Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population
76
83
EN
Homeira
Vafaei
Maternal Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
vafaeih@gmail.com
Nasrin
Asadi
0000-0002-2089-8941
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
nasadi2012@yahoo.ca
Leila
Foroughinia
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
foroughinialeila@yahoo.com.au
Alireza
Salehi
0000-0003-2750-8499
Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
salehialireza45@yahoo.com
Safieh
Kuhnavard
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
kuhnavardsf@yahoo.com
Mojgan
Akbarzadeh
Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
akbarzadeh@sums.ac.ir
Hamid Reza
Ravanbod
Biomedical Science Centre, Charles Sturt University, Melbourne, Australia
hamidravan@yahoo.com.au
Ferdos
Mohamadalian
Nursing School and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
fm.darya@gmail.com
Maryam
Kasraeian
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
kasraeemm@yahoo.com
Background: Sex workers and HIV seropositive women are at high risk of abnormal cervical cytology. The objective of this study was to compare the cervical cytology among three groups of women: active sex workers, HIV-infected women, and general population in Iran.Methods: This was a cross-sectional study performed in Hazrat Zeinab, Lavan clinics and drop in center (DIC) in Shiraz, Iran. This study was performed from October 2009 to October 2011. A total of 266 patients were assigned into three groups: sex-workers (85), HIV positive patients (100), and general population (81). Pap smear was performed for all participants from the exocervix and endocervix, using a plastic Ayres’s spatula and cytobrush. The samples were sent to a pathology center, using a liquid-based media. Results: The risk of cervical infection in sex workers and HIV positive women was greater than the general population (OR=5.47, 95% confidence interval [CI]:2.24, 13.40), (OR=3.71, 95% CI:1.52, 9.09), respectively. The frequency of abnormal cervical cytology in the HIV positive and sex worker groups was higher than the general population (OR=6. 76, 95% CI:2.25, 20.32), (OR=3. 80, 95% CI:1.19, 12.07), respectively. Low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL) were associated with CD4 cell count<200Í106/L, P=0.021 and P<0.001, respectively.Conclusion: Vaginal infections were seen more often in the sex worker group, and abnormal cervical cytology was greater in the HIV positive group.
HIV/AIDs,Sex Worker,pap smear,Iran
https://ijcbnm.sums.ac.ir/article_40695.html
https://ijcbnm.sums.ac.ir/article_40695_860037443c5fe58ca3ffa6f8729c07ca.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
The Factors Associated With Disease Mismanagement in Young Patients with Type 1 Diabetes: A Qualitative Study
84
95
EN
Selda
Celik
Department of Internal Medicine, Istanbul University, Division of Endocrinology and Metabolism, Istanbul, Turkey
seldacelik40@gmail.com
Meral
Kelleci
Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey
meralkelleci@gmail.com
Ilhan
Satman
Department of Internal Medicine, Division of Endocrinology and Metabolism, Istanbul University, Istanbul, Turkey
satmandiabet@gmail.com
Background: The objective of this qualitative study on young adults with type 1 diabetes was to determine the factors associated with mismanagement of diabetes.Methods: In this qualitative study, a descriptive phenomenological and psychological method was followed. Purposeful sampling method was used in this study. 28 young adults aged 18-25 with type 1 diabetes (16 females, 12 males) with HbA1c levels >6.5% were interviewed in-depth. Each interview lasted 40-45 minutes. The recorded interviews were transcribed verbatim, examined line-by-line and coded using open coding techniques and managed by QSR NVivo 7. During the research period, Guba ve Lincolln criteria were used to ensure the accuracy and precision of the study findings. Results: The study identified seven themes which affect the diabetes management of the patients. These themes were negative emotions about the disease, difficulties arising from living condition, difficulties arising from the treatment treatment process, lack of social support, not solution oriented coping methods, concerns about the future and issues of developing knowledge and attitude regarding diabetes management. Conclusion: There are multiple factors affecting the management of diabetes in young adults with type 1 diabetes. Diabetes has a biopsychosocial impact on young adults’ lives, developing a negative attitude toward their future and that of their family.
Type 1 Diabetes Mellitus,Disease management,Qualitative research,Young Adult
https://ijcbnm.sums.ac.ir/article_40697.html
https://ijcbnm.sums.ac.ir/article_40697_1e117072aa09ac05c2ece5001e9689c6.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Effects of Continuous Care Model Based Non-Pharmacological Intervention on Sleep Quality in Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial
96
104
EN
Shahla
Khosravan
0000-0003-2104-7994
Department of Community and Mental Health, School of Nursing and Midwifery; Social Determinant of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
khosravan@gmu.ac.ir
Ali
Alami
0000-0002-8882-3110
Department of Health, School of Public Health; Social Determinant of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
alialami65@hotmail.com
Somayyeh
Golchin Rahni
Department of Medical Surgical Nursing, Gonabad University of Medical Sciences, Gonabad, Iran
somayyehgolchin@gmail.com
Background: Sleep is an important aspect of healthy lifestyle. One of the prevalent Diabetes mellitus-related non-vascular complications is sleep problems. The aim of this study was to investigate the effects of a non-pharmacological care plan designed based on the Continuous Care Model (CCM) on sleep quality in patients with type II diabetes with two month follow up.Methods: This randomized controlled clinical trial was conductedfrom May to November 2012 among 68 the patients with type II DM referring to the Diabetes Clinic of Gonabad University of Medical Sciences. The study instrument consisted of a self-reportdemographic questionnaire and the Pittsburgh Sleep Quality Index. The gathered data were analyzed via SPSS (V. 20) using t-test and Chi-square statistics.Results: After the intervention, the study groups did not differ significantly in terms of sleep quality (0.628). However, the study findings revealed that the interventional group’s sleep quality improved significantly after the intervention (P<0.001). Conclusion: Non-pharmacologic intervention according to CCM improved the sleep quality in the experimental group.Sleep care is a matter of great importance in diabetes mellitus, which deserves particular attention.The present study adds to the growing literature of the use of non-pharmaceutics intervention to improve sleep disorders of diabetic patients. Trial Registration Number: IRCT201202269140N1.
Continuous Care Model,Non-pharmacologic Treatment,Pittsburgh Sleep Quality Index,Sleep Disorder,Type 2 diabetes mellitus
https://ijcbnm.sums.ac.ir/article_40698.html
https://ijcbnm.sums.ac.ir/article_40698_d11537b75e993edbb2c837fe63cca8f6.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Women Empowerment through Health Information Seeking: A Qualitative Study
105
115
EN
Alireza
Nikbakht Nasrabadi
0000-0002-3970-4158
Department of Medical Surgical Nursing, Nursing and Midwifery College, Tehran University of Medical Sciences. Tehran, Iran
nikbakht@tums.ac.ir
Sakineh
Sabzevari
Department of Medical Surgical Nursing, Nursing and Midwifery College, Kerman University of Medical Sciences, Kerman, Iran
s_sabzevari@kmu.ac.ir
Tayebeh
Negahban Bonabi
0000-0001-9096-5647
Department of Community Health Nursing, Nursing and Midwifery College, Kerman University of Medical Sciences, Kerman, Iran
negahbant@yahoo.com
Background: Today, women empowering is an important issue. Several methods have been introduced to empower women. Health information seeking is one of the most important activities in this regard. A wide range of capabilities have been reported as outcomes of health information seeking in several studies. As health information seeking is developed within personal-social interactions and also the health system context, it seems that the qualitative paradigm is appropriate to use in studies in this regard. This study aimed to explore how women’s empowerment through health information seeking is done.Methods: In this qualitative content analysis study, data collection was done with regard to inclusion criteria, through purposive sampling by semi-structured interviews with 17 women and using documentation and field notes until data saturation. Qualitative data analysis was done constantly and simultaneous with data collection.Results: Four central themes were emerged to explain women’s empowerment through health information seeking that included: a) Health concerns management with three subcategories of Better coping, Stress management, Control of situation, b) Collaborative care with two subcategories of Effective interaction with health professions and Participation in health decision making c) Individual development d) Self-protection with four sub- categories of Life style modification, Preventive behaviors promoting, Self-care promoting, and medication adherence.Conclusion: The results of this study indicate the importance of women empowerment through foraging their health information seeking rights and comprehensive health information management.
women,Information Seeking,Empowerment,Health Informatio
https://ijcbnm.sums.ac.ir/article_40699.html
https://ijcbnm.sums.ac.ir/article_40699_b90b76278f0be335cc2e9839416037bb.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Prevalence of Dyslexia among Male Students in Primary Schools and Its Relationship with Obesity and Being Overweight in Ahvaz, Iran
116
122
EN
Ashrafalsadat
Hakim
Chronic Disease Care Research Center, Department of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
hakim3448200@yahoo.com
Alireza
Ghorbanibirgani
Department of Nursing, Gachsaran Branch, Islamic Azad University, Gachsaran, Iran
alenc5@gmail.com
Background: The most important process in childhood and adolescence is learning. The purpose of this study was to determine the prevalence of dyslexia among primary male school students and the relationship between dyslexia, obesity and overweight.Methods: This is a cross-sectional study conducted on 1000 male students (first to fifth grade) in primary schools (20 schools) by using the multi-stage random sampling (50 students were selected randomly from each school). Data collection instruments were a weighting scale, a meter for evaluation of obesity and overweight and a reading inventory test for dyslexia. The height and weight were measured based on body mass index (BMI). Data were analyzed using SPSS17 by χ² test.Results: 17 and 28 percent of the students were obese and overweight in the first to fifth grades, respectively. On average, the percentage of dyslexia among the unhealthy students was 21 per cent; this rate was 3.5 per cent among the healthy students. In addition, χ² test showed that there was a significant difference between dyslexic and healthy students (P=0.001).Conclusion: The prevalence of dyslexia among students with overweight and obesity in comparison to healthy students is high; then close monitoring will ensure that these problems are minimized.
Dyslexia,Obesity,Overweight,Student
https://ijcbnm.sums.ac.ir/article_40700.html
https://ijcbnm.sums.ac.ir/article_40700_b28b6f1f2a7e0e0bb347d1e28ba2a59f.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Challenges of Applying Continuing Education in Tehran Hospital Practice as Viewed By Nurses
123
131
EN
Laleh
Khosravi
Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences Tehran, Iran
laleh.khosravi@gmail.com
Nahid
Dehghan Nayeri
0000-0003-1594-6790
Department of Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
nahid.nayeri@gmail.com
Tahmineh
Salehi
Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences Tehran, Iran
Anoshirvan
Kazemnejad
0000-0002-0143-9635
Department of Biostatistics, Tarbiat Modares University, Tehran, Iran
kazem_an@modares.ac.ir
Background: Although many planners of professional continuing education programs believe that this type of education positively affects the nurses’ performance, the results obtained by conducted research do not confirm such a perspective. In fact, inadequate application of these trainings in clinical practice is among the most challenging areas in nursing practices. Hence, this study was conducted to describe the challenges nurses encounter in order to apply what they have learned during continuing education programs in clinical settings of TUMS hospitals.Methods: This cross-sectional study was conducted on 400 medical-surgical nurses who worked in the hospitals of Tehran University of Medical sciences. For sampling, after listing all the general hospitals, their wards were selected in proportion to hospital. Nurses filled out a questionnaire about factors affecting the application of continuing education. The questionnaire contained 43 items and the dimensions were supportive-organizational, individual, professional, and educational program design factors. The analysis was carried out using parametric and non-parametric method using SPSS 16 package. Results: The results showed while 48.5% and 53.8% of nurses mentioned organizational and professional factors, respectively as the most inhibiting factors; only 2.25% of the nurses believed that organizational factors are facilitating.Conclusion: The results obtained in this study are important regarding the fact that organizational and professional factors have a key role in applying or lack of application of learned materials. Thus, hospital authorities as well as nursing managers can provide the necessary condition in application of continuing education through promotion of facilitating factors and eliminating the hindering ones.
Continuing education,Nursing,Professional Nurses
https://ijcbnm.sums.ac.ir/article_40701.html
https://ijcbnm.sums.ac.ir/article_40701_7601701700fcf31f64f9d53c3a95b3c2.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
The Effect of a Multi-Strategy Program on Developing Social Behaviors Based on Pender’s Health Promotion Model to Prevent Loneliness of Old Women Referred to Gonabad Urban Health Centers
132
140
EN
Mehri
Alaviani
Department of Community and Mental Health Nursing, School of Nursing and Midwifery, Maragheh Faculty of Medical Sciences, Maragheh, Iran
malaviani@yahoo.com
Shahla
Khosravan
0000-0003-2104-7994
Department of Community and Mental Health, School of Nursing and Midwifery, Social Determinants of Health Research Centre, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran
khosravan@gmu.ac.ir
Ali
Alami
0000-0002-8882-3110
Department of Public Health, School of Health; Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
alialami65@hotmail.com
Mahdi
Moshki
Department of Public Health, School of Health; Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
baradaran98@yahoo.com
Background: Loneliness is one of the most significant problems during aging. This research has been done to determine the effect of a multi-strategy program based on Pender’s Health Promotion model to prevent loneliness of elderly women by improving social relationships. Methods: In this quasi-experimental study done in 2013 from January to November, 150 old women suffering medium loneliness referred to Gonabad urban Health Centers were enrolled. Data were gathered using Russell’s UCLA loneliness questionnaire and the questionnaires based on Pender’s Health Promotion Model about loneliness. The results were analyzed by descriptive statistics and Chi-square, T-pair, and independent-T tests through SPSS, version 20. Results: Loneliness decreased significantly in the interventional group compared to the control group (P<0.00). In addition, mean scores related to variables of Health Promotion Model (received benefits and barriers, self-efficacy, interpersonal effectives of loneliness) in both groups were significantly different before and after the study (P<0.05).Conclusion: Constructs of Pender’s Health Promotion Model can be used as a framework for planning interventions in order to anticipate, improve and modify related behaviors related to loneliness in old women.
Aging,Female,Loneliness,Model,Pender’s Health Promotion
https://ijcbnm.sums.ac.ir/article_40702.html
https://ijcbnm.sums.ac.ir/article_40702_e7c94aa5eebeaaeba0647f586d1f6be2.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
Self-Efficacy in Foot-Care and Effect of Training: A Single-Blinded Randomized Controlled Clinical Trial
141
149
EN
Alehe
Seyyedrasooli
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
seyyedrasooly@tbzmed.ac.ir
Kobra
Parvan
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
parvank@tbzmed.ac.ir
Leila
Valizadeh
Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
valizadehl@tbzmed.ac.ir
Azad
Rahmani
0000-0002-2278-020X
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
azad.rahmani@yahoo.com
Maryam
Zare
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
maryam_zare63@yahoo.com
Tayyebeh
Izadi
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
izadit@yahoo.com
Background: Diabetes mellitus (DM) is one of the most common metabolic and non-communicable disorders worldwide and the mortality rates caused by the complications associated with the disease, such as diabetic foot ulcer, is increasing dramatically. Patient education is considered as an essential part of controlling DM. Therefore, we aimed to compare the effects of individual and group training methods on self-efficacy in foot care among the patients with DM.Methods: In this single-blinded, randomized controlled clinical trial, we enrolled 150 patients with type 1 and 2 DM. The final participants were randomly assigned into two intervention groups (collective and individual training group) and a control group. Data were collected using foot-care self-efficacy questionnaire (Corrbet, 2003). A research assistant collected the data by interviewing the participants using the questionnaire once before and once one month after the intervention. The participants of the intervention groups attended a training program consisting of three sessions per week for one week. Statistical descriptive tests such as mean and standard deviation (SD) percentage were used to describe the features of the data inferential statistics test such as Chi-square, independent t-test and repeated measures analysis of variance and analysis co-variance (ANOVA, ANCOVA) tests were also used as appropriate. The significance level was set at
diabetes mellitus,Diabetic foot,education,Group Training
https://ijcbnm.sums.ac.ir/article_40703.html
https://ijcbnm.sums.ac.ir/article_40703_b022dc006386a890d323de3456dd91e9.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
3
2
2015
04
01
The Effect of Yoga on the Quality of Life in the Children and Adolescents with Haemophilia
150
155
EN
Noushin
Beheshtipoor
Department of Pediatrics Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Shahapar
Bagheri
Department of Pediatrics Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Fatemeh
Hashemi
Department of Pediatrics Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
hashemif@sums.ac.ir
Najaf
Zare
Department of Biostatistics, School of Medicine, Shiraz University of Medical
Sciences, Shiraz, Iran
Mehran
Karimi
Haematology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
karimim@sums.ac.ir
The problems caused by haemophilia lead to impairments of the quality of life in patients with haemophilia. This study aimed to investigate the effects of yoga on quality of life in the children and adolescents with haemophilia in Shiraz, Iran. This semi-experimental study with pre- and post-test design was performed on 27 boys between 8 and 16 years old who suffered from haemophilia. The patients were divided into two groups. The number of bleedings, absences from school, and referrals to the clinic was evaluated. The demographic data were collected through interviews and using the patients’ records in the haemophilia center. Besides, the quality of life was assessed through the Haemo-QoL questionnaire. Then, the yoga intervention was performed for 14 weeks and the data were collected in three stages. The collected data were entered into the SPSS statistical software, version 18 and were analyzed using non-parametric Friedman test. After the intervention, significant differences were observed in the mean scores of quality of life dimensions and the number of bleedings, school absences, and referrals to the haemophilia clinic (P<0.001). Thus, yoga may improve the haemophilia children’s and adolescents’ perception of quality of life without the risk of injury. This intervention also seemed to be effective in reducing the number of bleedings, referrals to the haemophilia clinic, and absences from school.
Quality of life,Haemophilia,children,Adolescents,Yoga
https://ijcbnm.sums.ac.ir/article_40696.html
https://ijcbnm.sums.ac.ir/article_40696_a70e79cd49a09d511e64c3bbd37ff0fb.pdf