Showing 25 results for Karimi
R Karimi,
Volume 6, Issue 1 (9 2000)
Abstract
The present is a descriptive study aimed at an investigtion into the incidence of bacterial infections in the respiratory system of infans under mechanical ventilation. Use of this instrument is inevitable in cases of respiratory failure or delay, and the air passage should be kept clean by means of a trachea suction thus the problem of pulmonary infection due to handling and entering of particles from the environment to the lungs may not be ignored. In this research, 756 culture samples were prepared from 27 subject infant (one day to 12 months old), in four stages from the onset of setting the tube in the trachea, in a period of 24 hours at senen locations for suction on the patient, including pulmonary secretions, oral secretions, the suction agent's hands, the suction catheter, the adhesive tape used for fixing the trachea tube, normal saline solution and connection between the catheter and the suction tube. Out of 27 infants, ten of them (37%) stayed alive until the end of 72 hours, and 17 of them (63%) passed away, the death of Jive (29%) of whom was inevitable in view of the illness diagnosis but 12 (70%) of them were those whom the mechanical ventiltor could have prevented from dying.The research findings report the results of cultures of samples from infants who stayed alive until each of the foursome stages and which were, respec tively,27,25, 22 and 10 in number, as follow:The result of culturing pulmonary secretions of the infants in foursome stages respectively reported contaminations of 27%, 52%, 77.3% and 100%.A comprehensive investigation shows that in more that 50% of cases, these tools may transfer microorganisms to the patient and such death and 100% contamination of pulmonary and oral secretions of the patient at the fourth stage of sampling are justified. The various types of microorganisms observed during this research.Which Could be harmful, when there microorganisms enter into the resperatory tract of patiento.
F Fotorehchi, N.s Taghavi, R Karimi, A Mehran,
Volume 8, Issue 1 (8 2002)
Abstract
This is a descriptive - analytical study to determine the relationship between hypertension and birth weight in primary school children at the 6-7 age group in shahrood in 1999-2000.The samples consisting 203 healthy school - age children that were selected according to cluster sampling.Data collection instruments included questionare, checklist, stethoscope and mercurial sphygmomanometer.The results showed that there was not significant relationship between systolic blood pressure and birth weight in male and female groups. Furthermore, there was no significant relationship between diastolic blood pressure and birth weight in male group as well, however, there was a statistically significant inverse relationship in female group that their birth weight was more than 2500 gr with their diastolic blood pressure.The results can be used in midwifery training for pregnant women during their prenatal care period, in nursing training to promote the quality of health services, in training health care talented students and students suffering from hypertension and they can also be used in educating teachers and principals of schools to increase their knowledge and information.
R Karimi, Z Parsa-Yekta, A Mehran, L Nik-Farid,
Volume 8, Issue 3 (12 2002)
Abstract
Post-surgery pain is usually controlled by PRN drugs administered by nurses. According to the decision-making theories, this clinical decision-making depends on three factors: nurse-related factors child-related factors and hospital-related factors. This study deals with the first and second factors mentioned. This descriptive-analytic study aims at determining the perspective of nurses on factors which affect their decisions to administer the analgesic PRN to children after surgery in several chosen hospitals of Tehran. The study used a standardized questionnaire to collect data from 57 nurses in pediatric surgery wards. The questionnaire consisted of three parts: 1) nurses demographic data 2) 20 clinical scenario for nurses to make a decision for prescribing either analgesic medication, non-analgesic medication or no medication where necessary and 3) 12 factors which affect clinical decision-making in using analgesics.(in prioritizing among the above mentioned). The results show that factors such as age, nursing experience, pediatric nursing experience and motherhood were significantly related to choosing to use analgesics. Education and personal experience of extreme pain was also related to the type of analgesic chosen. Concerning the specifics of the children there was a significant difference between the choice to use analgesics and the type of analgesic used according to the various ages of the children. There was also a significant relationship between the type of surgery and the time of surgery and with the choice to use analgesics and the type of analgesics used, such that medication and analgesics were administered more frequently for complicated surgeries and in first 24 hours after surgery. Type of surgery, severity of pain, time of surgery and uneasy behaviors were selected respectively as the most effective in the administration of PRN analgesic drugs. Nurse and child related factors strongly influence nurses in making decisions to administer PRN analgesics postoperatively.
R Karimi , T Taghavi Larijani , A Mehran , F Ghaljaei ,
Volume 11, Issue 4 (5 2006)
Abstract
Background & Aim: In order to present any level of education and care of children by nurses, there is need to be a strong and favorite interrelationship between parents and their children. Background of this relationship must be recognized in texture of family (parental control) and regard to the duty of nurses continuance of family relationship is necessary. At the same time it must be adopted policies to compatible with child mentality and help to reduce his/her anxiety.
Methods & Materials: This study is a descriptive correlation research to determine association between patterns of parental style of control with adolescents anxiety, it performed in Ten schools in Tehran in this research data have been collected with two questionnaire for (student, parents) the samples was consisted 370 students (13 to 15 years) and their parents, these instrument consisted demographic characteristics (for student and parents), Physiological indicator anxiety (for parent), and Reynolds and Richmond anxiety test for students. The data were the Analyzed by (SPSS) computer software.
Results: Result show that Anxiety in the student was 33% and Anxiety 7.6% and student have been Authoritarian parents had high score of Anxiety 92%. This finding shows a significant correlation between Anxiety and parental style of control (p<0.05).
Conclusion: According to the finding parent style control has important role in mental health of children. School nurses can important role in education of best style control of parenting with adolescents and decries of Anxiety from it.
F Mirzaaghaee , Z Moinfar , S Eftekhari , M Karimi Khezri , M Mazidi , M Aliramezani , M Sedaghat ,
Volume 12, Issue 3 (6 2006)
Abstract
Background & Aim: Osteoporosis is a metabolic disease which is the result of gradual destruction of bone mass and its most serious and frequent complication is hip fracture. Because adolescent females are the high risk group of affecting this disease, the purpose of this study was to assay female students’ knowledge’s about osteoporosis and its risk factors.
Methods & Materials: A cross-sectional study with a 31-item questionnaire was used in this research. A convenience sample of 1000 adolescents in grade 1-3 who attended at 6 high schools participated in this study. Using SPSS software, the data were analyzed by chi2 and T tests.
Results: According to 22 questions about knowledge, sufficient knowledge of students was estimated 40.8%. Among 10 factors related to the family, only correlation between father occupation and knowledge was significant statically (p=0.049). Knowledge was higher in independent- medicine versus dependent medicine occupations.
Conclusion: Overall, the knowledge of these assayed female students about this disease and its risk factors including sex, race, smoking, sun exposure, exercise, calcium- rich foods and menopause and its complications was limited.
M Zolfaghari, A Nikbakht Nasrabadi, A Karimi Rozveh, H Haghani,
Volume 14, Issue 1 (29 2008)
Abstract
Background & Aim: Nowadays, mechanical ventilators are being used for some patients in ICUs due to various physiological and clinical causes. Keeping endotracheal tube clean and open is necessary in order to improve the patient&aposs oxygenation. This study aimed to investigate the effects of open and closed system endotracheal suctioning on vital signs of patients in ICU.
Methods & Materials: In this quasi-experimental study, 40 patients from Shariaty Hospital&aposs ICU were selected using convenience sampling method. Data was collected using a record sheet. The sheet consisted of demographic characteristics and vital signs including blood pressure, mean arterial blood pressure, heart rate, respiratory rate, and arterial blood oxygen saturation percentage. Endotracheal suctioning was done randomly in 90 minute intervals once using closed method and once using open method. All patients were hyper oxygenated by Ambo bag for 2 minutes before and after the procedures. The patients&apos vital signs were checked and recorded using SIEMENS 680 2xi monitor before, and 2 minutes and 5 minutes after the procedures. Data were analyzed using SPSS software.
Results: Systolic and diastolic blood pressures, and heart rate showed higher increase 2 and 5 minutes after the open method compared to close method (P<0.001). Arterial blood oxygen saturation percentage reduced in the open method more than in the closed one 2 and 5 minutes after the procedure (P<0.001). No significant difference was seen in the patients&apos respiratory rate in two methods (P>0.05).
Conclusion: Closed endotracheal suction system results in lower disturbances in the vital signs than the open system. Therefore, for better results, the closed endotracheal suctioning is suggested.
R Karimi, Z Daneshvar, As Sadat Hoseini, A Mehran, M Shiri,
Volume 14, Issue 1 (29 2008)
Abstract
Background & Aim: Due to the fact that family centered care have a crucial role in pediatric nursing, it seems compatibility of nurses&apos and parents&apos perception about parents&apos needs can lead to deliver higher quality care. The aim of this study was to compare parents&apos and nurses&apos perceptions about needs of hospitalized children&aposs parents.
Methods & Materials: This is a cross-sectional survey. One hundred and fifty parents and 80 nurses were selected using convenient sampling method. Data was gathered using Kristjánsdóttir&aposs "parental needs of hospitalized children" questionnaire. Data were analyzed using descriptive and analytical (Chi-squared & Mann-Whitney U tests) methods.
Results: Research findings showed that there was significant difference between both parents&apos and nurses&apos perceptions about parents&apos needs (P=0.012). Both groups believed that parents&apos needs are met partially in hospitals. There was not meaningful difference between the parents&apos and nurses&apos perceptions concerning meeting parental needs (P=0.666). Based on their perceptions, understanding of parents&apos needs help them to meet their requirements in health care facilities. There was a significant difference between parents&apos and nurses&apos perceptions regarding parents&apos need (P=0.018).
Conclusion: Parents and nurses recognized all of the parents&apos needs to be important there were also deficits in meeting these needs. Therefore, parents&apos cooperation with health care team is necessary to facilitate the recovery of sick children as well as meeting parents&apos needs.
R Karimi, N Dehghan Nayeri, Z Daneshvar Ameri, A Mehran, T Sadeghi,
Volume 15, Issue 1 (2 2009)
Abstract
Background & Aim: Privacy is one of basic rights of the patients. Privacy becomes important for the adolescents when they hospitalize in an unfamiliar environment. This study aimed to compare the perceptions of inpatient adolescents with nurses on the observance of privacy and its importance.
Methods & Materials: In this cross-sectional study, 175 nurses and a convenience sample of 180 inpatient adolescents who had met the inclusion criteria were recruited to the study. Data was gathered using a questionnaire. Man-whitney u and kruskal-wallis statistical tests were used to analyze the data.
Results: The results showed that there was significant differences between nurses&apos and inpatient adolescents` perceptions on the observance of privacy and its importance (man-whitney u, P<0.001). The most important priority regarding the privacy from nurses&apos point of view was "covering the unnecessary parts of the body while caring" whilst it was "providing a pleasant decorated environment, telephone, toilet and bath in room, and hospitalization in a room with peers" from the adolescents&apos point of view. The most observed case about privacy from the nurses&apos point of view was "taking immediate action to help the teenagers if necessary" whilst, from the adolescents view, it was "calling them with their favorite names".
Conclusion: The mean perceptions of nurses were higher than the adolescences toward observance of privacy and its importance. The results can guide nurses to improve quality of care for this group.
E Shakibazadeh, A Rashidian, B Larijani, D Shojaeezadeh, Mh Forouzanfar, A Karimi Shahanjarini,
Volume 15, Issue 4 (3 2010)
Abstract
Background & Aim: Regarding the importance of determining the determinants of diabetes self-care, this study aimed to examine two major determinants of self-care activities, i.e. perceived barriers, and perceived self-efficacy among type two diabetic patients in Tehran, Iran.
Methods & Materials: In this cross-sectional study, 128 patients were recruited to the study using convenience sampling. The validated diabetes instruments were completed by the patients. The included participants aged older than 18 years. Data were analyzed using bivariate correlation and path analysis.
Results: The mean score of the perceived barriers and perceived self-efficacy were 3.05 and 2.18, respectively. The maximum score of self-care was 4.18. There was a positive correlation between self-efficacy and the self-care (r=0.22 P<0.01). Positive correlations were also found between education with self-efficacy and self-care (r=0.28 P<0.05), (r=0.29 P<0.05). There was a negative correlation between perceived barriers and self-care behaviors (r=-0.68 P<0.000). Using serial multiple regressions and path analysis, we had a final model (RMSEA=0.05 GFI=0.95 CFI=0.98 P=0.44 and Chi-Square=26.5). This model showed that perceived barriers were the strongest predictor for self-care behaviors. Perceived barriers mediated the effect of self-efficacy on the self-care behaviors.
Conclusion: The intervention efforts that address the studied determinants related to self-care behavior could potentially impact type two diabetic patients&apos self-care activities. These determinants should be mentioned in the program developing.
M Ahmadi, F Rafii, F Hoseini, M Habibi Koolaee, A Mirkarimi,
Volume 17, Issue 1 (4 2011)
Abstract
Background & Aim: Healthcare classification systems help to gather information and process health data. Nursing management focus on developing computerized records to answer legal, managerial and clinical needs. The Classification systems help organizations to use nursing data. This study investigated informational and structural needs of nursing data classification.
Methods & Materials: This descriptive-comparative study was carried out in 2009. Current classification systems for nursing were investigated and their specifications were gathered in a questionnaire. The items were prioritized by experts in four degrees. Using statistical analysis items with a priority over 80 percent (average 2.4) were selected.
Results: Findings about nursing diagnosis, intervention and outcomes showed that diagnosis item (average 2.93 out of 3), intervention item (average 2.52 out of 3), and outcome item (average 2.84 out of 3) should be presented in the system. Structure of nursing data classification was identified as a hierarchical and combinational classification. The computerized terminology (average 1.86 out of 3) had no priority.
Conclusion: It is suggested to make decisions for standardizing nursing data to use in computerized systems. Since, nursing system in Iran is moving toward defining tariff for nursing services, coding nursing care components will help this plan to be developed.
Roghiyeh Karimi, Fidan Shabani, Nahid Dehghan Nayeri, Khadijeh Zareii, Gholamreza Khalili, Mohammad Chehrazi,
Volume 18, Issue 2 (6 2012)
Abstract
Background & Aim: Premature infants undergo painful and stressful procedures during care and treatment. Nurses can help to reduce short- and long-term effects of pain caused by diagnostic and therapeutic procedures using various methods including music therapy. The aim of this study was to assess the effect of music therapy on physiological pain responses of premature infants during and after blood sampling.
Methods & Materials: This was an experimental study with crossover design conducted on 20 premature infants hospitalized in the intensive care unit of a hospital affiliated to the Tehran University of Medical Sciences for a five months period in 2010-11. Infants were randomly allocated in two groups of experiment and/or control. Each infant was considered as its own control. We assessed the physiological pain responses caused by blood sampling such as heart rate and oxygen saturation level. Infants in the experiment group listened to the Transitions music five minutes before until 10 minutes after the blood sampling. The responses were recorded and reviewed ten minutes before until ten minutes after the blood sampling in both groups and physiological changes were detected. Data were analyzed using ANOVA and Chi-square tests in the SAS and SPSS.
Results: Results showed significant difference in heart rate between the experiment and control groups during needle exit (P=0.022). There was also significant difference in heart rate between experiment and control group in the first 5 minutes of blood sampling (P=0.005).
Conclusion: Results showed that music therapy could reduce some physiological responses of pain during and after blood sampling. Music therapy can be used as a beneficial intervention following painful procedures such as blood sampling in the NICU.
Azime Izaadi, Javad Karimi, Mohsen Rahmani,
Volume 19, Issue 3 (12-2013)
Abstract
Background & Aim: Body image flexibility is defined as the capacity to experience the ongoing perceptions, sensations, feelings, thoughts, and beliefs associated with one's body fully and intentionally while pursuing chosen values. This study was aimed to translate Body Image flexibility Questionnaire (BI-AAQ ) into Persian language and assess the validity and reliability of the translated version as an instrument to measure body image resilience .
Methods & Materials: In this cross-sectional study, 354 students (130 males and 224 females) studying in an academic year (2012-2013) at Tehran University of Medical Sciences were selected through convenience sampling method . Students filled out demographic questionnaires, "body image flexibility questionnaires", "acceptance and action questionnaire edition 2", and "depression, anxiety and stress scale". For data analysis, IBM SPSS 21 and IBM SPSS Amos 21 software were used .
Results: The test-retest coefficient was 0.72. The correlation of the scale with the weight consent, psychological flexibility, stress, depression and anxiety was -0.54, 0.33, 0.33, 0.45, and 0.37, respectively which represented the concurrent validity of the scale. Confirmatory factor analysis results also showed that single-factor model of body image flexibility questionnaire has good fitting the Iran' community. Internal consistency reliability was estimated with Cronbach ’s alpha (α=0.87) .
Conclusion: Psychometric characteristics of the body image flexibility questionnaires showed that the questionnaire seems to be acceptable in Iranian society. It is a useful tool for research in the psychological and psychiatric clinics .
Sousan Valizadeh, Mohammad Bagher Hosseini, Gelavizh Karimijavan, Iran Amirteimori,
Volume 20, Issue 1 (4-2014)
Abstract
Background & Aim: Technology advancement has increased the survival rates of premature infants. Preterm newborns frequently experience oral feeding difficulties due to lack of coordination in sucking, swallowing and respiration. This may negatively affect attainment of independent oral feeding skill and leads to longer hospital stays. This study aimed to examine the effects of non-nutritive sucking vs. oral massage therapy on attainment of independent oral feeding and length of stay in the NICU .
Methods & Materials: This clinical trial was conducted on 72 premature infants (28-32 week gestational age) hospitalized in the NICU of Alzahra Hospital in Tabriz in 2013. The eligible infants were randomly allocated to one of the three groups: oral massage, non-nutritive sucking, and control groups. Newborn infants in the oral massage group received pre- and intraoral massage therapy (before gavage) for at least 10 days. The newborn infants in the non-nutritive sucking group were encouraged to suck on a finger of mother or the researcher before gavage. The control group received usual care. The time to attain independent oral feeding and length of stay in the hospital were compared in the groups .
Results: Compared to the control group, the time to oral intake was significantly shorter in both experimental groups (P<0.001). There was no significant difference between the duration to achieve independent oral feeding status among the groups (P=0.915). Length of stay in the hospital did not significantly differ among the three study groups (P=0.342) .
Conclusion: Findings indicated that both oral massage and non-nutritive sucking therapy groups could accelerate attainment of independent oral feeding in premature newborn infants .
Fatemeh Zahra Karimi, Gholamhosein Zarifnejad, Mahboubeh Abdolahi, Ali Ali Taghipour,
Volume 21, Issue 3 (12-2015)
Abstract
Background & Aim: Because of the importance of empathy and positive impact on the relationship between patients and health care providers, as well as the lack of valid instrument to assess student's empathy in health domain, this study aimed to examine the factor structure and reliability of the Persian version of JSE-HPS in the students of the School of Nursing and Midwifery, Mashhad University of Medical Sciences in Iran.
Methods & Materials: In this cross-sectional study, 398 nursing and midwifery students of Mashhad University of Medical Sciences were selected using stratified random sampling. The data collection instrument was JSE-HP. The confirmatory factor analysis was used to investigate the factor structure of the instrument, and the Cronbach's alpha coefficient was applied to examine its reliability. The data analysis was done using LISREL version 8.8 and SPSS version 20.
Results: The results of the confirmatory factor analysis model showed given that fitness model parameters, including CFI, GFI, AGFI and NFI were approximately 1 and RMSEA index was less than 0.1, the fitness of three-factor model is appropriate. The Cronbach's alpha coefficient for the total instrument was 0.63.
Conclusion: The current study confirmed the three-factor structure of the Persian version of JSE-HPS (20 items), included perspective taking, compassionate care and standing in patient’s shoes. Thus, this instrument is appropriate to measure empathy for patient in the health service provider students.
Arezoo Karimi, Salman Daliri, Koroush Sayeh Miri,
Volume 22, Issue 3 (10-2016)
Abstract
Background & Aim: Violence during pregnancy affects both mother and fetus. This study was performed to investigate the relationship between physical, sexual and psychological violence during pregnancy and low birth weight in the world as a meta-analysis.
Methods & Materials: This study is a meta-analysis that was performed on articles published in Persian and English languages from the beginning of 1995 to the end of 2015. Articles were extracted by searching in the databases of Scopus, Medline, EMBASE, Pubmed, Web of Science, Google scholar, Science Direct, Irandoc, Magiran, Medlib, and SID using key words of violence during pregnancy, low birth weight, physical, sexual and psychological violence and their compounds. The results of studies were combined using a random effects model in the meta-analysis. The heterogeneity of studies was evaluated using the I2 index and meta-regression, and the data analysis was performed using STATA software v.11.2 and SPSS software v.16.
Results: Of 254 found articles, 16 relevant articles with the sample number of 117287 people were included in the study. The results of meta-analysis showed that physical OR:1.61 (CI95%:2.04–2.28), psychological OR:1.26 (CI95%:1.02–1.56) and sexual violence OR:1.26 (CI95%:1.02–1.56) during pregnancy, lead to an increase in the rate of low birth weight infants in the exposed mothers.
Conclusion: Physical, psychological and sexual violence during pregnancy lead to an increase in the rate of low birth weight infants in the exposed mothers. Therefore, maternal screening and counseling by trained general practitioners and professionals before and during pregnancy are recommended.
Background & Aim: Birth weight is one of the most important indicators for evaluating the community health status.Violence during pregnancy affects both mother and fetus and leads to irreversible consequences. This study was performed to investigate the relationship between physical, sexual and psychological violence during pregnancy and low birth weight in the world as a meta-analysis.
Methods & Materials: This study is a meta-analysis that was performed on articles published in Persian and English languages from the beginning of 1995 to the end of 2015. Articles were extracted by searching in the databases of Scopus, Medline, EMBASE, Pubmed, Web of Science, Google scholar, Science Direct, Irandoc, Magiran, Medlib, and SID using key words of violence during pregnancy, low birth weight, physical, sexual and psychological violence and their compounds. The results of studies were combined using a random effects model in the meta-analysis. The heterogeneity of studies was evaluated using the I2 index and meta-regression, and the data analysis was performed using STATA software v.11.2 and SPSS software v.16.
Results: Of 254 found articles, 16 relevant articles with the sample number of 117287 people were included in the study. The results of meta-analysis showed that physical OR:1.61 (CI95%:2.04–2.28), psychological OR:1.26 (CI95%:1.02–1.56) and sexual violence OR:1.26 (CI95%:1.02–1.56) during pregnancy, lead to an increase in the rate of low birth weight infants in the exposed mothers.
Conclusion: Based on the results, physical, psychological and sexual violence during pregnancy lead to an increase in the rate of low birth weight infants in the exposed mothers. Therefore, the relevant authorities are recommended to identify at-risk mothers and control their exposure toviolenceby implementing educational and interventional programs, maternal screening and counseling by trained general practitioners and professionals before and during pregnancy.
Mahnaz Sharifi, Akram Karimi-Shahanjarini, Saeed Bashirian, Abbas Moghimbeigi,
Volume 22, Issue 4 (1-2017)
Abstract
Background & Aim: Unhealthy snacks consumption has an important role in childhood obesity. The aim of this study was to evaluate the effect of an educational intervention for mothers on the consumption of healthy snacks in children aged 1-5 years using social cognitive theory.
Methods & Materials: This quasi-experimental study was (IRCT2013062912456N2) conducted on 126 mothers who had children 1-5 years old in 2013. The mothers were selected from Hamadan health centers and divided into two groups of intervention and control. The intervention consisted of four sessions, a booklet, a short video, and 6 written messages. The constructs of SCT and food consumption frequency were assessed at baseline, 10 days after the last session and 2-months after the intervention. The data were analyzed by Chi-square test, independent t-test, repeated measures and covariance analysis using SPSS software version 16.
Results: At baseline, the two groups were similar in the demographic characteristics, the constructs of SCT, and unhealthy snacks consumption frequency (P>0.05). Considering that the interaction effects of group and time in the repeated measurement analysis of variance were significant, the means of two groups were compared at each stage using independent t test and significant differences between the two groups were observed at two stages after the intervention.
Conclusion: This intervention had a positive effect on the consumption of healthy snacks. Therefore, SCT and the implemented procedure could be used to develop interventions to modify snack consumption patterns in children.
Mahboobeh Maazallahi, Mansoor Arab, Narges Khanjani, Fatemeh Karimi Afshar,
Volume 24, Issue 2 (7-2018)
Abstract
Background & Aim: Depression is common among cardiac patients, especially patients with heart failure and leads to a poor prognosis. This study aimed to assess the effect of exercise on depressive symptoms in patients with heart failure, attending the Cardiac Rehabilitation Center.
Methods & Materials: In this clinical trial, 60 patients with NYHA class II and III heart failure who referred to the Cardiac Rehabilitation Center of Shafa Hospital affiliated to Kerman University of Medical Sciences in 2015 were randomly assigned into two groups of 30 patients. Subjects in the intervention group participated in a supervised 8-week exercise program, 3 days per week, while those in the control group only received standard routine care. Data were collected before and after the intervention by the demographic form and the Personal Health Questionnaire Depression Scale (PHQ-8). Data analysis was done by Chi-Square, Wilcoxon, Mann-Whitney U and Nonparametric ANCOVA tests using the SPSS version 21 and R software.
Results: The two groups were homogeneous in terms of depression score before the intervention. The median and interquartile range of the score of depression were 10 (5.25) in the control group and 8.5 (9.25) in the intervention group which showed a significant difference (P=0.042). By adjusting the variables of the duration of the disease and the pre-test scores of depression symptoms by non-parametric covariance test, the difference between the two groups was also significant.
Conclusion: Exercise can reduce depressive symptoms in patients with heart failure.
Clinical trial registry: IRCT201605107844N10
Zahra Karimi, Nasrin Rezaee, Mansour Shakiba, Ali Navidian,
Volume 25, Issue 3 (10-2019)
Abstract
Background & Aim: Substance use as a crisis and a long-term chronic disorder can lead to psychological burden and reduce the quality of life of family caregivers. The aim of this study was to determine the effect of the quality of life therapy intervention on the burden of the family caregivers of addicts.
Methods & Materials: This is a clinical trial. The research population included all the family caregivers of the recovering addicts, admitted to Baharan psychiatric hospital in Zahedan in 2018. The samples were 80 people who were randomly divided into either intervention or control group. Caregivers in the intervention group received eight sessions of group counseling based on the quality of life therapy and on the basis of the determined content, every other day. Before the intervention and eight weeks after the intervention, the data were collected using the Zarit burden questionnaire and were analyzed by statistical tests through the SPSS software version 21.
Results: Before the intervention, there was no significant difference in the mean score of burden between the two groups (P=0.25). After the intervention, the mean score of family caregiver burden in the intervention group (40.10±12.92) was significantly lower than in the control group (46.80±13.58) (P<0.01).
Conclusion: The quality of life therapy intervention in this study had a positive and significant effect on reducing the burden of family caregivers of addicts. Therefore, it is recommended that healthcare providers use this counseling approach along with addiction treatment programs to improve the psychological well-being of family caregivers.
Clinical trial registry: IRCT20160924029954N11
Zahra Karimi, Nasrin Rezaee, Mansour Shakiba, Ali Navidian,
Volume 26, Issue 2 (6-2020)
Abstract
Background & Aim: Addiction as a crisis and a chronic long-term disorder can lead to mental health symptoms in the users and their family members, the most common of which are stress, anxiety and depression. The aim of the study was to determine the effect of a quality of life intervention on the psychological reactions in family caregivers of addicts.
Methods & Materials: This study is a clinical trial. The research population included the family caregivers of addicts admitted to Baharan psychiatric hospital in 2018. The sample consisted of 80 subjects who were randomly divided into intervention and control groups. The caregivers in the intervention group received eight sessions of group counseling based on quality of life therapy and based on specified content, every other day. Eight weeks after the intervention, the data were collected using the DASS-21, and were analyzed by the SPSS software version 21 using paired t test, independent t test, Chi-square and Covariance.
Results: After the quality of life intervention, the mean scores of stress, anxiety and depression in family caregivers in the intervention group (11.50±4.36, 11.05±3.49, 10.57±4.67) were significantly lower than those of in the control group (14.67±4.93, 14.02±4.33, 13.40±4.77) (P<0.01). There were no significant differences in these variables between the two groups before the intervention.
Conclusion: Counseling based on quality of life therapy in this study had a positive and significant effect on reducing the severity of psychological reactions in family caregivers of addicts. Therefore, health care providers are recommended to use this counseling approach along with addiction treatment programs to increase the welfare and psychological well-being of family caregivers.
Clinical trial registry: IRCT20160924029954N11
Fatemeh Lotfi, Fatemeh Zahra Karimi, Seyed Reza Mazloum, Mahdi Yousefi, Hasan Rakhshande,
Volume 27, Issue 1 (4-2021)
Abstract
Background & Aim: Anxiety is one of the most important psychological problems during the menopausal period. Anxiety can affect the health and quality of life of postmenopausal women. The purpose of this study was to investigate the effect of viola odorata syrup on anxiety among postmenopausal women.
Methods & Materials: This study is a triple blind clinical trial that was performed on 84 postmenopausal women referred to health centers in Mashhad in 2019. In both groups, postmenopausal women received 5 ml of viola odorata or placebo syrup twice a day for one month. Before and after the intervention, anxiety was assessed using the Depression, Anxiety and Stress scale-21. Data was analyzed using the SPSS software version 25 and Mann-Whitney, Chi-square and Fisher's exact tests.
Results: Before the intervention, there was no significant difference in women’s anxiety levels between viola odorata group and placebo group, and the two groups were homogeneous (P=0.084). After the intervention, there was a significant difference between the two groups (P=0.004). The corrected average was 3.61±3.02 (2.9-4.2, CI95%) for the violet group and 7.63±3.60 (6.9-8.3, CI95%) for the placebo group. Also, after the intervention the anxiety score decreased in the viola odorata group, and increased in the placebo group. The Mann-Whitney U test showed a significant difference (P<0.001).
Conclusion: According to the results of the present study, viola odorata syrup decreased anxiety in postmenopausal women. Therefore, it can be used as a complementary treatment along with chemical therapies to reduce anxiety in postmenopausal women.
Clinical trial registry: IRCT20180514039660N1
