Fatemeh Rostami, Farhad Ramezani Badr , Koorosh Amini, Aub Pezeshki,
Volume 5, Issue 1 (9-2015)
Abstract
Background and Objectives: Stress is a common and important psychological problem among patients undergoing hemodialysis. Stress can negatively affect the quality of life, treatment acceptance, and disease progress in patients. Participation of patient in self-care activities lead to more independence and patients adjustments with their illnesses. The aim of this study was to determine the effect of a self-care educational program based on the Orem's model on stress in hemodialysis patients. Materials and Methods: This semi-experimental pretest-posttest study was conducted in the educational hospitals affiliated to Zanjan University of Medical Sciences. Participants were selected among from patients undergoing hemodialysis through convenience method and were allocated into two intervention and control groups using blocked randomization. After baseline measurement, the educational program was implemented in the intervention group for 30-minutes weekly sessions. Stress was measured before and one month after the intervention in both groups using the stress part of the DASS-42 questionnaire. The data were analyzed in the SPSS-19 using descriptive statistics, paired-t test, independent t-test, and chi-squared test. Results: The mean age of the participants was 55.13±15.1 years. Most of the participants were male (63.3%), 76.0% were married and 47.88% had not finished the high school. There was a significant decrease in the mean stress score after the intervention (P<0.001). There was also a significant difference in the mean of stress score between the two groups after the intervention (p=0.03). Conclusion: According to the positive effect of our educational program designed based on the Orem's self-care model, it seems that the program could be implemented to decrease stress in patients undergoing hemodialysis.
Samaneh Youseflu, Farahnaz Rostami, Majid Yousefi Afrashteh , Zeynab Bayat, Leila Rastegari,
Volume 8, Issue 4 (3-2019)
Abstract
Background: Postpartum is considered as one of the most vulnerable and stressful periods for women. Changes in physical appearance after pregnancy and childbirth could result in attitudinal changes of women towards their body and subsequently disorders in women’s sexual behavior.
Objectives: Regarding the effect of pregnancy and childbirth on sexual function and the body image of women, this study aims to assess the effect of body image satisfaction on sexual function of Iranian women referring to Health Care Center of Zanjan city after child birth.
Methods: This cross-sectional study was conducted on 420 mothers who had referred to health care centers affiliated to Zanjan University of Medical Sciences between 2018-19. A checklist including questions about demographic and reproductive information, Female Sexual Function Index (FSFI) and the Multidimensional Body–Self Relations Questionnaire (MBSRQ) were filled up for all of the participants. The data were analyzed by SPSS 16 software through using the Pearson correlation coefficient.
Results: A positive relationship was observed between body image satisfaction and sexual function (SF) of women (r=0.23, p<0.001). The participating women’s BMI (r=0.27, p<0.001), marriage duration (r=0.11, p<0.05) and their age (r=0.28, p<0.001) were associated with their body image satisfaction. The levels of body image satisfaction showed significant difference between women with and without sexual dysfunction (p=0.008).
Conclusion: Women experience changes in SF and body image during the postpartum period. Changes in women’s SF can leave negative impact on women’s family relationship. Therefore, in that period, women need breastfeeding and nutritional support as well as psychosocial support with regards to their body image. As a strategy, health care providers are recommended to pay more attention to women’s mental and sexual issues while offering postpartum routine checks.
Soudabeh Niroomand, Fatemeh Razavinia, Zeynab Bayat, Mahsa Jafari, Farahnaz Rostami, Samaneh Youseflu,
Volume 9, Issue 1 (6-2019)
Abstract
Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems.
Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period.
Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.
Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers’ education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level.
Conclusion: The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence women's anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community
Loghman Ebrahimi, Yalda Rostami, Maryam Mohamadlou,
Volume 9, Issue 3 (11-2019)
Abstract
Background: Due to the increasing number of divorces and their irreparable consequences, divorced women are at increasing risk of these problems.
Objectives: The present study aimed to analyze the mediating role of internalizing problems on the relationship between emotional well-being and externalizing problems of divorced women in Zanjan.
Methods: The method in this research was descriptive correlation carried out through survey method. The statistical population was all divorced women in Zanjan that 200 people were selected through convenience sampling. Questionnaires of anxiety-depression-stress scale (DASS-21), emotional well-being (Keys and Magyar-Mae, 2003), and AGQ aggression as well as and Fisher divorce adjustment scale (1976) were applied to collect data. Structural equation modeling test and EMUs software were used to analyze the data.
Results: The research findings indicated that there is a significant relationship, which is in reverse and decreasing, between emotional well-being and externalizing problems (aggression) and internalizing problems. There is a significant relationship, which is direct and increasing, between emotional well-being and externalizing problems (post-divorce adjustment) and internalizing problems (depression, anxiety and stress) with externalizing (aggression) problems of divorced women. There is also a significant relationship between internalizing problems and externalizing problems (post-divorce adjustment) in reverse and decreasing, and the variable of internalizing problems is a mediating variable in the relationship between emotional well-being and externalizing problems.
Conclusion: Based on the findings of the present study, with increase in emotional well-being, internalizing and externalizing (aggression) problems decrease and post-divorce adjustment increases in women. Accordingly, responsible institutions are required to take the needed measures in the form of training workshops and psychological services to recover and improve emotional well-being among these people.
