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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,coping strategies,Qualitative study,Male Infertility
- چکیده:
- چکیده انگلیسی: Background: Infertility affects women more profoundly than men, even when the male partner is the cause of infertility. Therefore, identifying the coping strategies of women in confrontation with their husbands' infertility is very important.
Aim: This study aimed to explore women’s coping strategies following the diagnosis of infertility in their husbands.
Method: This qualitative study was performed on 18 women whose husbands were diagnosed with infertility. The subjects were selected from those who referred to Milad Fertility Clinic and public health centers in Mashhad, Iran, through purposive sampling within 2014-2016. The data were collected by conducting semi-structured interviews. Data analysis was manually carried out using conventional content analysis.
Results: The main theme emerged from the content analysis was the attempts to overcome the threat, including two categories, namely emotional coping and active coping. Emotional coping included strategies like attributing infertility to herself and others, selective disclosure, religious coping, seeking emotional support, as well as being considerate and offering verbal support to the spouse. active coping consisted of strategies namely attempting to verify the diagnosis, accepting infertility, searching for information, adhering to medical and surgical treatments, trying fertility superstitions, using alternative medicine, and changing lifestyle.
Implications for Practice: Women may use a diverse set of coping strategies to adapt to their husbands’ infertility. A deep perception of these strategies is critical for controlling and managing the consequences of this diagnosis, designing interventions to strengthen preferred actions and strategies, as well as facilitating women’s coping with the infertility crisis of their spouses.- انتشار مقاله: 19-05-1398
- نویسندگان: Ali Taghipour,Fatemeh Zahra Karimi,Robab Latifnejad Roudsari,Seyed Reza Mazlom
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Systematic review,labor,Pregnancy outcomes,Maternal position
- چکیده:
- چکیده انگلیسی: Background & aim: Maternal care during the different stages of labor should be targeted towards the promotion of maternal, fetal, and neonatal health status. Maternal position is very important in labour and delivery Care. Nevertheless, there is controversial results regarding the effect of maternal position in labor. The present study reviewed the effect of maternal position on maternal, fetal, and neonatal outcomes.
Methods: In this systematic review, databases including PubMed, Web of Science, Scopus, Google Scholar as well as Persian databases of Magiran and SID, were searched and all related articles between 2005 to 2018 were retrieved. The quality of the studies was examined using the Joanna Briggs Institute tool.
Results: 17 clinical trials performed on 4,848 subjects were reviewed. Maternal position during the labour were the upright and lying positions. The outcome measures included duration of the different stages of labor, persistent posterior position, postpartum hemorrhage, maternal pain, anxiety and fatigue. The fetal and neonatal outcomes entailed Apgar score, umbilical venous blood pH, need for neonatal resuscitation, and need for hospitalization in NICU. The results revealed that different maternal positions during the first- and second-stage of labor did not affect maternal, fetal, and neonatal outcomes. However, all studies stated that low-risk mothers should have the chance for choosing a comfortable position in the different stages of labor.
Conclusion: In order to propose an evidence-based care plan concerning maternal position in labor, it is required to perform further studies with higher quality regarding the effect of maternal position on maternal, fetal, and neonatal outcomes.- انتشار مقاله: 16-11-1397
- نویسندگان: Kobra Mirzakhani,Fatemeh Zahra Karimi,Atieh Mohamadzadeh Vatanchi,Fakhera Feroz Zaidi,Khadijeh Mirzaei Najmabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Medication Error,Midwife,Reporting error
- چکیده:
- چکیده انگلیسی: Introduction: Medication errors are among the most serious health errors threatening patient safety in all countries, with major impacts on public health. Midwives as members of healthcare systems are prone to such errors. Therefore, in this study, we aimed to determine medication errors and the contributing factors among midwives working in maternity units of Mashhad University of Medical Sciences, Mashhad, Iran in 2015.
Methods: This descriptive, cross-sectional study was performed on 104 employed midwives at four hospitals (Imam Reza, Ghaem, Omolbanin, and Hashemi Nezhad hospitals), affiliated to Mashhad University of Medical Sciences. The validity and reliability of the data collection tools were confirmed through content validity and internal consistency (Cronbach's alpha), respectively. For data analysis, descriptive and analytical tests, multiple linear regression, and negative binomial regression analysis were performed, using SPSS version 20 and STATA version 11.
Results: The average incidence of medication errors for each midwife was 21.24±2.89 in the past six months. Among reasons against reporting medication errors, fear of confrontation with authorities (3.79±1.5) and attributing the medication error to individual factors by officials (3.88±1.34) had the highest average scores. The most common causes of medication errors were overcrowding of the ward (4.32±1.01), excessive workload and overexertion (4.19±1.08), and presence of critically ill patients in the ward (4.03±1.18).
Conclusion: Overcrowding of the ward, fear of authorities, and attributing the medication error to individual factors were the main reasons against reporting medication errors, respectively. Therefore, more attention should be paid to error reporting systems, and workshops in this area are highly recommended.- انتشار مقاله: 28-06-1395
- نویسندگان: Fatemeh Zahra Karimi,Hossein Ebrahimipour,Elaheh Hooshmand,Roghayeh Bayrami,Maryam Pourshirazi,Maliheh Afiat,Habibollah Esmaili,Ali Vafaee Najar
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Pregnancy,systemic lupus erythematosus,Outcome,neonate,fetus
- چکیده:
- چکیده انگلیسی: Background:Systemic lupus erythematosus (SLE) is an autoimmune disease with multiple organ involvement and periods of relapse and remission that mainly affects young women of childbearing age. In this regard the reproductive health is an important issue. Although diagnosis, treatment and management of pregnancy in SLE women have been improved recently, but the main concern is effects of SLE on maternal, fetal and neonatal outcomes. This study aimed to investigate the maternal, fetal and neonatal outcomes in pregnant women with SLE.
Materials and Methods: The databases of PubMed, Medline, Scopus and Web of Science as well as domestic database (Persian) such as SID, Magiran, Irandoc, and Google Scholar were searched with using keywords such as" Systemic lupus erythematosus"; "Pregnancy"; "Neonatal lupus"; "maternal, fetus or neonatal outcome"; and equivalent Persian words. Included were all Persian and English articles, published between 2000 and May 2017. Finally, a total of 77 studies were included.
Results: Adverse perinatal outcomes increase in pregnancies with lupus. Outcomes include respiratory, cardiovascular, blood and skin disorders in mothers; stillbirth, spontaneous, and recurrent abortion in fetuses and neonatal lupus, prematurity, intrauterine growth restriction (IUGR), and small for gestational age (SGA) in neonates, respectively.
Conclusion: Pregnant women with SLE are at high risk due to increased complications for both mother and fetus. It seems broad control of the women before fertilization, so that they be at full remission in the beginning of pregnancy and the disease activity be in complete control, it can help to improve outcomes of pregnancy and so better results can be expected.
- انتشار مقاله: 03-04-1396
- نویسندگان: Fatemeh Zahra Karimi,Masumeh Saeidi,Masoumeh Mirteimouri,Nahid Maleki- Saghooni
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Exclusive breastfeeding,Infant,Mother,Skin-to-skin contact
- چکیده:
- چکیده انگلیسی: Background: The rate of exclusive breast feeding is low in many societies and has diminished in recent years in Iran. This study was conducted to determine the effects of postpartum mother–infant skin-to-skin contact on exclusive breastfeeding in neonatal period.
Materials and Methods: This was a randomized control trial. 114 healthy primiparous mothers and their neonates were recruited in Om-ol-banin hospital in Mashhad, Iran. Upon hospital admission, mothers in active labor were allocated randomly to either SSC or routine care. In the intervention group, SSC was continuously performed during the first 2 hours post-birth. In controls as is routine Om-ol-banin hospital, the first contact and breastfeeding were initiated after repairing the routine episiotomy and delivering neonates routine care. Mothers in both groups were interviewed on the 28th days postpartum to determine the exclusive breastfeeding in neonatal period.
Results: There was significant difference between two groups in the rate of breastfeeding initiation in the first 30 minutes post birth (P<0.05). The rate of exclusive breastfeeding was significantly higher in the SSC group from birth to day 28 (40.4% vs. 20%, P<0.05) and in the last 24-hour report of 28th day post-birth (70.2% vs. 46.7%, P<0.05).
Conclusions: Continuous SSC during the first 2 hours of post-birth in primiparous mothers compared to routine care of baby friendly hospitals significantly enhances the rate of breastfeeding initiation in the first 30 minutes post birth and exclusive breastfeeding in the neonatal period.- انتشار مقاله: 03-06-1395
- نویسندگان: Talat Khadivzadeh,Fatemeh Zahra Karimi,Fatemeh Tara,Sepideh Bagheri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Infant,Nutrition, Unwanted pregnancy
- چکیده:
- چکیده انگلیسی: Background
The current study was conducted to investigate the relationship between unwanted pregnancy based on couples’ opinions and infant nutrition type in women referred to the health centers in Mashhad city and their husbands.
Materials and Methods
In this analytical-descriptive study, unwanted or wanted progenies were studied from the viewpoints of 366 women referred to the health centers in Mashhad city, Iran and their husbands, and also their relationships with infant nutrition type at the age of 4 months. The data were collected through questionnaires. The validity and reliability of the method and instruments were confirmed by content validity and test-retest. Moreover, data analysis was done using SPSS-16.0 software.
Results
The average age of women in wanted pregnancy was 26.43±4.57 years and 27.57±5.22 years in unwanted women. The results showed a statistically significant relationship between unwanted pregnancy from the viewpoints of couples and infant's nutritional status (P=0.03). The prevalence of unwanted pregnancy in women with lower education (middle and high school) was higher than those with higher education.
Conclusion
Our results showed a significant association between baby’s nutrition and unwanted pregnancy. Furthermore, an increased use of non-exclusive breastfeeding in unwanted pregnancy is necessary. Hence, proper use of contraceptive methods, preventing the adverse consequences of unwanted pregnancy such as non-exclusive breastfeeding, useful educational strategies, counseling and health services are necessary to be taken into account.- انتشار مقاله: 10-04-1395
- نویسندگان: Zahra Khosravi Anbaran,Nasrin Baghdari,Elahe Sadeghi Sahebzad,Maryam Moradi,Fatemeh Zahra Karimi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,Kangaroo mother care,attachment,Routine care
- چکیده:
- چکیده انگلیسی: Background
The aim of this study was determine the effect of kangaroo mother care (KMC) immediately after delivery on mother-infant attachment 3-month after delivery.
Materials and Methods: In this RCT study, 72 mother-infant pairs were randomly divided in to kangaroo mother care and routine care groups.The intervention group received kangaroo mother care (KMC) in the first two hours post birth. The control group just received routine hospital care. Mothers in the intervention group were encouraged to keep the baby in KMC as much as possible during the day and night throughout the neonatal period. Participants were followed up for three months after birth. The Main outcome measure was mother-infant attachment at 3 months postpartum and maternal anxiety about the baby at the same time. The data was collected by questionnaire (demographic information of parents and neonates) and maternal attachment scale. Analysis was performed using SPSS software (version 14).
Results: There was no significant difference between two groups regarding their baseline data. Mean maternal attachment score in the KMC group and in the routine care group at three months after delivery was 52.40±3.30 and 49.86±4.18 respectively, which was significantly higher in the KMC group (P<0.05). Mean anxiety about the baby score at three months after delivery in the KMC and routine care group were 26.34±3.86 and 28.80±3.18, respectively, which was significantly lower in the KMC group (P<0.05).
Conclusion
Kangaroo mother care improves mother-infant attachment and reduces the mother anxiety about the baby; it is simple, acceptable to mothers and can be continued at home.- انتشار مقاله: 03-06-1395
- نویسندگان: Fatemeh Zahra Karimi,Talat Khadivzadeh,Masumeh Saeidi:,Sepideh Bagheri
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,coping strategies,Qualitative study,Male Infertility
- چکیده:
- چکیده انگلیسی: Background: Infertility affects women more profoundly than men, even when the male partner is the cause of infertility. Therefore, identifying the coping strategies of women in confrontation with their husbands' infertility is very important.
Aim: This study aimed to explore women’s coping strategies following the diagnosis of infertility in their husbands.
Method: This qualitative study was performed on 18 women whose husbands were diagnosed with infertility. The subjects were selected from those who referred to Milad Fertility Clinic and public health centers in Mashhad, Iran, through purposive sampling within 2014-2016. The data were collected by conducting semi-structured interviews. Data analysis was manually carried out using conventional content analysis.
Results: The main theme emerged from the content analysis was the attempts to overcome the threat, including two categories, namely emotional coping and active coping. Emotional coping included strategies like attributing infertility to herself and others, selective disclosure, religious coping, seeking emotional support, as well as being considerate and offering verbal support to the spouse. active coping consisted of strategies namely attempting to verify the diagnosis, accepting infertility, searching for information, adhering to medical and surgical treatments, trying fertility superstitions, using alternative medicine, and changing lifestyle.
Implications for Practice: Women may use a diverse set of coping strategies to adapt to their husbands’ infertility. A deep perception of these strategies is critical for controlling and managing the consequences of this diagnosis, designing interventions to strengthen preferred actions and strategies, as well as facilitating women’s coping with the infertility crisis of their spouses.- انتشار مقاله: 19-05-1398
- نویسندگان: Ali Taghipour,Fatemeh Zahra Karimi,Robab Latifnejad Roudsari,Seyed Reza Mazlom
- مشاهده
- جایگاه : پژوهشی
- مجله: Avicenna Journal of Phytomedicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Systematic review,Herbal medicines,Premenstrual Syndrome
- چکیده:
- چکیده انگلیسی: Objective: Premenstrual syndrome (PMS) is one of the most common problems among women of reproductive age. The popularity of complementary/alternative therapies has grown in recent years, and these treatments have been more commonly used by women (48.9%) than men (37.8%). The aim of this systematic review was to assess effectiveness and safety of Iranian herbal medicines for treatment of premenstrual syndrome.
Methods: PubMed, Scopus, Cochrane, and Google Scholar were searched along with SID, Magiran and Irandoc up to Dec 2017.
Inclusion criteria consist of Iranian, published, randomized controlled trials (RCTs) using Iranian herbal medicine for treatment of reproductive age women with PMS. Eventually Eighteen RCTs met the inclusion criteria.
Results: Overall, studies have shown that Vitex agnuscastus, Hypericum perforatum, Matricaria chamomilla, saffron, Curcumin, Melissa officinalis, Zataria multiflora,Wheat Germ Extract, Echinophora platyloba, Foeniculum vulgare, Valerian root extract, Citrus sinensis, Zingiber officinale andFlax seed might alleviate symptoms of PMS.
Conclusion: This research demonstrated efficacy and safety of Iranian herbal medicines in alleviating PMS. Therefore, herbal medicine can be regarded as an alternative treatment for women suffering from PMS.- انتشار مقاله: 13-01-1396
- نویسندگان: Nahid Maleki-Saghooni,Fatemeh Zahra Karimi,Zahra Behboodi Moghadam,Khadigeh Mirzaii Najmabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality of Life,Breast cancer,Iranian women
- چکیده:
- چکیده انگلیسی:
Introduction: Nowadays breast cancer is the most important factor concerning the women’s health which can affect the quality of life (QOL). This study was performed with aim to investigate the QOL and the related factors in Iranian women diagnosed with breast cancer in 2014-2015. Methods: This cross-sectional study was performed on 94 women with breast cancer who were selected by convenience sampling in Mashhad, Iran from 2014-2015. The data were collected through Demographic and Clinical Questionnaire and EORTC QLQ-C30.V3 Standard Questionnaire. Data was analyzed by SPSS software (version 18) and also descriptive statistics and linear regression analysis. Pconsidered statistically significant. Results: The mean of total score for the quality of life was 71.45± 22.28. In the area of the symptoms of disease, the highest score belonged to insomnia (22.73± 14.89) and fatigue (19.81± 14.42). In the functional area, physical and emotional scales accounted for the highest (91.35±9.67) and lowest (78.55±2.84) scores, respectively. The results of multiple regression analysis showed that the variables of age, social status, radiotherapy, and hormone therapy are effective factors in the QOL. Conclusion: Breast cancer can affect the women’s QOL. Therefore, efforts to promote the QOL in breast cancer patients is considered as one of the most important topics in women’s health care. This requires more attention to identify various aspects of life and find effective ways to promote and improve the QOL in these patients.- انتشار مقاله: 04-11-1395
- نویسندگان: Fatemeh Homaee Shandiz,Fatemeh Zahra Karimi,Zahra Khosravi Anbaran,Mahbubeh Abdollahi,Nafiseh Rahimi,Mina Ghasemi
- مشاهده