Showing 143 results for Men
Shirmohammad Davoodvand, Reza Masoudi, Reyhaneh Eskandarian, Soleiman Kheiri, Somaye Zamanifard,
Volume 32, Issue 1 (4-2026)
Abstract
Background & Aim: Anxiety and sleep disorders have adverse effects on the well-being of patients with acute coronary syndrome. This study aimed to determine the effect of self-management based on Social Cognitive Theory on anxiety and sleep quality in patients with acute coronary syndrome.
Methods & Materials: This clinical trial was conducted in 2024 on 72 patients with acute coronary syndrome hospitalized in the cardiac intensive care units of Hajar Hospital, Shahrekord. Participants were enrolled sequentially and conveniently and were randomly assigned to two groups of 36 (intervention and control). They completed the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Index. The intervention group received virtual education in six 30-minute sessions. The control group received routine care. Data were collected before, immediately after, and 8 weeks after the intervention. Data analysis was performed using chi-square and Mann-Whitney tests in SPSS version 20.
Results: Before the intervention, there was no significant difference in anxiety scores or sleep quality between the two groups (P>0.05). After the intervention, sleep quality showed a significant difference compared to before the intervention (P<0.05). However, anxiety levels did not show a significant difference after the intervention compared to before (P>0.05).
Conclusion: Considering the effect of the intervention based on Social Cognitive Theory on sleep quality in patients with acute coronary syndrome, this intervention is recommended in addition to conventional care for these patients. Further studies are needed to reduce their anxiety levels.
Clinical trial registry: IRCT20240626062258N1
Raoofeh Karimi, Zahra Rooddehghan, Amirhossein Khajezadeh, Nikou Sardarpour, Mahsa Abbaszadeh, Mohammad Javad Ahmadzadeh Zeidi,
Volume 32, Issue 1 (4-2026)
Abstract
Background & Aim: Intolerance of uncertainty is an emerging psychological construct that may influence health-related behaviors, particularly treatment adherence. The present study aimed to determine the association between intolerance of uncertainty and treatment adherence in patients with diabetes.
Methods & Materials: This cross-sectional descriptive-correlational study was conducted in 2024 on 103 patients with diabetes referred to Imam Khomeini Hospital in Tehran. Samples were selected using a convenience sampling method. Data were collected using a demographic and clinical characteristics form, the Morisky Medication Adherence Scale, and the Intolerance of Uncertainty Scale developed by Freeston et al. Data were analyzed using descriptive (mean, standard deviation, and frequency) and inferential statistics (independent t-test, Pearson correlation coefficient, and one-way ANOVA) in SPSS version 16.
Results: Intolerance of uncertainty showed a significant positive correlation with age (r=0.27, P=0.006) and a significant negative correlation with diabetes duration (r=-0.27, P=0.006). Single participants had significantly higher levels of intolerance of uncertainty compared to married participants (P=0.005). Furthermore, treatment adherence demonstrated a significant positive relationship with age (r=0.34, P<0.001) and was higher among women (P=0.021) and single individuals (P=0.032). Among the participants, 50 individuals (48.5%) had high intolerance of uncertainty, and 44 individuals (42.7%) had low treatment adherence. A significant positive correlation was observed between intolerance of uncertainty and treatment adherence (r=0.65, P<0.001).
Conclusion: The findings of the present study indicate that diabetic patients who experience higher levels of intolerance of uncertainty are more likely to adopt treatment adherence as a coping strategy when faced with uncertain circumstances and unpredictable outcomes of their disease. This behavior serves as a means to reduce psychological distress and regain a sense of control. These findings underscore the importance of addressing psychological dimensions, particularly intolerance of uncertainty, by nurses and other healthcare team members. However, due to the cross-sectional nature of this study and other limitations, the interpretation of the results should be approached with caution.
Nahid Maleki, Mohaddeseh Bakhshi, Khadigeh Mirzaei, Malihe Rezvanifard,
Volume 32, Issue 1 (4-2026)
Abstract
Background & Aim: Breastfeeding is a health promotion priority due to its short‑term and long‑term health implications for both mothers and infants. However, breastfeeding rates have consistently declined worldwide. Therefore, the protection, promotion, and support of breastfeeding are considered public health priorities. This study aimed to explore the educational needs of breastfeeding mothers to inform the management and optimization of educational‑consultative services.
Methods & Materials: This qualitative content analysis study was conducted between 2019 and 2021 in five health centers and four hospitals affiliated with Mashhad University of Medical Sciences. A total of 25 breastfeeding mothers, 2 family members, and 9 health personnel were selected through purposive sampling and participated in semi‑structured in‑depth interviews. Sampling continued until data saturation was achieved. Data were analyzed using the Elo and Kingas approach with the assistance of MAXQDA 2010 software. Trustworthiness was established based on Guba and Lincoln's criteria.
Results: The category of "educational‑consultative services" emerged from the analysis, which comprised two main subcategories: "management and optimization of education" and "comprehensive consultative services". These two subcategories reflected the perceived educational and consultative needs of mothers, encompassing five sub‑subcategories: "the need for education at the appropriate time and place", "the need for combined educational approaches", "the need for breastfeeding counseling", "the need for psychological counseling during breastfeeding", and "the need for sexual counseling during breastfeeding".
Conclusion: Mothers require educational‑consultative services to sustain breastfeeding. Addressing these needs in the planning and management of educational‑consultative services can contribute to the optimization of breastfeeding care.
