Shima Kohansal, Fariba Tabari, Shahrzad Ghiyasvandian, Shima Haghani, Kamran Roudini,
Volume 27, Issue 3 (10-2021)
Abstract
Background & Aim: Anxiety is one of the most common complications in cancer patients that can affect the physical and mental health of patients and disrupt the treatment process. For this reason, cancer patients undergoing chemotherapy need education about the disease and ways to cope with its complications and problems. The aim of this study was to compare the effects of video and written training methods on anxiety in patients with gastric and esophageal cancer undergoing outpatient chemotherapy.
Methods & Materials: This study is a randomized clinical trial that was conducted on 58 patients with gastric and esophageal cancer who underwent outpatient chemotherapy in Shariati and Imam Khomeini hospitals in Tehran. Participants were randomly assigned to either the video training group (n=28) or the written training group (n=30). Data was collected using the Spielberger State Anxiety Inventory (STAI), at the beginning of the study and then weekly for 12 weeks. The SPSS software version 20 was used to analyze the data.
Results: The results showed that the level of anxiety in both groups was significantly lower compared to before the intervention (P<0.05). There was no statistically significant difference in the anxiety mean score between the video group (56.07±9.85) and the written group (56.40±8.13) after the intervention (P=0.89).
Conclusion: In general, the results of this study showed that self-care education using video and written methods reduces the anxiety of cancer patients undergoing chemotherapy and both methods can be effective in reducing patients' anxiety.
Clinical trial registry: IRCT20181115041669N1
Masomah Jalili, Shahnaz Kohan, Mohammad Javad Tarrahi, Fatemeh Torabi,
Volume 29, Issue 1 (4-2023)
Abstract
Background & Aim: COVID-19 is one of the crises that seriously threatens the individuals’ mental health, especially pregnant women. On the other hand, the COVID-19 quarantine can affect the occurrence of domestic violence in pregnant women. The aim of the current study was to investigate the prevalence of domestic violence in pregnancy and the factors affecting it during the COVID-19 pandemic.
Methods & Materials: This was a descriptive-correlational study conducted on 308 primiparous mothers referred to health centers in Isfahan in 2021. The participants were selected using the multi-stage sampling method. Data was collected using a demographic characteristics form and the domestic violence questionnaire. Data analysis was done through the SPSS software version 22 using the Spearman's correlation coefficient, Mann-Whitney and Kruskal-Wallis tests.
Results: A total of 59 mothers (19.2%) experienced domestic violence during their pregnancy (a score of 60 and above from the domestic violence questionnaire). The most prevalent type of violence (including perceived) was psychological violence with 74.4% (229 people), followed by economic, sexual, and physical violence with 35.1% (108 people), 17.2% (53 people), and 14.9% (46 people) respectively. A significant relationship was found between domestic violence during pregnancy and the number of siblings, birth order, the educational level of mother and her husband, and husband’s occupation (P<0.05).
Conclusion: The COVID-19 pandemic has made pregnant women more vulnerable to domestic violence. There are many individual and cultural factors contributing to domestic violence. Some factors were identified as the predictors of violent behavior such as the educational level of woman and her husband, and occupation. Identifying these factors and screening of domestic violence during pregnancy can prevent the occurrence of violent behavior by the spouse and the negative consequences of domestic violence on the mother and her fetus.
