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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,Endoscopy,blood pressure,Sound therapy,Gastrointestinal Disorders
- چکیده:
- چکیده انگلیسی: Background: Anxiety is one the main problems of patients on waiting list for endoscopic procedures. Previous studies have indicated adverse effects of anxiety on these patients.
Aim: to determine the effect of sound therapy on the anxiety and blood pressure of patients on waiting list for endoscopy.
Methods: This was a randomized clinical trial, in which 124 patients on waiting list for endoscopy were randomly divided into control and experimental groups at the department of endoscopy in Mustafa Khomeini hospital in 2012- 2013. Patients in the experimental group received nature-based sounds 20 minutes before endoscopy, while the control group received routine interventions. Anxiety (using spielburger questionnaire) and blood pressure were measured 20 minutes and immediately before endoscopy in both groups. The data were analyzed by independent t-test, chi-square, and Fisher’s exact tests using SPSS (v. 14).
Results: In the experimental group, 56.45% were women and in the control group 54.84% were men. The mean score of anxiety in the experimental and control groups was 31.6±3.3 and 68.9 ±9.5, respectively after the intervention (p<0.05). The mean systolic blood pressure of the experimental and control groups after the intervention was 120.6 ±11.5 and 150.0 ±20.8, respectively (P<0.001).
Conclusion: Sound therapy had positive effects on reducing the anxiety of patients on the waiting list for endoscopy and may reduce BP and anxiety. Thus, it is recommended as a non-pharmacologic intervention.- انتشار مقاله: 24-09-1393
- نویسندگان: Nahid Rejeh,Majideh Heraevi-Krimooi,Alireza Nikibakhat,Behzad Jodiri,Farid Zayeri,Ali Jahani
- مشاهده
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: reliability,Translation,Nursing students,cultural adaptation,belongingness
- چکیده:
- چکیده انگلیسی: Background:Considering the limitation of reports on the translation of research questionnaires, the present study aims to clarify the necessity of correctly conducting the translation process. Therefore, it deals with describing the process and the required stages for the cultural adaptation of research instruments in an operational style. Consequently, it may provide a platform for researchers to pay more attention to this important issue.
Methods: Levett-Jones et al.’s (2009) Belongingness Scale--Clinical Placement Experience (BES-CPE) includes 34 items and three subscales of self-esteem, connectedness, and efficacy in 5-point Likert scale. It was translated and studied for cultural adaptation according to Wild et al.’s (2005) model. Following the preparation of the final questionnaire to evaluate reliability, instrument consistency was studied using test-retest method, with a two-week interval, and completing the questionnaire by 25 nursing students. Moreover, internal consistency was evaluated through Cronbach’s alpha.
Result: During the processes of translation, back translation, and review, six items were corrected and the observation of cultural equivalences was also considered in the questionnaire. Then, in the process of acquiring cognitive debriefing and review, results of interviewing a number of students indicated that some items are problematic. For instance, the results are ambiguous. Thus, five items of the questionnaire were changed. The reliability of the instrument was obtained as r=0.70 through test-retest replicability method. Cronbach’s alpha was 0.90 for the whole instrument. Moreover, the values of Cronbach’s alpha for the subscales of self-esteem, connectedness, and efficiency were 0.88, 0.75, and 0.84, respectively.
Conclusion: Complete record of translating the instrument, especially when it is translated into another language and culture, proves important for optimum use by other researchers. In the present research, this problem was eliminated. The results indicated the high reliability of the instrument. Therefore, the questionnaire can be used for measuring the nursing students’ belongingness in Iranian clinical settings.
- انتشار مقاله: 22-10-1392
- نویسندگان: Shirin Hassanvand,Tahereh Ashktorab,Naeimeh Seyed-Fatemi,Farid Zayeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Reproductive health,Gender-sensitivity,Women's rights
- چکیده:
- چکیده انگلیسی: Background & aim: Sexually transmitted infections (STIs) present a serious public health burden, which are considered as the factors contributing to acute illnesses, infertility, long-term disability, and mortality. The aim of the present study was to provide an in-depth understanding of the participants' perceptions about the integration of gender-sensitive approach to safe motherhood program for the prevention of STIs/human immunodeficiency virus (HIV) in Iran.
Methods: This qualitative exploratory study was conducted on 32 male and female key informants, including health managers, health policy makers, and reproductive health providers. The participants were selected through the purposive sampling method, followed by the snowball sampling technique. The data collection was performed using the semi-structured interviews. The data were analyzed through the content analysis.
Results: Based on the results, the participants’ perceptions were categorized into two categories, namely the STIs/HIV prevention among males in safe motherhood and gender-sensitivity in primary maternal STIs/HIV prevention. Each of the patients was further divided into codes. The first category includes accountability to men's own sexual health needs’ and prevention of ill-health effects of men on women’s STIs/HIV status and the second category includes (1) condom negotiation skills in women (2) mandatory pre-marital HIV test policy, (3) partner notification guidelines, (4) STI/HIV risk assessment in safe motherhood services, and (5) women’s right-based instruction for prenatal HIV screening in private services.
Conclusion: As the findings of the present study indicated, the health policy makers were not adequately sensitive to gender sensitivity, which is particularly crucial for STIs/HIV prevention in the safe motherhood programs.- انتشار مقاله: 31-03-1396
- نویسندگان: Fatemeh Rahmanian,Masoomeh Simbar,Ali Ramezankhan,Farid Zayeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Basic and Clinical Pathophysiology
- نوع مقاله: Journal Article
- کلمات کلیدی: Pregnancy,Interleukin-6,hCG,nausea and vomiting,Hyperemesis gravidarum
- چکیده:
- چکیده انگلیسی: Background and Objective: Hyperemesis gravidarum (HG) is defined as vomiting sufficiently severe to produce weight loss, dehydration, electrolyte abnormalities. Interleukin-6 (IL-6), a pro-inflammatory and trophoblast-derived cytokine has ability to induce trophoblasts to secrete human chorionic gonadotropin (hCG). The purpose of our study was to assay the level of IL-6 and β-hCG in serum of pregnant women suffering from HG during the first trimester of pregnancy and compare with gestational age-matched controls and normal non pregnant women.
Materials and Methods: Plasma concentrations of IL-6 and β-hCG were measured in 30 healthy non pregnant women and 30 women with HG, 30 pregnant women with nausea and vomiting of pregnancy (NVP) and 30 normal pregnant women, matched for age, parity and gestational age .
Results: Mean serum levels of β-hCG were higher in women with HG. There was a significant difference between the three groups (P Conclusion: IL-6 levels rise in women with HG and this could lead to higher levels of hCG seen in these patients. It appears that IL-6 does not have a primary role in etiology of HG.- انتشار مقاله: 13-06-1395
- نویسندگان: Ahia Garshasbi,Tooba Ghazanfari,Farid Zayeri,Maryam Kamali
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Pharmaceutical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Outlier,Phenylephrine,robust model,clustering data,concentration-response curve,rat Corpus cavernosum
- چکیده:
- چکیده انگلیسی: Ignoring two main characteristics of the concentration-response data, correlation between observations and presence of outliers, may lead to misleading results. Therefore the special method should be considered. In this paper in to examine the effect of phenylephrine in rat Corpus cavernosum, outlier robust nonlinear mixed estimation is used. in this study, eight different doses of phenylephrine in eight experimental groups were used. Each group consisted of eight rats. The concentration–response curves to phenylephrine (0.1µM to 300µM) were obtained by the cumulative addition of phenylephrine to the chamber. Because of the existence of an outlier to achieve robust estimations, M-estimation method and Huber function as a dispersion function were used. Cumulative administration of phenylephrine (0.1µM - 300µM) caused concentration-dependent contractions in strips of rat corpus cavernosum (-Log EC50 was 5 ± 0.31, 95% CI= 5.92 to 4.21). The contraction of corpus cavernosum started in the concentration of 0.3 μM and then gradually increased in a dose-dependent manner till it reached a plateau in 100 μM. To consider the clustering feature of concentration-response data, the 4pl regression with a random term has been used. To estimate parameters, because of existence of an outlier in dataset, the robust procedure has been applied. The contraction of corpus cavernosum started in the concentration of 0.3 μM and then gradually increased in a dose-dependent manner till it reached a plateau in 100 μM.
- انتشار مقاله: 28-02-1395
- نویسندگان: Farzaneh Boroumand,Alireza Akbarzade Baghban,Farid Zayeri,Hediye Faghir GhaneSefat
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Stroke,Survival analysis,Coronary Heart Disease,Cholesterol HDL,Cholesterol LDL
- چکیده:
- چکیده انگلیسی: Objective(s): It has been proposed that lipid markers may predict cardiovascular events; however, their effect may vary depending on the type of cardiovascular disease. The purpose of this study was to investigate the effects of lipid markers on death from coronary heart disease (CHD) and stroke in competing risks setting.
Materials and Methods: Participants included 2502 women and 2020 men, age 40 years or older from Tehran Lipid and Glucose Study. The association between total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C) with hazard and cumulative incidence of CHD and stroke was investigated using cause-specific hazard and sub-distribution hazard models. Statistical analyses were performed using “risk regression” and “cmprsk” package in R 3.3.2.
Results: One standard deviation (SD) increase in TC and LDL-C increased the hazard of CHD death by 1.42 (CI=1.07,1.89) and 1.41 (CI=1.04,1.93), respectively. 1-SD increase in TG increased the cumulative incidence of CHD death increased by 1.94 (CI=1.02,3.75) in women. Other risk factors were not associated with the hazard and cumulative incidence of CHD in women, men and the total sample. In addition, none of lipids had a significant effect on the hazard and cumulative incidence of stroke in men, women and the total sample.
Conclusion: The associations of lipid components on CHD death were modified by gender. TC, LDL-C and TG were independent predictors of CHD mortality in women. Furthermore, death due to stroke changes the association of lipid markers with CHD mortality.- انتشار مقاله: 20-09-1397
- نویسندگان: Bagher Pahlavanzade,Farid Zayeri,Taban Baghfalaki,Omid Mozafari,Davood Khalili,Fereidoun Azizi,Alireza Abadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Stroke,Survival analysis,Coronary Heart Disease,Cholesterol HDL,Cholesterol LDL
- چکیده:
- چکیده انگلیسی: Objective(s): It has been proposed that lipid markers may predict cardiovascular events; however, their effect may vary depending on the type of cardiovascular disease. The purpose of this study was to investigate the effects of lipid markers on death from coronary heart disease (CHD) and stroke in competing risks setting.
Materials and Methods: Participants included 2502 women and 2020 men, age 40 years or older from Tehran Lipid and Glucose Study. The association between total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C) with hazard and cumulative incidence of CHD and stroke was investigated using cause-specific hazard and sub-distribution hazard models. Statistical analyses were performed using “risk regression” and “cmprsk” package in R 3.3.2.
Results: One standard deviation (SD) increase in TC and LDL-C increased the hazard of CHD death by 1.42 (CI=1.07,1.89) and 1.41 (CI=1.04,1.93), respectively. 1-SD increase in TG increased the cumulative incidence of CHD death increased by 1.94 (CI=1.02,3.75) in women. Other risk factors were not associated with the hazard and cumulative incidence of CHD in women, men and the total sample. In addition, none of lipids had a significant effect on the hazard and cumulative incidence of stroke in men, women and the total sample.
Conclusion: The associations of lipid components on CHD death were modified by gender. TC, LDL-C and TG were independent predictors of CHD mortality in women. Furthermore, death due to stroke changes the association of lipid markers with CHD mortality.- انتشار مقاله: 20-09-1397
- نویسندگان: Bagher Pahlavanzade,Farid Zayeri,Taban Baghfalaki,Omid Mozafari,Davood Khalili,Fereidoun Azizi,Alireza Abadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Community Based Nursing and Midwifery
- نوع مقاله: Journal Article
- کلمات کلیدی: Burns,Health Status,Aftercare,Follow-up care,Home visits
- چکیده:
- چکیده انگلیسی: Background: Patients with burn injuries still face various burn-related challenges after being discharged from the hospital. Hence, a follow-up program for such patients is essential. The present study aimed to evaluate the health status of burn victims after 1.5 months follow-up.Methods: The present randomized clinical trial was of a pretest-posttest design, carried out in Kermanshah (Iran) from July 2016 to September 2017. A total of 117 participants were recruited out of which 86 were included in the analysis. The participants were randomly assigned into two groups, namely the intervention group (N=42) and the control group (N=44). All participants were evaluated both at the time of hospital discharge and at 1.5 months post-discharge. The follow-up plan for the intervention group included home visits, telenursing, and referral to specialists or health education centers. To evaluate the physical and psychological status of the participants, five different instruments were used; namely the Burn Specific Health Scale-Brief (BSHS-B), the General Health Questionnaire-28 (GHQ-28), the Brief Pain Inventory (BPI), the Vancouver Scar Scale (VSS), and the Visual Analogue Scale (VAS). All statistical analyses were performed using the SPSS software (version 17.0). Data were analyzed using the Chi-square test, independent t-test, and paired t-test. P
- انتشار مقاله: 09-12-1396
- نویسندگان: Nastaran Heydarikhayat,Tahereh Ashktorab,Camelia Rohani,Farid Zayeri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Obesity,adolescence,Dietary pattern
- چکیده:
- چکیده انگلیسی: Background: Obesity and overweight is a great concern in adolescence that would have impact on adulthood. This study was conducted to identify major dietary patterns and their relation with overweight/obesity of female adolescents living in Northwest of Iran.
Materials and Methods: The design of the study was cross-sectional conducted on 350 female students aged 16-18 years in Urmia city, Iran. Height and weight were measured using standard techniques and weight status was defined by World Health Organization (WHO) and Center for Disease Control (CDC) cut-offs. Dietary intake information was collected by a validated 169-item semi-quantitative food frequency questionnaire via face-to-face interview. Dietary patterns were identified through principle component analysis. Demographic and socio-economic confounding factors were obtained by a questionnaire. Logistic regression was used to assess the relationship between overweight/obesity and dietary patterns.
Results: About one third of participants (n=115, 32.9%) were overweight or obese. Three major dietary patterns were extracted: "high vegetable-high dairy", "high protein", and "traditional dishes". Parental educational level, house assets and household size were associated with dietary patterns. After adjusting for confounders, adolescents in upper quartile of "high vegetable-high dairy" pattern (OR=3.17, 95% CI=1.50-6.70; p trend=0.010), and "high protein" pattern (OR=2.01, 95% CI=0.96-4.19; p trend=0.006) had a greater risk of being overweight/obese. However, traditional dietary pattern was not related to overweight/obesity (p trend=0.70).
Conclusion: Findings suggest that the chance of overweight/obesity was increased in adolescents that had higher adherence to "high vegetable-high dairy" and "high protein" dietary patterns. On the other hand, the socioeconomic status of household was an important factor influencing tendency of adolescents to a special dietary pattern.- انتشار مقاله: 14-05-1399
- نویسندگان: Bahareh Seyyedin,Arezoo Rezazadeh,Nasrin Omidvar,Farid Zayeri,Sakineh Nouri-Saeedlou
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Psychometric properties,Cerebral palsy,mothers,Family coping
- چکیده:
- چکیده انگلیسی: Background
Family coping is an active process in which the family and each member of it use the available resources to decrease or control the demand. Using effective coping strategy, a family can react to stresses and adapt better to its situation. The purpose of this study was to examine psychometric properties of a Persian version of Family Crisis Oriented Personal Evaluation Scales (F-COPES) in a population of Iranian mothers with cerebral palsy children.
Materials and Methods
F-COPES was translated into Persian following Wild et al.’s model, face and content validities of the translated version were determined by 12 faculty board members in different nursing fields, psychology, and tool development. Afterward, to fill out the scale, 208 mothers with cerebral palsy children who had referred to Kermanshah based rehabilitation centers were selected through convenient sampling. Construct validity of the tool was determined by using confirmatory factor analysis. To examine internal consistency, Cronbach’s alpha and to examine reliability, intraclass correlation coefficient (ICC) (15 participants with 2 weeks interval) was used. The collected data was analyzed in SPSS (version 16.0) and EQS6.1.
Results: Confirmatory factor analysis supported validity of the whole tool and its five subscales. Cronbach’s alpha of the whole tool was obtained alpha=0.84 and the alpha of the five subscales ranged from 0.76 to 0.94. In addition, ICC was obtained equal with 0.89.
Conclusion: The Persian version of F-COPES was featured with acceptable psychometric properties so that it can be used to survey family coping in Iranian mothers with cerebral palsy child.- انتشار مقاله: 28-08-1396
- نویسندگان: Parkhide Hassani,Parvin Abbasi,Mansoureh Zagheri Tafreshi,Farid Zayeri,Arash Ziapour
- مشاهده