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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Sexual dysfunction,Sexual function,PLISSIT model,Sexual dysfunctional beliefs,Sex life quality
- چکیده:
- چکیده انگلیسی: Background: Sexual satisfaction plays a vital role in the stability of a marriage. Dysfunctional sexual beliefs are often overlooked despite their recognition as factors negatively affecting sexual function and sexual satisfaction.
Aim: This studyaimed to determine the effect of counseling based on the PLISSIT model focused on dysfunctional sexual beliefs on the sexual satisfaction level of women with sexual dysfunction.
Method: This randomized controlled clinical trial was carried out on 61 married females with sexual dysfunction during 2018-2019. The data were collected using Sexual Dysfunctional Beliefs Questionnaire and Hudson's Index of Sexual Satisfaction. The intervention group received sexual counseling, whereas the control group received routine care. The data were analyzed in SPSS software (version 24) using the , Wilcoxon test, independent t-test, and Mann-Whitney U test.
Results: The mean ages of the females in the intervention and control groups were 35.5±5.6 and 36.7±6.7 years, respectively. Mann-Whitney U test showed a significant increase in mean sexual satisfaction scores in the intervention group after the intervention, compared to scores before the intervention (2.8±7.7 vs. 0.3±2.3) (P=0.03). In addition, Mann-Whitney U revealed a significant decrease in the scores of sexual dysfunctional beliefs in the intervention group after the intervention, compared to the scores of the control group before the intervention (27.3±14.5 vs. 1.0±1.2) (P<0.001).
Implications for Practice: With regard to the positive effect of counseling on correcting sexual dysfunctional beliefs, it is recommended that counseling method be implemented to increase sexual satisfaction levels in women.- انتشار مقاله: 23-05-1398
- نویسندگان: Maliheh Mohammadzadeh Moghaddam,Maryam Moradi,Khadijeh Mirzaii Najmabadi,Mohammad Arash Ramezani,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Acupressure,GV20 point,Labor pain intensity,Primiparous
- چکیده:
- چکیده انگلیسی: Background: The cycle of pain, fear, and anxiety may lead to prolonged labor and cesarean section. Acupressure is one of the methods for pain relief.
Aim: Therefore,this study aimed to compare the effect of acupressure on bladder-GV20 and gallbladder-GV20 points on the labor pain in primiparous women.
Method: This randomized clinical trial was conducted on 158 primiparous women, who referred to the Um Al-Benin Specialized Women Hospital, Mashhad, Iran in 2017. The first stage of labor included five and four pressure cycles on acupressure points in bladder and gallbladder in the intervention groups 1 and 2, respectively. In the second stage of labor one pressure cycle on the same points were completed. The control group only received the routine cares. The duration of uterine contractions was assessed by touching the uterus apex. Moreover, the pain intensity was evaluated by the visual analog scale. All the data were analyzed by the SPSS version 25
Results: The mean pain intensity in both stages of the intervention groups was significantly different from the control group and was significantly lower in the gallbladder group (P<0.001). The mean duration of contractions in the first stage was significantly different between the three groups (P<0.001).
Implications for Practice: According to the findings of this study,pressure on bladder-GV20 and gallbladder-GV20 points can attenuate pain intensity in the first and second stages of labor. Moreover, this technique prolongs the duration of contractions in the first stage of labor. Consequently, this method can be recommended as a complementary approach in labor.- انتشار مقاله: 15-02-1397
- نویسندگان: Elaheh Mansouri,Masoumeh Kordi,Shapour Badiee Aval,Mohammad Taghi Shakeri,Masoumeh Mirteimouri
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: attitude,Breast Cancer Screening,Breast self-examination (BSE),Systematic comprehensive health education and promotion model
- چکیده:
- چکیده انگلیسی: Background: Improvement of attitudes toward breast cancer positively affects the screening behaviors of women. Imagery has been shown to have a positive impact on the screening behaviors of women.
Aim: This study aimed to investigate the effects of breast cancer screening training based on the systematic comprehensive health education and promotion (SHEP) model on the attitudes and breast self-examination skills of women.
Method: This quasi-experimental study was conducted at two urban healthcare centers of Mashhad, Iran in 2015. Participants were 120 women covered by these health centers, who received training on breast cancer screening based on the SHEP model. Intervention consisted of evaluation (literature review, topic selection), implementation (developing instruments, educator training, training of participants), and assessment (pretest-posttest). Data were collected using researcher-made questionnaires of attitude and breast self-examination (BSE) checklists. Data analysis was performed in SPSS version 20 using independent t-test and Mann-Whitney U test.
Results: In the intervention and control groups, 55 (91.7%) and 56 (93.3%) participants were married, respectively. Results of Mann-Whitney U test before intervention showed no significant differences between the groups regarding the mean scores of attitude and breast self-examination skills (P>0.05). After a four-week follow-up, independent t-test revealed a significant difference between the groups in terms of the mean score of attitude (P<0.001). Moreover, Mann-Whitney U test was indicative of a significant difference in the mean score of BSE between the experimental and control groups (P<0.001).
Implications for Practice: Considering the feasibility and applicability of the SHEP model for different age ranges, breast screening training based on this educational model could enhance the attitudes and performance of women in this regard.- انتشار مقاله: 18-05-1395
- نویسندگان: Khadije Mirzaii,Shadan Nessari Ashkezari,Talat Khadivzadeh,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,depression,Stress,Muscle Relaxation,primigravida
- چکیده:
- چکیده انگلیسی: Background: Hormonal changes in pregnancy can alter a person's emotions and feelings. The most common mental disorders during pregnancy are anxiety and depression. Relaxation is one of the interventions that increases comfort through affecting the sympathetic system, and can probably reduce psychological tension in pregnant women.
Aim: To investigate the effect of progressive muscle relaxation on depression, anxiety and stress of primigravid women.
Methods: This randomized clinical trial was conducted on 66 primigravid women from April to September 1393(2014) in two health care centers covered by health center No-1 in the city of Mashhad. Subjects were randomly divided into two groups of progressive muscle relaxation and control. After two sessions of relaxation within two weeks, the intervention group was doing exercises at home for 4 weeks. The instrument used in this study, was Depression Anxiety Stress Scale (DASS 21). Data were analyzed with SPSS statistical software version 11.5, using descriptive statistics and Mann-Whitney U and independent t-tests.
Results: The mean age of subjects in this study was 25.5±4.3 years. Before the study, the two groups showed no significant differences in depression (p=0.24), anxiety (p=0.36) and stress (p=0.58); but after the intervention, depression (p=0.001), anxiety (p<0.001) and stress (p<0.001) of the pregnant women was significantly lower in the progressive muscle relaxation group than those of the control group.
Conclusion: Due to the relaxation effect on reducing depression, anxiety and stress, and also lack of side effects and its easy applicability, this method can be recommended to use as an approach to reduce depression, anxiety and stress in women during pregnancy.- انتشار مقاله: 08-10-1393
- نویسندگان: Farnaz Sadat Seyed Ahmadi Nejad,Nahid Golmakani,Negar Asghari Pour,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Accuracy,Oral Medicine,Referral,Specialist
- چکیده:
- چکیده انگلیسی: Background: Medical error is defined as an adverse event caused by medical management, which can be prevented. The aim of this study was to investigate the accuracy of diagnosis of oral and maxillofacial diseases made by health care practitioners.
Methods: A descriptive cross sectional study was done between Apr. 2009 and Mar.2010. 372 Patients with oral and maxillofacial lesions who had referred to oral medicine Department of Mashhad dental school or had examined by health care practitioners were examined by two oral medicine specialists and a self established questionnaire was completed. The main aim of this questionnaire was to investigate the accuracy of diagnosis of oral and maxillofacial diseases made by health care practitioners. Histopathologic evaluation was made to achieve a definite diagnosis.
Results: Only 30/6% of initial diagnoses were consistent with the diagnosis made by oral medicine specialists. Lichen planus and inflammatory hyperplasia have been the most common diseases which health care practitioners did not mention a diagnosis for them.Among the most common misdiagnosis lichen planus and abscess each involved 8 percent of misdiagnosis.
Conclusions: Unfortunately in present study there was little compatibility between diagnosis of dentists and practitioners with oral medicine specialist. Sometimes misdiagnosis results in postponing the treatment, patients` suffering and leads to side effects of unnecessary or incorrect treatment. As old people are more susceptible to oral diseases and lesions, there should be a holistic effort to find the cause of present problems and then resolving them through educational promoting and expanding the teamwork among physicians to diagnosis and treatment of the patients.- انتشار مقاله: 27-03-1393
- نویسندگان: Atessa Pakfetrat,Hasan Hoseinpour Jajarm,Maryam Basirat,Abbas Javadzade Bolouri,Zahra Delavarian,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,attitude,perception,Dental Student,Community Dentistry
- چکیده:
- چکیده انگلیسی: Background: Dental students’ attendance in community fields prepares them to get involved in oral health promotion programs. The aim of this study was to evaluate dental students` attitude toward education in community dentistry fields at an Iranian dental school.
Methods: 125 dental students participated in a questionnaire survey. The questionnaire included questions regarding students’ background specifications, their motives for entering dental school, students’ opinion about the amount of acquired competency, and their attitude about educational experience in the community dentistry fields.
Results:More than two-thirds of the students (78%) assessed educational experience of community dentistry fields as positive. Students’ main motive for entering dentistry school was acquisition of social prestige. About 80% of the students described their acquired competency as average and high. Students with higher social attitude scores and those who reported more acquired competency were more probable to evaluate their attendance in community dentistry fields as positive (p-value=0.04 and 0.01 respectively).
Conclusion: students with higher socially conscious attitude and those who reported more acquired competency expressed their community dentistry field's education experience as more positive.- انتشار مقاله: 21-12-1391
- نویسندگان: Taraneh Movahhed,Behjatalmolook Ajami,Hadi Ghasemi,Mahboobe Dehghani,Behzad Naghizadeh,Mohammad Taghi Shakeri,Fatemeh Khorakian,Mostafa Sufiani Ghadim
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Pre-hospital,Emergency system,Epidemiological survey,Service providing
- چکیده:
- چکیده انگلیسی: Introduction: Providing appropriate care, in the right place and at the right time, is the main goal of emergency medical services (EMS) to save lives. The present study aimed to assess the pre-hospital EMS in Mashhad, the second largest metropolis in Iran.
Materials and Methods: In this research, data were extracted from the pre-hospital emergency mission forms, which were collected from the EMS stations in Mashhad and suburbs through systematic random sampling. In addition, supplementary information was obtained from the ambulance dispatch cards and emergency communication center forms.
Results:Automobile accidents (33.7%) and cardiovascular events (17.8%) were the most common causes of contacts to the EMS. In the city and road stations, the mean response time was 2.6 and 1.6 minutes, while the mean time of arrival at the scene was 13.2 and 11.4 minutes, and the mean evacuation time was 13.2 and 11.4 minutes, respectively. Individuals aged 20-29 (25.2%) and more than 60 years (23.9%) constituted the majority of the cases receiving EMS.
Conclusion: According to the results, the ‘golden time’ for emergency care was of great importance in the patients injured in car accidents or affected by cardiovascular events. Furthermore, a significant difference was observed in the time indices of EMS in Mashhad city with the EMS standards due to the lack of human resources or EMS facilities. Some contacts to the EMS were unnecessary, and no expert team aid was needed in some cases. It is recommended that citizens be trained on solving the problems associated with road traffic by implementing mobile emergency, while transfer units must be established for the better provision of emergency care by the EMS in Mashhad.- انتشار مقاله: 02-03-1396
- نویسندگان: Mohsen Seyyednozadi,Lida Jarahi,Majid Reza Erfanian,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Behavioral intention,Theory of Planned Behaviour,High-risk sexual behaviour,Female prisoners
- چکیده:
- چکیده انگلیسی: Background and Aims: High-risk sexual behaviors are of the most important risky behaviours in the area of sexual and reproductive health. It seems that educational programs based on health behavioural change theories are of the most basic measures in prevention of social damages. Therefore, the present study was carried out to determine the effect of a training program based on the theory of planned behaviour (TPB) on sexual high-risk behavioural intentions in female prisonors in Vakil Abad Prison, Mashhad, Iran, in 2013.
Methods: This was a pre-experimental one group designed study on 40 women gotten prisoned due to doing high-risk sexual behaviours. Data were collected using self-structured questionnaires including demographics information, data related to sexual activity and constructs of the theory of planned behaviour. The training program was designed based on the constructs of this theory and was then implemented as seven 70-minute sessions. The questionnaires were completed before, immediately after, and four weeks after completing the training program. Data were analyzed using descriptive and inferential statistics tests via SPSS software.
Results: There were significant differences between the mean scores of attitude, subjective norms, perceived behavioral control and behavioral intention for abstinence from high-risk sexual behaviors in female prisoners before, immediately after and four weeks after implementation of the training program (P < 0.001 for all).
Conclusion: Developed health educational program on the basis of theory of planned behavior was an effective strategy for abstinence from high-risk sexual behavioral intention in jailed women.- انتشار مقاله: 24-03-1394
- نویسندگان: Mona Larki,Mahin Taffazoli,Robab Latifnejad-Roudsari,Mohammad Taghi Shakeri,Ali Babaee
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Pregnancy,attitude,Intention,Motivational interviewing,Vaginal birth after Cesarean Knowledge
- چکیده:
- چکیده انگلیسی: Background & aim: Promoting vaginal birth after cesarean section (VBAC) is a suitable approach to reduce repeat cesarean section. It seems that counseling can help women to choose VBAC appropriately. The present study, therefore, aimed to investigate the impact of motivational interviewing on knowledge, attitude, and intention of women to choose VBAC.
Methods: In this randomized clinical trial 60 pregnant women who referred to the health centers of Mashhad, Iran in 2018, were randomly assigned to two groups of motivational interviewing and control. Intervention group received three 60-90 minutes sessions of group counseling, which scheduled every other week based on motivational interviewing. The control group only received routine care. Subjects' knowledge, attitude, and intention were assessed before and two weeks after intervention. Self-structured tools were used to measure knowledge, attitude and intention of participants towards VBAC. The data were analyzed using SPSS version 25 with independent and paired t-test, U Mann-Whitney, Chi-Square and Kruskal-Wallis tests.
Results: The mean score of knowledge and attitude during weeks 34-36 of pregnancy was 14.57±0.54 and 65.6±1.3 in the intervention group and 11.7±0.56 and 58.2±1.42 in the control group, respectively; which was significantly different between two groups (P<0.05). However, there was no significant difference between the two groups in terms of intention towards VBAC (P> 0.05); although a difference was seen in intention of intervention group after compared with before intervention (22.7 vs 43.4%, P < 0.05).
Conclusion: motivational interviewing enhances knowledge and attitude toward vaginal birth after cesarean. Therefore, this method can be applied for prenatal counseling about vaginal birth after cesarean.- انتشار مقاله: 19-02-1398
- نویسندگان: Seyedeh Zahra Hoseini Haji,Mahboobeh Firoozi,Negar Asghari Pour,Mohammad Taghi Shakeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Midwifery and Reproductive Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Marital satisfaction,Transition to parenthood,Employed women,Housewives
- چکیده:
- چکیده انگلیسی: Background & aim: Birth of the first child is one of the major life events for every woman. This event can make extensive changes in couple’s life, which lead to the reduction of marital satisfaction or incidence of conflicts in wifehood and parenthood. Regarding this, the present study was conducted to determine the relationship between transition to parenthood and marital satisfaction among housewives and employed women.
Methods: This correlational study was carried out on 120 women referring to the healthcare centers of Mashhad, Iran. The study population was selected using the three-stage cluster sampling technique. The participants were assigned into two groups of housewife and employed women based on their occupational status. The data were collected using the Transition to Parenthood Scale and ENRICH Marital Satisfaction Inventory. Data analysis was performed in SPSS (version 16) using t-test, Mann-Whitney U test, as well as Spearman and Pearson correlation tests.
Results: The results showed a significant correlation between transition difficulty to parenthood and marital satisfaction among housewives and employed women (p <0.005). There was a significant difference between the housewives and employed groups regarding the transition difficulty to parenthood (p <0.05). The employed women faced more difficulty in transition to parenthood. However, no significant difference was found between the two groups in terms of marital satisfaction (P=0.26).
Conclusion: As the findings indicated, the employed women had more difficulty in transition to parenthood, compared to the housewives. Thus, it is recommended to devote more facilities and social support including spouse support to provide employed women with essential education assisting their transition to parenthood- انتشار مقاله: 04-08-1396
- نویسندگان: Shahla Nourani,Fatemeh Seraj Shirvan,Mohammad Taghi Shakeri,Naghmeh Mokhber
- مشاهده