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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: Breast Neoplasm,Systematic review,Menopause,Menarche
- چکیده:
- چکیده انگلیسی: Context Various studies in Iran on the role of menopause and age at menarche in breast cancer reported different results. Objectives The current study aimed to estimate the overall odds ratio and explore the association between early menarche and menopause with breast cancer. Data Sources Scopus, Web of Science, PubMed, Google Scholar and Iranian databases such as Magiran and SID, breast cancer key journals (Asian pacific journal of cancer prevention, Iranian quarterly journal of breast) and conferences (international breast cancer congresses in Iran, annual breast cancer conferences and seminars in Iran) were searched from 2004 to 2014. Study Selection The observational studies in Iran that had reported the relationship between menopause and early menarche with breast cancer were searched. The exposure was menopause and early menarche and the outcome was breast cancer with pathological confirmation. Data Extraction Using strengthening the reporting of observational studies in epidemiology (STROBE) checklist, quality assessment of the articles and data extraction were performed separately by two authors. Results Of 4396 articles, 12 studies with a sample size of 27734, 11 studies with a sample size of 4039 and 20 studies with a sample size of 53417 were analyzed to estimate the overall odds ratio (OR) for early menarche and the standardized mean difference (SMD) of the average menarche age and overall OR of menopause, respectively. A significant relationship was observed between early menarche and breast cancer (OR = 1.57, 95% confidence interval (CI) = 1.05, 2.34). The mean menarche age in patients was also significantly lower than in healthy females (SMD = -0.087, 95%CI = -0.151, -0.02). Postmenopausal female had a higher risk for developing breast cancer; however, this relationship was not statistically significant (OR=1.35, 95%CI=0.98, 1.86). Conclusions Menopause and early menarche increase the odds of breast cancer. Therefore, breast cancer prevention and screening programs are needed to reduce the burden of this cancer and improve the quality of females` lives.
- انتشار مقاله: 11-10-1348
- نویسندگان: Bibi Hajar Zahmatkesh,Afsaneh Keramat,Afsaneh Keramat,Nasrinossadat Alavi,Ahmad Khosravi,Reza Chaman
- مشاهده
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: Mother,puberty,Menarche
- چکیده:
- چکیده انگلیسی: Context Family, especially the mother, has the most important role in the education, transformation of information, and health behaviors of girls in order for them to have a healthy transition from the critical stage of puberty, but there are different views in this regard. Objectives Considering the various findings about the source of information about puberty, a meta-analysis study was conducted to investigate the extent of the mother’s role in informing girls about puberty. Data Sources This meta-analysis study was based on English articles published from 2000 to February 2015 in the Scopus, PubMed, and Science direct databases and on Persian articles in the SID, Magiran, and Iran Medex databases with determined key words and their MeSH equivalent. Study Selection Quantitative cross-sectional articles were extracted by two independent researchers and finally 46 articles were selected based on inclusion criteria. STROBE list were used for evaluation of studies. Data Extraction The percent of mothers as the current and preferred source of gaining information about the process of puberty, menarche, and menstruation from the perspective of adolescent girls was extracted from the articles. The results of studies were analyzed using meta-analysis (random effects model) and the studies’ heterogeneity was analyzed using the I2 calculation index. Variance between studies was analyzed using tau squared (Tau2) and review manager 5 software. Results The results showed that, from the perspective of teenage girls in Iran and other countries, in 56% of cases, the mother was the current source of information about the process of puberty, menarche, and menstruation. The preferred source of information about the process of puberty, menarche, and menstruation was the mother in all studies at 60% (Iran 57%, and other countries 66%). Conclusions According to the findings of this study, it is essential that health professionals and officials of the ministry of health train mothers about the time, trends, and factors affecting the start of puberty using a multi-dimensional approach that involves religious organizations, community groups, and peer groups.
- انتشار مقاله: 11-10-1348
- نویسندگان: Zahra Sooki,Mohammad Shariati,Reza Chaman,Ahmad Khosravi,Mohammad Effatpanah,Afsaneh Keramat
- مشاهده
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: Complementary therapies,Respiration,Lavandula
- چکیده:
- چکیده انگلیسی: Background Long and hard labor is a common complication of labor, which forms an important part of emergency Caesarean deliveries. Labor duration is an influencing factor on the pregnancy outcome and the injuries involving the mother and her fetus, such as infection, hemorrhage, and fetal distress. Objectives This study was conducted intending to measure the duration of the first and the second stages of labor in mothers using the breathing techniques with lavender aroma. Materials and Methods The project was a randomized trial study that was carried out with two groups of 60 respondents, where both used the breathing technique, one with and one without lavender essence. This study was done in Fatemieh hospital in Shahroud. The laboring mothers, being participated in the study, were candidates for vaginal delivery. The duration of the first stage of labor was recorded from cervical dilatation of three centimeters. The second stage of labor also was recorded from the full cervical dilatation time until child birth. The breathing technique was such that when the contraction began, a deep breath was taken and exhaled. Then fast shallow breathings, being 1.5 times more than ordinary breathing per minute, were performed. The mothers in the experimental group were asked to put the mask on their faces and inhale the lavender essence. In the control group, only the breathing technique was used. T-Test was used to compare the mean lengths of active phase and second phase of labor and demographic variables. Chi square test was used for nominal variables such as education and job. Results The mean age in breathing technique with lavender and breathing technique alone were 25.5 ± 4.3 and 26 ± 4.9, respectively .Two groups were comparable in this regards (P = 0.6), but the length of active phase in interventional group was 7.85 ± 3.85 hours and in the control group it was 9.88 ± 6.65 hours. The decrease of the length of labor in the active phase was higher in the experimental group than that in the control group (P = 0.04). In the second stage, length of labor was 16.5 ± 5.7 and 28.9 ± 17.4 minutes in the experimental and control groups, respectively. Difference in length of labor was significant too (P = 0.001). Conclusions The research showed that aromatherapy can be used to reduce labor duration.
- انتشار مقاله: 11-10-1348
- نویسندگان: Katayon Vakilian,Afsaneh Keramat
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Prevalence,Systematic review,Reproductive age,Female sexual dysfunction
- چکیده:
- چکیده انگلیسی: Background & aim: Sexual dysfunction is one of the most common problems in women which negatively affect their quality of life, self-esteem, and interpersonal relationships. The prevalence of this problem varies in different studies. Regarding this, this review was conducted to provide a clear picture of the prevalence of sexual dysfunction among reproductive-age women in Iran using a systematic review and meta-analysis.
Methods: The relevant articles published up to April 9, 2017 were searched both in the international including Google Scholar, PubMed, Scopus and national electronic databases such as SID, IranMedex, Magiran, and Irandoc. The searching process was accomplished using a set of standard keywords. The data were analyzed using RevMan software, version 5.3.
Results: Thedatabase search resulted in the retrieval of 1,024 articles, 9 cases of which were selected for systematic review. Out of the selected studies, seven articles were eligible to be included in the meta-analysis. According to the results of the reviewed studies, the pooled prevalence rate of sexual dysfunction among the reproductive-age women was estimated as 52% (95% CI: 39-66%). Furthermore, the pooled prevalence of sexual dysfunction in the domains of sexual desire, sexual arousal, lubrication, sexual pain, and orgasm was estimated as 39% (95% CI: 35-42%), 34% (95% CI: 21-46%), 32% (95% CI: 21-43%), 38% (95% CI: 24-51%), and 30% (95% CI: 22-38%), respectively.
Conclusion: The results of the retrieved studies demonstrated that sexual dysfunction is a common health problem among the Iranian women of reproductive age. However, more high-quality research is needed in this area.- انتشار مقاله: 30-02-1396
- نویسندگان: Ashraf Ghiasi,Afsaneh Keramat
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Post-traumatic stress disorder,Debriefing,cognitive behavioral therapy,Postpartum Depression,Traumatic childbirth
- چکیده:
- چکیده انگلیسی: Background & aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aimed to investigate the effect of debriefing and brief cognitive-behavioral therapy on postpartum depression in traumatic childbirth.
Methods: This clinical trial was performed on 179 mothers who experienced a traumatic childbirth and were admitted in postnatal ward of Nohom Dey Hospital in Torbat-e Heydarieh, North East of Iran in 2016. The subjects were randomly allocated into three groups, including two intervention groups of debriefing and brief cognitive-behavioral counseling and a control group. The intervention groups received appropriate counseling for 40-60 minutes in the first 48 postpartum hours and the control group received the routine postpartum care. Edinburgh Postnatal Depression Scale was used to evaluate postpartum depression 4-6 weeks and also three months after the intervention. Post-traumatic stress symptoms in were compared in three groups using t-test, chi-square test, and repeated measures analysis of variance.
Results: No significant differences were observed between the mean depression scores of the two intervention groups and that of the control group 4-6 weeks after childbirth. However, three months after delivery, the mean depression scores of the two intervention groups was lower than the control group (P<0.001); there was no significant difference between the mean depression scores of the two intervention groups.
Conclusion: Both methods of debriefing and brief cognitive-behavioral therapy could significantly reduce mean postpartum depression score in high-risk mothers. Thus, these methods could be employed for early identification of depression, which in turn, lowers the rate of postpartum depression.- انتشار مقاله: 02-10-1396
- نویسندگان: Sedigheh Abdollahpour,Afsaneh Keramat,Seyyed Abbas Mousavi,Ahmad Khosravi,Zahra Motaghi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Disorders,Polycystic Ovary Syndrome,Herbal tea
- چکیده:
- چکیده انگلیسی: Background & aim: Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder. Recently, the tendency towards complementary therapies such as using herbs with anti-androgenic effects has been increased. This study reviewed the documents related to the effect of four types of herbal teas on the treatment of PCOS based on the literature review.
Methods: The searched databases included ISI, PubMed, Google Scholar, Scopus, Science Direct, Cochrane library, International Clinical Trials registry, MedLib, Society for Information Display (SID), Iranian Registry of Clinical Trials (IRCT), IranMedex and Magiran,. The databases were searched for the clinical trials without any time limit and using English and Persian key terms included “polycystic ovarian syndrome”, “herbal therapy”, and “herbal medicine”.
Results: Among 104 randomized controlled trials (RCTs) about the effects of herbal medicines on the treatment of PCOS, only four studies were conducted on diverse types of tea. The results of one study on the effects of mint tea revealed a significant reduction in the total and free testosterone levels in the intervention group (P<0.05). Furthermore, the level of hirsutism measured by the patients’ self-assessment significantly decreased in the intervention group (P<0.05). One study on the effects of green tea demonstrated the positive effect of this herb on weight loss (2.4% reduction) and decreasing the number of amenorrhea cases (P>0.05). Likewise, there was no significant alteration in the serum hormone levels in both groups (P>0.05). Another clinical trial determined the same effects ofusing Stachys lavandulifolia and hormone therapy. Accordig to another study, the level of dehydroepiandrosterone-sulphate (DHEA-S) significantly dropped after treatment with marjoram tea (P=0.05).
Conclusion: The positive effects of various types of herbal teas on PCOS has been reported in different trials; however, further RCTs are recommended with larger sample size and prolonged duration.- انتشار مقاله: 27-06-1396
- نویسندگان: Mitra Kolivand,Afsaneh Keramat,Ahmad Khosravi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: perceived social support from family,postpartum empowerment,wellbeing, postpartum
- چکیده:
- چکیده انگلیسی: Introduction: To improve mothers and children's health, the World Health Organization has emphasized on women's empowerment and enhancement of their well-being. It is of paramount importance for the individuals to have an assessment of social support and self-empowerment in the sensitive moments after childbirth. This study therefore aimed to investigate the relationship between perceived social support from family and postpartum empowerment with maternal wellbeing in the postpartum period.
Methods: In this descriptive study 358 women who were in 24-48 hours after delivery were included in the study. The social support was measured by Perceived Social Family Scale. The health status and women's empowerment were also evaluated with self-structured questionnaires. The data was analyzed using structural equation modeling (SEM).
Results: The mean scores of well-being, perceived social support from family and the empowerment of women were 12.9±5.8, 15±3.7, and 70.3±13.5, respectively. The results showed that the score of perceived social support from family had a direct relationship with mothers’ well-being score. Moreover, there was a significant correlation of 0.55 between the postpartum empowerment and perceived support from family.
Conclusion: Since there is a direct relationship between postpartum empowerment and perceived support from the family, to enhance the well-being of mothers in this memorable period, providing required training for families and health care personnel is recommended.- انتشار مقاله: 05-07-1395
- نویسندگان: Sedigheh Abdollahpour,Afsaneh Keramat
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Sexual satisfaction,Pregnant Women,Marital satisfaction,Domestic violence
- چکیده:
- چکیده انگلیسی: Introduction Domestic violence is one of the most important public health priorities that directly or indirectly impact on pregnancy outcomes. Given the importance of sexuality in pregnancy and its effect on marital relations, this study aimed to investigate the relationship between sexual satisfaction and violence against pregnant women.
Materials and Methods In this cross-sectional study, 430 pregnant women admitted to Fatemiyeh Hospital in Shahroud-Iran, during the first quarter of 2015, after obtaining informed consent, were selected to complete Larson Sexual Satisfaction Scale and ENRICH Marital Satisfaction Scale as well as Domestic Violence questionnaire. Relationships between variables were analyzed using structural equation modeling.
Results The average age of mothers was 28±5.2 years. Prevalence of domestic violence was reported 84.4% in this study. The 55.8% of participants reported physical violence, 81.2% reported emotional violence and 25.3% reported sexual violence. The mean score of marital satisfaction in women with domestic violence (162.5 ± 28.9) was significantly lower than that in pregnant women without domestic violence (188.7 ± 31.4). A significant negative relationship was observed between sexual satisfaction and marital satisfaction with the domestic violence was –0.42 and –0.61, respectively.
Conclusion Considering the high prevalence of domestic violence and its significant relationship with marital satisfaction and sexual satisfaction in this study, interventions and counseling are recommended to increase marital satisfaction and sexual satisfaction and to reduce domestic violence during pregnancy.- انتشار مقاله: 24-06-1394
- نویسندگان: Somayeh Ramezani,Afsaneh Keramat,Zahra Motaghi,Zahra Mohabbat Pur,Ahmad Khosravi
- مشاهده