. Cronbach’s alpha coefficients and the test-retest were used to assess the scale reliability.Data were analyzed using SPSS, version 16, and Smart PLS 3.0 software.
Results: Confirmatory factor analysis completely supported the three-factor model of the HL scales. Convergent validity was satisfied in that all factor loadings and the average variance extracted exceeded 0.5. The divergent validity was verified using Fornel and Larcker method. R-square and path coefficient were higher than 0.43 and 0.65 respectively, indicating the good structural model. Composite reliability and Cronbach’s α coefficient for all of the constructs were over the recommended threshold of 0.70, ensuring adequate internal consistency of the scale. The test-retest reliability ranged from 0.78-0.90, which indicated a good level of stability.
Conclusion: The findings indicated that the Persian HF-specific HL scale is reliable and valid for measuring health literacy among heart failure patients. Further research is required to measure the sensitivity and specificity of the scale.
https://ijcbnm.sums.ac.ir/article_44997_b1c45df8e7c4f3e5b08d15cad91cc9b9.pdf
2019-07-01
222
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10.30476/ijcbnm.2019.44997
Health Literacy
Heart Failure
reliability
Validity
Majid
Barati
barati@umsha.ac.ir
1
Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
AUTHOR
Zahra
Taheri-Kharameh
zahrahtaherikharame@yahoo.com
2
Department of Anesthesiology, School of Paramedical Sciences, Qom University of Medical Sciences, Qom, Iran
LEAD_AUTHOR
Zahra
Farghadani
zfarghadani@gmail.com
3
Department of Surgery, Nekooei Hedayati Hospital, Qom University of Medical Sciences, Qom, Iran
AUTHOR
Éva
Rásky
eva.rasky@medunigraz.at
4
Institute of Social Medicine and Epidemiology, Medical University of Graz, Graz, Austria
AUTHOR
References
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Müller-Tasch T, Löwe B, Lossnitzer N, et al. Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model. European Journal of Cardiovascular Nursing. 2018;17:170-7.
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Wu JR, Reilly CM, Holland J, et al. Relationship of Health Literacy of Heart Failure Patients and Their Family Members on Heart Failure Knowledge and Self-Care. Journal of Family Nursing. 2017;23:116-37.
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Al-Sutari MM, Ahmad MM. Effect of educational program on self-care behaviors and health outcome among patients with heart failure: an experimental study. International Journal of Evidence-based Healthcare. 2017;15:178-85.
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Heidenreich PA, Albert NM, Allen LA, et al. Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circulation, Heart Failure. 2013;6:606-19.
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Lee KS, Moser DK, Pelter MM, et al. Self-care in rural residents with heart failure: What we are missing. European Journal of Cardiovascular Nursing. 2017;16:326-33.
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Riegel B, Moser DK, Anker SD, et al. State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation. 2009;120:1141-63.
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Cajita MI, Cajita TR, Han HR. Health literacy and heart failure: a systematic review. The Journal of Cardiovascular Nursing. 2016;31:121-30.
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Halleberg*Nyman M, Nilsson U, Dahlberg K, Jaensson M. Association Between Functional Health Literacy and Postoperative Recovery, Health Care Contacts, and Health-Related Quality of Life Among Patients Undergoing Day Surgery: Secondary Analysis of a Randomized Clinical Trial. JAMA Surgery. 2018;153:738-45.
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Matsuoka S, Kato N, Kayane T, et al. Development and Validation of a Heart Failure–Specific Health Literacy Scale. The Journal of Cardiovascular Nursing. 2016;31:131-9.
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32
ORIGINAL_ARTICLE
The Effect of Counseling Based on Sexual Self-Concept via Social Networks on Smartphone in Infertile Women: A Randomized Controlled Trial
Background: Infertility can affect the physical, mental and emotional aspects of a person’s life. This study aimed to investigate the effect of sexual counseling via social networks on Smartphone in sexual self-concept of infertile women.
Methods: In a randomized controlled trial, 80 eligible infertile women referred to the fertility centers of Alborz University of Medical Sciences from April to July 2018. They were randomly assigned into intervention) sexual counseling with routine infertility counseling) and control groups )routine infertility counseling(. Eight counseling sessions via social networks were held for both groups. The Snell’s sexual self-concept questionnaire was completed by participants before and after the intervention. The data were analyzed using SPSS 19 with a significance level of P<0.05.
Results: The mean age of women was 30.76±0.72 years and the most infertility duration was more than 36 months. The results of a repeated measure showed that there were significant differences in positive self-concept domain between the two groups during the time by comparing the means (120.4±17.9 versus 105.1±16.8). We also found an increasing trend of the scores in positive sexual self-concept domain (110.6±18.42, 120.1±18.7, 120.4±17.9) (P<0.001) and a decrease in negative sexual self-concept domain (24.3±7.87, 20.2±7.77, 19.65±6.97) (P<0.001) in intervention group. In the situational self-concept, there were no difference between the two groups during the time (P=0.06)
Conclusion: The results obtained in the present study showed that counseling through social networks was effective in improving the sexual self-concept in infertile women, thus ameliorating the couples’ sexual relations.
https://ijcbnm.sums.ac.ir/article_44998_1054ff877aba7b78e2f9553dce759523.pdf
2019-07-01
231
240
10.30476/ijcbnm.2019.44998
infertility
Sex counseling
Sexual self-concept
Smart phones
Social Networks
Maryam
Yazdani
midwife_mary@yahoo.com
1
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
AUTHOR
Zohreh
Mahmoodi
zohrehmahmoodi2011@gmail.com
2
Social Determinants of of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
LEAD_AUTHOR
Seyed Ali
Azin
saliazin@gmail.com
3
Fellow of European Committee of Sexual Medicine, Department of Health Promotion, Institute for Health Sciences Research, ACECR, Tehran, Iran
AUTHOR
Mostafa
Qorbani
mqorbani1379@yahoo.com
4
Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran Endocrinology and Metabolism Research Center
AUTHOR
Berek JS. Berek & Novak’s gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
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ORIGINAL_ARTICLE
Clinical Presentation of Attention-Deficit Hyperactivity Disorder Symptoms in Terms of Gender and Chronological Age
The present cross-sectional study aimed to evaluate Attention-deficit hyperactivity disorder (ADHD) symptoms in terms of gender and age. Based on convenience sampling, the data records of 1,184 children and adolescents with ADHD were gathered from various Child and Adolescent Psychiatry Clinics affiliated to Shiraz University of Medical Sciences (Shiraz, Iran). During 2010-2015, the patients had been interviewed face-to-face for ADHD diagnosis in accordance with the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) diagnostic criteria. The collected data were re-analyzed using parent-reported ADHD symptoms measured with the DSM-IV clinical symptoms checklist. Statistical analysis was performed using SPSS software with the Pearson correlation test, Chi-square test, and t test. P<0.05 was considered statistically significant.
The mean age of the participants was 9.29±2.55 years, 904 (76.40%) of whom were boys. The mean total score of hyperactivity-impulsivity in girls and boys was 2.63±2.77 and 3.19±8.17, respectively. The mean total score of inattention in girls and boys was 3.40±1.97 and 3.28±2.00, respectively. Age and gender were not associated with the symptoms of inattentive ADHD. The symptoms associated with hyperactivity-impulsivity had a significant association with age (P<0.05). The symptoms with a statistically significant association with gender were frigidity (P=0.001), often running about (P=0.03), and often difficulties with playing or leisure activities (P=0.005). The most common symptoms of inattentive ADHD in both boys and girls were “inattention to details or making careless mistakes” (47.6% and 54.3%, respectively) and “fails to finish work” (43.0% and 40.1%, respectively).
In contrast with the hyperactivity-impulsivity, the severity of inattention was not associated with age. The results of the present study indicated that while the ADHD screening questions for inattention could be the same for both genders, they should be different for hyperactivity-impulsivity.
https://ijcbnm.sums.ac.ir/article_44999_27d5e58a6dc86fe9dcb0cb2ca17085a9.pdf
2019-07-01
241
246
10.30476/ijcbnm.2019.44999
Age
Attention-deficit hyperactivity disorder
Gender
prevalence
Symptom assessment
Ahmad
Ghanizadeh
ghanizadeha@hotmail.com
1
Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Alireza
Salehi
salehialireza45@yahoo.com
2
Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Seyed Reza
Moeini
3
Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Prakash S, Meshram S, Ramtekkar U. Athletes, yogis and individuals with sedentary lifestyles; do their lung functions differ? Indian Journal of Physiology and Pharmacology. 2007;51:76-80.
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