Showing 5 results for Afra
M Modaress, St Mirmolaie, F Rahimikian, S Afrasiabie,
Volume 16, Issue 3 (8 2011)
Abstract
Background & Aim: Childbearing is a potentially traumatic event in the lives of women and can lead to post traumatic stress disorder in some women. This study aimed to determine the prevalence and predisposing factors of post traumatic stress disorder after childbearing in women in Bushehr.
Methods & Materials: In this cross-sectional study, 400 women who attended the medical centers 6-8 weeks after delivery were recruited to the study. Participants with traumatic delivery were included in the study. They completed the posttraumatic symptoms scale-I (PSS-I), and predisposing factors questionnaire. Data were analyzed in two groups of women with the PTSD and without PTSD using Chi-square and Fisher&aposs exact test with P=0.05.
Results: The results of this study showed that 54.4% of women had experienced a traumatic delivery and one-third of the women were affected to PTSD after childbearing. There were significant differences between obstetrical factors including complications of pregnancy, wanted pregnancy, post-partum complications, interval of the last two pregnancies less than two years neonatal factors including type of feeding, issues of child care, birth weight and psychological factors including stressful life events, and maternity social support with the PTSD (P<0.05). Income had statistically significant association with the PTSD (P<0.05).
Conclusion: Some of obstetrical, neonatal and psychological factors are associated with occurrence of the PTSD after delivery
Faezeh Ghafoori, Mahshid Taheri, Afrouz Mardi, Nasrin Sarafraz, Reza Negarandeh,
Volume 21, Issue 3 (12-2015)
Abstract
Background & Aim: In the view of the importance of evidence-based clinical practice in recent years, clinical disciplines such as nursing and midwifery have found a special need to systematic review and meta-analysis. However, systematic reviews and meta-analysises like any other studies may be poorly designed and implemented. Therefore, certain guidelines have been considered for reporting of such studies. The PRISMA statement is one of the most recent developments to improve the reporting quality of systematic reviews. The present study aimed to assess the reporting quality of systematic reviews and meta-analysises in the Iranian journals of Nursing and Midwifery, based on the PRISMA statement.
Methods & Materials: In this study, we conducted a comprehensive search on the Iranian journals of Nursing and Midwifery (Persian and English), indexed by the SID, Magiran, Irandoc, Iranmedex and Google Scholar databases during 2010 to 2015 years. The search was implemented using the key words such as systematic review and meta-analysis. Of the 44 articles found, after considering the inclusion criteria, 16 articles remained that were investigated using the PRISMA statement. Data were analyzed through the descriptive statistics and chi-square test using SPSS software version 16.
Results: The compliance rate of studies on the basis of PRISMA statement was estimated to be about 63%. The most common deficiency in the reporting quality was related to methodology estimated to be about 57%. The most visible deficiencies in the reporting of systematic reviews and meta-analysises were related to bias in the primary studies and bias in combining the results of these studies and lack of reporting these biases.
Conclusion: In this study, the reporting quality of systematic reviews and meta-analysises in the Iranian journals of nursing and midwifery was in the moderate level. The most probable reason for this may be the lack of enough attention of researchers to the PRISMA statement or not using this statement in reviewing articles. Therefore, it is recommended that an appropriate share of the educational programs on research methodology be allocated to systematic reviews and familiarizing with valid criteria such as PRISMA statement.
Dr Azita Noroozi, Elahe Afrazeh, Rahim Tahmasebi,
Volume 24, Issue 1 (5-2018)
Abstract
Background & Aim: Diabetes is the most common metabolic disease that needs self-management. The aim of this study was to compare the effects of loss- and gain-framed messages on knowledge, self-efficacy and self-management in diabetic patients.
Methods & Materials: In this randomized clinical trial (IRCT2016122931653N1), 112 patients with type 2 diabetes referred to the 17th Shahrivar Diabetes clinic in Borazjan in 2017, were divided into three groups including loss-framed message, gain-framed message, and control. The data were collected by questionnaires in three steps; before, one week and three months after intervention. Chi-square test, one way analysis of variance and repeated measures analysis of variance were used to analyze the data on the SPSS software version 22.
Results: Before the intervention, mean scores for knowledge, self-efficacy and self-management in loss-framed messages group and gain-framed messages group were lower than control. One week and three months after the intervention, mean scores for knowledge, self-efficacy and self-management in both the loss-framed messages and gain-framed messages groups showed a significant increase compared to the control group (P<0.001). One week after the education, self-management score in the gain-framed messages group was 102.26±11.20, in the loss-framed messages group was 111.53±13.73 and in the control was 88.75±11.41. Three months after the education, self-management score in the mentioned groups were 105.58±11.80, 108.72±15.39 and 88.49±13.51, respectively.
Conclusion: The results of this study showed that designing and implementing educational programs based on loss-framed messages and especially gain-framed messages can improve knowledge, self-efficacy and self-management behavior in diabetic patients.
Sede Azam Vahedi, Mohammad Aghaali, Leila Ghanbari Afra, Hamid Asayesh, Freidoon Mashhadi, Hossein Saghafi, Fatemeh Koochakzadeh,
Volume 24, Issue 2 (7-2018)
Abstract
Background & Aim: One of the important issues that affects the quality of hemodialysis is recirculation. Some researchers have suggested that the direction and distance of needle cannulation can affect the amount of recirculation. Therefore, this study aimed to investigate the effect of direction and distance of needle cannulation on recirculating of arteriovenous fistula in hemodialysis patients.
Methods & Materials: This clinical trial was performed on patients referred to the dialysis ward of Kamkar-Arabnia hospital affiliated to Qom University of Medical Sciences in 2016. The amount of recirculation was measured in 22 patients by urea based method, in four consecutive sessions. In each session, the distance and direction of the needles were three centimeters in opposite direction, three centimeters in same direction, six centimeters in opposite direction, and six centimeters in same direction. Data were analyzed using Stata and GEE test.
Results: The average age of participants was 53(16±0.75) years. In 41 dialysis cases (out of 88), the amount of recirculation was higher than 10%. The odds ratio for more than 10% recirculation for a distance of three centimeters compared to six centimeters was 2.05 (1.07-3.93) and for same direction compared to opposite direction was 1.98 (1.03-3.78).
Conclusion: The results of this study showed that the insertion of needles at a distance of six centimeters in opposite position had the lowest chance of recirculation. Therefore, the attention to proper insertion of needles can be effective in reducing recirculation and increasing the quality of dialysis.
Clinical trial registry: IRCT2016082929581N1
Arghavan Afra, Noorollah Tahery, Shima Seneysel Bachari, Masoud Torabpour Toroghi,
Volume 30, Issue 3 (9-2024)
Abstract
Background & Aim: Modern professional nursing necessitates the use of information technology to facilitate clinical decision-making and obtain optimal patient care outcomes. The aim of this study was to conduct a psychometric evaluation and adapt the Nursing Informatics Competency Self-Assessment tool for use in Iran.
Methods & Materials: The present research employed a descriptive and methodological design. Initially, the original tool was translated into Persian following a standardized procedure. Subsequent assessments of face and content validity were conducted through expert reviews and the calculation of the content validity index. Reliability was evaluated using both Cronbach's alpha and test-retest methods, including the calculation of the intraclass correlation coefficient. Data analysis was conducted using confirmatory factor analysis on a convenience sample of 300 nursing students from the School of Nursing and Midwifery at Abadan University of Medical Sciences, utilizing SPSS version 22 and LISREL version 8.8.
Results: The content validity index for all items exceeded the standard threshold of 0.79, indicating satisfactory validity scores for each item. The final version of the tool demonstrated acceptable reliability with a Cronbach's alpha coefficient of 0.898 and an intraclass correlation coefficient of 0.893. Confirmatory factor analysis indicated the fitness of a five-factor structure for the Persian version of the tool. Standardized factor loadings showed a good fit and satisfactory construct validity for the tool within the Iranian context.
Conclusion: The Persian version of the Nursing Informatics Competency Self-Assessment Tool exhibits acceptable psychometric properties within the Iranian nursing population and is recommended for use as a credible instrument in nursing practice.
