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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Health Literacy
- نوع مقاله: Journal Article
- کلمات کلیدی: self-efficacy,Breastfeeding,Self-esteem,Primiparity
- چکیده:
- چکیده انگلیسی: Background and Objective: Breastfeeding is an effective way to protect and promote mothers and children's health. Two important factors that affecting breastfeeding success, are self-esteem and breastfeeding self-efficacy in women. The aim of this study was to investigate the relationship between self-esteem and breastfeeding self-efficacy in primiparous breastfeeding mothers.
Materials and Methods: Descriptive cross-sectional multi-stage random sampling study conducted in 2014 on 300 primiparous breastfeeding mothers referring to healthcare centers of Mashhad, Iran. Data collection was performed by demographic form, breastfeeding self-efficacy Scale and Rosenberg self-esteem scale. Data were analyzed using descriptive, inferential statistics and general linear model through SPSS version 16.
Results: About demographic characteristics of participants, mother age (p= 0.001) and husband age (p < 0.001) and family income (p= 0.024) had a significant relevancy with self-esteem but infant age, husband education, residency and method of delivery weren't like that. And about relation with breastfeeding self-efficacy only method of delivery (p= 0.040) was significant.
As well as, most mothers (79.3%) had high level of breastfeeding self-efficacy with a mean score of 131±13.60 and 78.7% of them had high level of self-esteem with a mean score of 27.85±3.54. Regression analysis confirmed the relationship between self-esteem and breastfeeding self-efficacy. According to the result by each score increasing of self-esteem score, breastfeeding self-efficacy score increased about 0.779.
Conclusion: As the result indicated, maternal self-esteem is related to breastfeeding self-efficacy. These factors can help health care providers to predict length of breastfeeding, success rate of exclusive nutrition in mothers and can lead to the identification of mothers at the risk of the early breastfeeding cessation.- انتشار مقاله: 07-06-1399
- نویسندگان: Malikeh Amel Barez,Nahid Maleki Saghouni,Farangis Sharifi,Habibollah Esmaily,Raheleh Babazadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: fatigue,hemodialysis,chronic kidney disease,Blood flow velocity
- چکیده:
- چکیده انگلیسی: Background: Fatigue is one of the outcomes of reduced dialysis adequacy (DA) in patients undergoing hemodialysis (HD). Accordingly, increased blood flow velocity (BFV) can be one of the strategies to enhance DA and reduce fatigue.
Aim: This study aimed to determine the effect of increased BFV on fatigue in HD patients.
Method: This two-group randomized clinical trial was conducted on 74 HD patients attending 17-Shahrivar Hospital and Shafa Dialysis Center, Mashhad, Iran, during 2018. The intervention group was subjected to 25 and 50 rounds, which were added to the mean value calculated for dialysis machine velocity. Considering the control group, the rounds of the machine were set as those mean of the first two sessions. Fatigue was measured using the standardized Multidimensional Fatigue Inventory. The blood urea nitrogen (BUN) level and DA were analyzed after the 1st, 8th, and 14th sessions. The data were analyzed in SPSS software (version 16) through independent t-test, repeated measures analysis of variance (ANOVA), Mann-Whitney U test, and Chi-square test.
Results: The mean ages of the control and intervention groups were 57.16±13.81 and 55.86±13.56 years, respectively. The results of repeated measures ANOVA showed that fatigue in the intervention group had significantly dropped during HD sessions, compared to the control group. Moreover, these patients obtained better DA (P˂0.001).
Implications for Practice: Increased BFV of the dialysis machine leads to improved DA, BUN removal, and reduced fatigue in HD patients, which can be recommended to nurses as an effective strategy.- انتشار مقاله: 10-04-1399
- نویسندگان: Hossein Kakhki Jaghargh,Maryam Bagheri,Nahid Aghebati,Habibollah Esmaily
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Knowledge,health volunteers,attitudes,Preconception care,The Health Belief Model
- چکیده:
- چکیده انگلیسی: Preconception care identifies and modifies the risk factors for pregnancy and childbirth. The present study aimed to determine the effects a preconception care education program, which was based on the Health Belief Model (HBM) and implemented by health volunteers, on knowledge and attitudes of women. A semi-experimental study was conducted using 22 health volunteers and 110 women aged 15-49 years selected from two comprehensive health centers of Mashhad, Iran, in 2016. The convenience sampling method was employed for selecting the volunteers and the regular random sampling method for choosing the women. For data collection, we applied a researcher-made tool with verified validity and reliability. HBM-based education was implemented by the volunteers during three sessions. Data analysis was performed in SPSS using Mann-Whitney test, Friedman, and Spearman's rank correlation coefficient; repeated measures data analysis was carried out at the significance level of 0.05. The mean age of the women was 30.6±6.6 years in the intervention group and 31.6±6.5 years in the control group. The mean levels of knowledge and attitude increased significantly after the intervention (P<0.001). We suggest using the current educational intervention based on the HBM to promote women's knowledge and attitudes towards preconception care.
- انتشار مقاله: 12-10-1396
- نویسندگان: Nasrin Fazeli,Maryam Moradi,Talat Khadivzadeh,Habibollah Esmaily
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,depression,Stress,Postpartum,Sexual counseling
- چکیده:
- چکیده انگلیسی: Background: Sexual dysfunction can lead to anxiety and depression. Failure to have sexual counseling during postpartum period is one of the issues that could affect sexual dysfunction within this period. Aim: This study aimed to investigate the effect of sexual counseling on stress, anxiety, and depression in women during postpartum period. Method: This single-blind randomized clinical trial was conducted on 75 postpartum women within the age range of 18-35 years, referring to four health centers of Mashhad, Iran, in 2016. The data were collected using the Depression Anxiety Stress Scales-21. The intervention included four 60 to 90-minute sessions of sexual counseling, performed within eight weeks. The control group received the routine care. The questionnaires were completed eight weeks after the end of the intervention. The data were analyzed by SPSS version 16 using the independent t-test and Mann-Whitney U test. Results: The mean ages of the participants were 29.5±4.3 and 29.4±4.2 years in the intervention and control groups, respectively. The results of the Independent t-test, showed the mean stress score was significantly lower in intervention group (P = 0.04) and Mann-Whitney test, showed a significant decrease in the mean anxiety (P=0.01) and depression (P=0.003) scores, in intervention group compared to the control group 8 weeks after the intervention. Implications for Practice: Sexual counseling can be helpful to decrease stress, anxiety, and depression in the women suffering from sexual problems during postpartum period.
- انتشار مقاله: 30-03-1396
- نویسندگان: Maryam Zamani,Robab Latifnejad Roudsari,Maryam Moradi,Habibollah Esmaily
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Stroke,Keywords: consciousness,sensation,sensory stimulation
- چکیده:
- چکیده انگلیسی: Background: About 50% of stroke patients suffer from the disorder of consciousness with such adverse effects as sensory deprivation. The provision of a care program consisting of simple and safe stimulations can prevent sensory deprivation and improve the patient’s sensory function.
Aim: This study aimed to determine the effect of structured sensory stimulation program on the sensory function of the patients with stroke-induced disorder of consciousness.
Method: This randomized clinical trial was conducted on 80 patients with stroke-induced disorder of consciousness admitted to the Intensive Care Unit and Emergency Department of Ghaem Hospital, Mashhad, Iran, in 2016. The participants were randomly assigned into two groups of control and intervention. The patients in the intervention group were subjected to a sensory stimulation program consisting of auditory, visual, olfactory, gustatory, tactile, and motor stimulations for 14 consecutive days. The sensory function was measured every day before and after the intervention using the Sensory Modality Assessment and Rehabilitation Technique (SMART) instrument. On the other hand, the control group received the routine care. The data were analyzed in the SPSS version 11.5 using the Mann-Whitney test, Chi-square test, and independent t-test.
Results: According to the results, the patients in the intervention and control groups had the mean ages of 66.2±8.9 and 63.8±10.8, respectively. The pre-intervention SMART scores of the two groups were homogenous (P=0.23). However, the independent t-test showed that the final SMART score was significantly higher (P<0.001) in the intervention group (25.1±6.6) than that in the control group (15.5±3.9).
Implications for Practice: As the findings of the study indicated, sensory stimulation with simple and accessible stimuli in the course of therapeutic programs could improve the sensory function of the stroke patients with the disorder of consciousness and prevent sensory deprivation- انتشار مقاله: 03-03-1396
- نویسندگان: Khadijeh Sargolzaei,Maryam Shaghaee Fallah,Nahid Aghebati,Habibollah Esmaily,MohammadTaghi Farzadfard
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: self-efficacy,Health literacy,Mother
- چکیده:
- چکیده انگلیسی: Introduction: Breastfeeding self-efficacy show self-confidence and the ability of mothers to perform breastfeeding and maternal health literacy, ability of women to gain access to, understand, and use information in ways that promote and maintain their health and their children.
Aim: this study was Measuring Associations between self-efficacy breastfeeding and maternal health literacy.
Methods: This descriptive study was carried out in Mashhad health center in 2015. 185 pregnant women with first experience were selected randomly. Data were collected through health literacy maternal questionnaire and self-efficacy breastfeeding Fox & Dennis questionnaire and analyzed by descriptive and statistical tests in the SPSS/18.
Results: The mean score of women's self-efficacy breastfeeding and standard deviation were 120.5 and 11.7 respectively and the mean maternal health literacy was 42.7±5.6. The results regression showed that the only variable that significantly associated with breastfeeding self-efficacy was maternal health literacy.
Implications for practice: According to the results of this study, maternal health literacy must be raised to enhance breastfeeding self-efficacy, which could lead to an improvement in maternal breastfeeding in the society.- انتشار مقاله: 28-07-1395
- نویسندگان: Elham Charoghchian Khorasani,Nooshin Peyman,Habibollah Esmaily
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Insulin,Stress,self-care,Gestational diabetes
- چکیده:
- چکیده انگلیسی: Background: Gestational diabetes (GA) is a common complication, associated with adverse prenatal outcomes and perceived stress. The effects of education on perceived stress have been widely investigated, whereas the role of self-care in GA has been less noted.
Aim: to determine the effects of self-care education on perceived stress in women with GA under insulin treatment.
Methods: In this randomized controlled trial, 60women with GA under insulin treatment (at 24-30 weeks of gestation), referring to the diabetes clinic of Mashhad Omolbanin Hospital, were divided into intervention and control groups in 2014. Self-care education included four one-hour sessions (one-week intervals) in groups consisting of 6-8 members. The researcher-made self-care questionnaire and Cohen’s Perceived Stress Scale were completed before and four weeks after the intervention. Independent t-test, Mann-Whitney and covariance analysis were performed, using SPSS version 16.
Results: The mean age of the participants was 32.4±0.5 years in the intervention group and 31.4±4.8 years in the control group. Before the intervention, the perceived stress score in the intervention group (27.6±8.0) was not significantly different from that of the control group (27.5±6.8) (P=0.74). However, after the intervention, the scores significantly reduced in the intervention group (23.4±8.3), compared to the control group (28.1±7.5) (P<0.001).
Conclusion: Self-care education might improve self-care and reduce perceived stress in patients with GA. Therefore, self-care is suggested as an effective method for reducing stress in these patients.- انتشار مقاله: 11-03-1394
- نویسندگان: Talat Khadivzadeh,Maryam Hoseinzadeh,Sedigheh Azhari,Habibollah Esmaily,Faridej Akhlaghi,Mohammad Ali Sardar
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Questionnaire,Intensive Care Unit,structure assessment,discomfort factors
- چکیده:
- چکیده انگلیسی: Background: Particular circumstances in the intensive care unit have led the patients to experience significant levels of pain and discomfort. On the other hand, these patients cannot express their discomfort due to several reasons.
Aim: to develop the causes of discomfort in the intensive care units.
Methods: In order for assessing the causes of discomfort, the initial questionnaire was extracted with 60 items and its content validity was then confirmed by experts. Questionnaires were completed for 220 patients hospitalized in intensive care units of Imam Reza and Ghaem hospitals of Mashhad, in 1392. The exploratory factor analysis was used to determine the discomfort factors. The reliability coefficient of the questionnaire was applied by Cronbach’s alpha and approved by inter-raters agreement. Data analysis was performed with SPSS version 14.
Results: Factorial analysis showed that the components of the 30-item questionnaire of discomfortfactors in the intensive care units was identified in 5 domains including: isolation and loneliness (7 questions), anxiety (6 factors), the ICU environment (6 factors), treatment (6 factors), and pathophysiologic factors (5 factors). The range of Cronbach’s alpha coefficient for sub-scales of the questionnaire of discomfort factors in the intensive care unit was between 0.65 and 0.85, and cronbach’s alpha coefficient for the whole tool was 0.86.
Conclusion: the questionnaire of discomfort factors is designed to assist the nursing staff of the intensive care units to identify discomfort factors in patients and ultimately improve the quality of care for them. The psychometric characteristics of this questionnaire confirm its validity and reliability, so that it can be used to determine the source of discomfort among the ICU patients.- انتشار مقاله: 20-09-1393
- نویسندگان: Hossein Kareshki,Abbas Heydari,Javad Malekzadeh,Habibollah Esmaily,Zohre Mohammadzadeh Tabrizi,Maryam Hesarimoghaddam,Hasan Hajiabadi,Fatemeh Hajiabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Non-Alcoholic fatty liver disease,Anthropometric,FibroScan,Hepatic steatosis,transient elastography
- چکیده:
- چکیده انگلیسی: Introduction: Non-alcoholic fatty liver disease (NAFLD) is an important health problem globally that characterized as a disease spectrum which includes simple steatosis, non-alcoholic steatohepatitis and liver fibrosis and cirrhosis. The prevalence of NAFLD has significantly increased recently. The aim of this study was to investigate the relationship between anthropometric parameters and hepatic steatosis.Methods: This cross-sectional study was performed on 415 eligible participants. Anthropometric parameters were evaluated by standard methods and fat mass was measured with bioelectrical impedance analysis. Hepatic steatosis was diagnosed using FibroScan.Results: Of the 415 participants, 308 (74.2%) had hepatic steatosis. Body mass index and waist circumference were significantly higher in patients with hepatic steatosis. Hepatic steatosis had a significant and positive association with WC, body fat mass, and trunk fat mass. The trunk fat mass had the highest association with hepatic steatosis. Conclusion: The present study demonstrated that anthropometric measurements are related to increase hepatic steatosis even after adjustment for age and weight.
- انتشار مقاله: 08-04-1398
- نویسندگان: Maryam Ghandehari,Zahra Dehnavi,Farkhondeh Razmpour,Mahsa Miryan,Davood Soleimani,Seyed Mostafa Parizadeh,Reza Jafarzadeh Esfehani,Majid Sedaghat,Habibollah Esmaily,Mohsen Nematy
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Non-Alcoholic fatty liver disease,Diet record,FibroScan
- چکیده:
- چکیده انگلیسی: Introduction: Non-alcoholic fatty liver disease (NAFLD) is considered to be a severe health threat across the world, the prevalence of which has significantly increased in recent years. Considering the role of diet in the pathogenesis of NAFLD, the present study aimed to evaluate and compare the dietary intakes of patients with NAFLD with healthy subjects. Methods: This case-control study was conducted on 120 participants aged more than 18 years. The case group included 60 patients who were diagnosed with NAFLD based on Fibroscan assessment. The diet records of the subjects were analyzed using a three-day dietary record questionnaire. Results: After modulation based on energy intake, the total intakes of energy, fiber, vitamin D, and vitamin E were significantly lower in the patients with NAFLD compared to the control group. In addition, the level of trans-fatty acids after energy adjustment was significantly higher in NAFLD patients compared to the controls. However, analysis after the energy adjustment indicated no significant difference between the case and control groups in terms of protein, carbohydrate, saturated fatty acid, monounsaturated fatty acid, and polyunsaturated fatty acid intakes. Conclusion: According to the results, the diet records of the patients with NAFLD and healthy subjects differed in terms of the intakes of energy, fiber, trans-fatty acids, vitamin D, and vitamin E. Therefore, special attention must be paid to the dietary patterns of these individuals in order to improve their lifestyle and prevent the occurrence and progression of NAFLD.
- انتشار مقاله: 28-03-1398
- نویسندگان: Maryam Ghandehari,Zahra Dehnavi,Davood Soleimani,Majid Sedaghat,Farkhondeh Razmpour,Seyed Mostafa Parizadeh,Reza Jafarzadeh-Esfehani,Tannaz Jami-al-Ahmadi,Habibollah Esmaily,Mohsen Nematy
- مشاهده